Updating existing code (Change_Type: C and U) : Change or Unrecognized change
This change types are used for adding new record into the system and also updating existing record.
For each change record a new version will get added to the system.
(Functionally for both change types are similar i.e. Change and Un-recognized change)
- Property mappings:
CodeSetType Pega property Base File/Change File File property (Base file or Change file) Is mandatory (From files) Note CPT .Code Change File CPT_Code Yes Mandatory in both base and change files .CodeDescription Base File SHORT_DESCRIPTION Yes Mandatory, because we can show atleast one description for each code on UI
.EffectiveDate Change File Revised_Start/Release_Date Yes If Revised_start is not available, Release_Date is considered as effective date .ExpirationDate Change File Date_Terminated/"Version_End- 1"/Release_Date If version_End is not available, Release_Date is considered as end date Version_End is decrement by -1 because in case we receive same value for Version_End and Release_Date, we don't want any conflicts with the dates. Refer example for more details
.FAC_TOTAL_RVU Base File FAC_TOTAL_RVU .FullDescription Base File FULL_DESCRIPTION .LongDescription Base File LONG_DESCRIPTION .NF_TOTAL_RVU Base File NF_TOTAL_RVU .Seq_Order Base File SEQ_ORDER .Status Change File Release_Date Yes "Changed as part of Release"+Release_Date .StatusIndicator Change File Status_indicator .Resequenced Base File Resequenced .Version NA Previous version+"0.1" System will take previous version of the code and increment it by +"0.1" ICD10 Dx .Code Change File CODE Yes Mandatory in both base and change files .EffectiveDate Change File Revised_Start/Release_Date Yes If Revised_start is not available, Release_Date is considered as effective date .ExpirationDate Change File Date_Terminated/"Version_End- 1"/Release_Date If version_End is not available, Release_Date is considered as end date Version_End is decrement by -1 because in case we receive same value for Version_End and Release_Date, we don't want any conflicts with the dates. Refer example for more details .ShortDescription Base File SHORT_DESCRIPTION Yes Mandatory, because we can show atleast one description for each code on UI
.Full_Description Base File FULL_DESCRIPTION .LongDescription Base File LONG_DESCRIPTION .Validity Base File VALIDITY If Validity is "C", value is set to "1", if
Validity=="I", value is set
to "0".
.Status Change File Release_Date "Changed as part of Release"+Release_Date
.StatusIndicator Change File Status_indicator .CodeType Base File CODE_TYPE .Version NA Previous version+"0.1" System will take previous version of the code and increment it by +"0.1"
HCPCS .HCPC Change File HCPCS_CODE Yes Mandatory in both base and change files .EffectiveDate Change File Revised_Start/Release_Date Yes If Revised_start is not available, Release_Date is considered as effective date .ExpirationDate Change File Date_Terminated/"Version_End- 1"/Release_Date If version_End is not available, Release_Date is considered as end date Version_End is decrement by -1 because in case we receive same value for Version_End and Release_Date, we don't want any conflicts with the dates. Refer example for more details.
.ShortDesc Base File SHORT_DESCRIPTION Yes Mandatory, because we can show atleast one description for each code on UI
.FullDescription Base File FULL_DESCRIPTION .LongDesc Base File .LONG_DESCRIPTION .Status Change File Release_Date Yes "Changed as part of Release"+Release_Date
.StatusIndicator Change File Status_indicator .Version NA Previous version+"0.1" System will take previous version of the code and increment it by +"0.1"
- Example: Importing CPT files
- Base file:
- Change file: (we have two scenarios here as well; we can give
Date_Teminated or not. Both are valid scenarios).
This is the valid combination to import with “C” or “U”.
After importing: New version gets added into the system with Version: 1.1 (New record).
EffectiveDate: Revised_Start, EndDate: Default date given by system.
Existing record with Version 1.0, gets updated with End date (Version_End - 1). EndDate: Version_End.
Previous topic Adding new code (Change Type: N): New Next topic Deleting the code (Change_Type: D): Delete