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This variable indicates whether a beneficiary met the condition criteria for attention deficit hyperactivity disorder (ADHD) or other conduct disorders as of the end of the calendar year.NOTE: The condition variable requires beneficiaries to satisfy both claims criteria (a minimum number/type of Medicare claims that have the proper diagnosis codes and occurred within a specified time period) and coverage criteria (Medicare FFS Part A and Part B coverage during the entire specified time period).NOTE1: For ADHD and other conduct disorders, beneficiaries must have at least one Medicare inpatient claim or two other non-drug claims of any service type with a related code in any position during the 2-year reference period. You can find more detailed information on the criteria on the CCW website: https://www.ccwdata.org/web/guest/condition-categories
Code | Code value |
---|---|
0 | Beneficiary did not meet claims criteria or have sufficient FFS coverage |
1 | Beneficiary met claims criteria but did not have sufficient FFS coverage |
2 | Beneficiary did not meet claims criteria but had sufficient FFS coverage |
3 | Beneficiary met claims criteria and had sufficient FFS coverage |