URSA-CORE-930: Claims or Billing Documents Without Diagnoses

  • Published on Jul 17, 2025
  • 1 minute(s) read
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Measure Description

Among institutional claim or bill headers or professional claim or bill service line items, the percentage with no diagnosis codes

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Document ID
  • Target Direction: Down

Denominator Description

Institutional claim or bill headers or professional claim or bill service line items.

Numerator Description

One per denominator observation without an ICD-10-CM diagnosis in the first position.

Published Fields

  • Data Model Keys

    • Patient ID
    • Payor ID
    • Document ID
    • Source ID
    • Diagnosis Record Document ID

  • Date Fields

    • Claim Covered Start Date
    • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)

  • Denominator Fields

    • Document Type Description

  • Measure Fields

    • Denominator