URSA-CORE-932: Excess Principal Diagnoses

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

Among institutional claim or bill headers and professional claim or bill service line items, the percentage with 2 or more principal diagnoses.

Metadata

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

Denominator Description

One per institutional claim or bill headers or professional claim or bill service line items.

Numerator Description

One per denominator observation with 2 or more principal diagnoses.

Published Fields

  • Data Model Keys

    • Document ID
    • Claim ID
    • Professional Claim Service Line Item ID
    • Bill ID
    • Professional Bill Service Line Item ID
    • Service Line Number
    • Diagnosis Line Number
    • Plan ID
    • Payor ID
    • Source ID

  • Date Fields

    • 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)

  • Diagnosis Fields

    • ICD-10-CM Code
    • ICD-10-CM Description

  • Metadata Fields

    • Document Type Description

  • Measure Fields

    • Count Principal Diagnoses
    • Denominator