Texas Administrative Code

Texas Administrative Code

TITLE 25	HEALTH SERVICES
PART 1	DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 421	HEALTH CARE INFORMATION
SUBCHAPTER A	COLLECTION AND RELEASE OF HOSPITAL DISCHARGE DATA
RULE §421.8	Hospital Discharge Data Creation

(RRR) Ancillary Service - Clinic Visit Charges;

(SSS) Total Charges - Accommodations;

(TTT) Total Charges - Ancillary;

(UUU) Total Non-Covered Accommodation Charges;

(VVV) Total Non-Covered Ancillary Charges;

(WWW) Total Charges;

(XXX) Total Non-Covered Charges;

(YYY) Encounter Identifier - a unique number for each encounter for the quarter;

(ZZZ) Service Line Revenue Code;

(AAAA) Service Line Procedure Code;

(BBBB) HCPCS/HIPPS Procedure Code;

(CCCC) HCPCS/HIPPS Procedure Modifiers (Up to 4 may be submitted and reported);

(DDDD) Service Line Charge Amount;

(EEEE) Service Line Unit Code;

(FFFF) Service Line Unit Count;

(GGGG) Service Line Non-Covered Charge Amount;

(HHHH) Patient Country (when address is not in the United States of America and confidentiality can be maintained);

(IIII) POA indicator (if applicable).

(JJJJ) Hospital Emergency Department Indicator.

(12) The following data elements for records submitted with diagnosis codes that are associated with alcohol or drug use will be modified to protect those patients that may be covered by 42 USC §290dd-2 and 42 CFR Part 2:

(A) Patient ZIP Code shall be reported as "`" (back quote);

(B) Patient Country shall be reported as "`" (back quote); and

Source Note: The provisions of this §421.8 adopted to be effective August 19, 1997, 22 TexReg 7490; amended to be effective December 29, 1997, 22 TexReg 12494; amended to be effective July 26, 1998, 23 TexReg 7365; amended to be effective December 24, 2000, 25 TexReg 12430; amended to be effective July 29, 2001, 26 TexReg 5408; amended to be effective April 21, 2002, 27 TexReg 3183; amended to be effective July 6, 2003, 28 TexReg 4915; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; amended to be effective December 27, 2007, 32 TexReg 9683; amended to be effectiveJanuary 9, 2011, 35 TexReg 9743; amended to be effective December 18, 2014, 39 TexReg 7582; amended to be effective July 5, 2017, 42 TexReg 3373; amended to be effective January 30, 2019, 44 TexReg 429