Central Distributor SID: Description of Data Elements

P7EDSRC_X - Condition Code P7, Direct Inpatient Admission from Emergency Room

Documentation Sections:

General Notes

Uniform Values

State Specific Notes

General Notes

The data element P7EDSRC_X helps identify admissions to the hospital that had emergency department (ED) services. Effective July 1, 2010, Uniform Billing standards (UB-04) discontinued the value indicating an ED admit from the data element for point of origin. Instead hospitals are to use the a condition code of "P7". The condition code values reported by the HCUP data source are retained as provided and documented under State-Specific Notes. The most reliable way to identify ED admissions in the HCUP databases is to use the data element HCUP_ED. This variable considers various pieces of information to identify if a patient had ED services. These include a revenue code in the range 450-459 indicating ED services, an positive ED charge, a CPT code indicating ED physician services, an admission source of ED, a point of origin of ED, or a P7 condition code. The coding of admission source, point of origin, and P7 condition code varies by state and, sometimes, even varies across hospitals in a state. The HCUP_ED variable considers all possible evidence of ED services.

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Uniform Values

Variable Description Value Value Description P7EDSRC_X Condition Code P7, Direct Inpatient Admission from Emergency Room n(a) State specific coding - See the "State Specific Notes" section for details

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State Specific Notes

Arizona In the Arizona data, "P7", "p7" indicate treatment in the Emergency Department prior to inpatient admission. Arkansas Beginning in 2014, Arkansas provides a condition code P7 that indicates the patient was admitted directly from this facility's Emergency Department. Colorado Beginning in 2015, supplies condition code fields in which P7 indicates treatment in the Emergency Department prior to inpatient admission. These fields are missing for the first three quarters of 2015. Florida In the Florida data, "P7", "p7" indicate treatment in the Emergency Department prior to inpatient admission. According to Florida documentation, this code was optional for 2011 quarter 1 and quarter 2. Iowa Beginning 7/1/2012, Iowa supplied HCUP with a service marker that indicates if the patient has an emergency room revenue code and/or emergency medicine HCPCS codes on their record. This includes any record with a HCPCS code of 99281-99285 or 99291 or with a revenue code 0450, 0451, 0452, 0456, 0459. This service marker was used to populate P7EDSRC_X. Maryland Beginning 2010, MD has sent a separate data element, Admit from Emergency Room, that is used for P7EDSRC. Value Description 1 Direct admit from emergency room 7 Not applicable 9 Unknown Utah In the Utah data, "P7", "p7" indicate treatment in the Emergency Department prior to inpatient admission.

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