CMS Posted Final Version Of Their PDPM Grouper DLL Zip File

CMS has posted the final version of their PDPM Grouper DLL zip file, v1.0006, and the FY2021 list of allowable ICD-10 codes for item I0020B to their MDS 3.0 Technical Information website.

Per the posting notice: “This version supports the calculation of PDPM payment codes on OBRA assessments when not combined with the 5-day SNF PPS assessment, specifically the OBRA comprehensive (NC) and OBRA quarterly (NQ) assessment item sets.  Note that the grouper will return 4-character codes for these OBRAs.

It is important to include the control item STATE_PDPM_OBRA_CD (as defined in the V3.00.5 errata for the FINAL version (v3.00.1) of the MDS 3.0 Data Specifications) for assessments with target date on or after October 1, 2020. 

Note that this FINAL version supports the ICD-10 codes that are defined in the data specifications as valid for item I0020B for FY2021.  Also, please note that the grouper expects valid FY2021 ICD-10 codes for I8000A-J when processing assessments with target date on or after October 1, 2020. 

In addition, the lookup files containing the allowable ICD codes for item I0020B have been updated for FY2021, and is posted as a separate ZIP file.”