Do Z codes require POA indicators?

A Present On Admission (POA) indicator is required on all diagnosis codes for the inpatient setting except for admission. The indicator should be reported for principal diagnosis codes, secondary diagnosis codes, Z-codes, and External cause injury codes.

What ICD 10 codes are exempt from POA reporting?

Present On Admission Exempt ICD-10-CM Codes

• B90.0. Sequelae of central nervous system tuberculosis.
• B90.1. Sequelae of genitourinary tuberculosis.
• B90.2. Sequelae of tuberculosis of bones and joints.
• B90.8. Sequelae of tuberculosis of other organs.
• B90.9. Sequelae of respiratory and unspecified tuberculosis.
• B91. …
• B92. …
• B94.0.

What is the POA indicator?

Present on admission is defined as the conditions present at the time the order for inpatient admission occurs. The POA indicator is intended to differentiate conditions present at the time of admission from those conditions that develop during the inpatient admission.

What box is the POA indicator on a ub04?

On the UB-04, the POA indicator is the eighth digit of Field Locator (FL) 67, Principal Diagnosis, and the eighth digit of each of the Secondary Diagnosis fields, FL 67 A–Q. Report the applicable POA indicator (Y, N, U, or W) for the principal diagnosis and any secondary diagnoses as the eighth digit.

What POA indicator is assigned to a code when the documentation is insufficient to determine if the condition is present on admission?

Documentation insufficient to determine if the condition was present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as “U” for the POA Indicator. Clinically undetermined.

What are POA indicators and when are they required?

A POA indicator is the data element, shown as a single letter, that a medical coder assigns based on whether a diagnosis was present when the patient was admitted or not. . A Present On Admission (POA) indicator is required on all diagnosis codes for the inpatient setting except for admission.

Are POA indicators required on SNF claims?

Claims for inpatient admission to acute care inpatient prospective payment system hospitals must include the appropriate POA indicator for the principal and all secondary diagnoses, unless the code is exempt.

What is a POA exempt list?

The Present on Admission Exempt (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA is defined as present at the time the order for inpatient admission occurs.

What is the HAC POA program?

The Hospital-Acquired Condition (HAC) Reduction Program is a value-based-purchasing program for Medicare that supports the Centers for Medicare and Medicaid Services’ (CMS’) long-standing effort to link Medicare payments to healthcare quality in the inpatient hospital setting.

Is a POA query appropriate if the documentation is unclear for present on admission assignment?

The Guidelines also state that if at the time of code assignment, the documentation is unclear as to whether a condition was POA, it is appropriate to query the provider.