This page is part of the CARIN Blue Button Implementation Guide (v2.2.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/CMSPresentOnAdmissionIndicator | Version: 2.2.0 | ||||
| Standards status: Trial-use Active as of 2026-03-27 | Maturity Level: 2 | Computable Name: CMSPresentOnAdmissionIndicator | |||
Copyright/Legal: This ValueSet is not copyrighted. |
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This code system consists of Present on Admission (POA) indicators which are assigned to the principal and secondary diagnoses (as defined in Section II of the Official Guidelines for Coding and Reporting) and the external cause of injury codes to indicate the presence or absence of the diagnosis at the time of inpatient admission.
References
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding version 📦07/14/2020
Expansion performed internally based on codesystem CMS Present on Admission (POA) Indicator v07/14/2020 (CodeSystem)
This value set contains 5 concepts
| System | Code | Display (en) | Definition | JSON | XML |
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding | Y | Diagnosis was present at time of inpatient admission. | |||
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding | N | Diagnosis was not present at time of inpatient admission. | |||
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding | U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | |||
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding | W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | |||
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding | 1 | Unreported/Not used. Exempt from POA reporting. This code is equivalent to a blank on the UB-04, however; it was determined that blanks are undesirable when submitting this data via the 4010A. |