Merged in refactor/rename-procedure-cd (pull request #638)

CPT4_PROC_CD --> PROCEDURE_CD

* CPT4_PROC_CD --> PROCEDURE_CD


Approved-by: Alex Galarce

fieldExtraction/src/constants/investment_columns.py

@@ -84,8 +84,8 @@ COLUMN_ORDER = [
     "FEE_SCHEDULE_VERSION",
     "AARETE_DERIVED_FEE_SCHEDULE_VERSION",
     "SERVICE_TERM",
-    "CPT4_PROC_CD",
-    "CPT4_PROC_CD_DESC",
+    "PROCEDURE_CD",
+    "PROCEDURE_CD_DESC",
     "CPT4_PROC_MOD",
     "CPT4_PROC_MOD_DESC",
     "REVENUE_CD",

fieldExtraction/src/investment/code_funcs.py

@@ -435,7 +435,7 @@ def code_description_mapping(answer_dict, all_mappings):
         list: Updated list of dictionaries with code descriptions added.
     """
 
-    proc_code = answer_dict.get("CPT4_PROC_CD")
+    proc_code = answer_dict.get("PROCEDURE_CD")
     proc_mod = answer_dict.get("CPT4_PROC_MOD")
     diag_code = answer_dict.get("DIAG_CD")
     rev_code = answer_dict.get("REVENUE_CD")
@@ -443,7 +443,7 @@ def code_description_mapping(answer_dict, all_mappings):
     grouper_type = answer_dict.get("GROUPER_TYPE")
     admit_type_code = answer_dict.get("CLAIM_ADMIT_TYPE_CD")
     
-    answer_dict["CPT4_PROC_CD_DESC"] = get_code_description(proc_code, all_mappings['proc_mapping'])
+    answer_dict["PROCEDURE_CD_DESC"] = get_code_description(proc_code, all_mappings['proc_mapping'])
     answer_dict["CPT4_PROC_MOD_DESC"] = get_code_description(proc_mod, all_mappings['proc_mapping'])
     answer_dict["DIAG_CD_DESC"] = get_code_description(diag_code, all_mappings['diag_mapping'])
     answer_dict["REVENUE_CD_DESC"] = get_code_description(rev_code, all_mappings['rev_mapping'])
@@ -528,14 +528,14 @@ def get_code_breakout(answer_dicts: list[dict], filename: str, all_dataset: dict
         answer_dict.update(code_primary_answers)
         if all(string_utils.is_empty(value) for value in code_primary_answers.values()):
             implicit_proc_cd = code_implicit(service_term_clean, filename)
-            answer_dict["CPT4_PROC_CD"] = implicit_proc_cd
+            answer_dict["PROCEDURE_CD"] = implicit_proc_cd
 
         # Code Descriptions
         try:
             answer_dict = code_description_mapping(answer_dict, all_dataset['codes_mappings'])
         except Exception as e:
             print(f"Error in code_description_mapping: {e}")
-            answer_dict["CPT4_PROC_CD_DESC"] = "N/A"
+            answer_dict["PROCEDURE_CD_DESC"] = "N/A"
             answer_dict["CPT4_PROC_MOD_DESC"] = "N/A"
             answer_dict["DIAG_CD_DESC"] = "N/A"
             answer_dict["REVENUE_CD_DESC"] = "N/A"

fieldExtraction/src/prompts/investment_prompts.json

@@ -468,13 +468,13 @@
         "prompt": "DEFAULT_INDICATOR:\nIndicates whether this methodology serves as a default/fallback payment rate when no other payment methods apply. The default/fallback payment rate is typically a low rate and based on billed charges.  This is an 'end-of-the-line' reimbursement when no other methodologies apply.\n\nOutput 'Y' ONLY if the methodology meets BOTH these criteria:\n1. Contains language indicating it applies to services not covered elsewhere, such as:\n   - 'services not listed in the fee schedule'\n   - 'services for which no other payment method is specified'\n   - 'all other services'\n   - 'services not otherwise specified'\n2. Is clearly a secondary/fallback option, NOT the primary/base reimbursement method, as indicated by:\n   - Position in the contract (appears after primary methodology is defined)\n   - Lower reimbursement rate than the base methodology (typically 50-60% of charges)\n   - Explicit 'default' or 'fallback' terminology\n   - Applies to a minor subset of services (not the majority of contract services)\n\nOutput 'N' if ANY of these are true:\n- The methodology is the primary/base reimbursement approach, even if defined by exclusion\n- The methodology applies to specific listed services/procedures\n- The methodology offers standard rates comparable to other contract methodologies\n- No default/fallback language is present\n\nExample of TRUE default (Y): 'For any services not specifically listed in Exhibits A-D, reimbursement shall be 50% of billed charges.'\nExample of base methodology defined by exclusion (N): 'Covered Services not included in the Service Categories in Table 1 shall be reimbursed at 100% of the Medicare fee schedule.'"
     },
     {
-        "field_name": "CPT4_PROC_CD",
+        "field_name": "PROCEDURE_CD",
         "relationship": "one_to_n",
         "field_type": "code_primary_breakout",
         "prompt": "Identify all Procedure (CPT or HCPCS) Codes in the text: - CPT codes are exactly 5 numeric digits (00100-99999) - HCPCS codes are 1 letter followed by 4 numbers (A0000-V9999)."
     },
     {
-        "field_name": "CPT4_PROC_CD_DESC",
+        "field_name": "PROCEDURE_CD_DESC",
         "relationship": "one_to_n",
         "field_type": "TBD",
         "prompt": "TBD"

fieldExtraction/src/prompts/investment_prompts.py

@@ -666,7 +666,7 @@ Use the text in the Service to populate a JSON dictionary with the following fie
 {questions}.
 
 For each field, return a list of all codes EXPLICITLY written for that field. The code itself must be written, not language that describes the code.
-Note that codes may be present, but not explicitly labeled as codes. For example, you may simply see "J1098", which is a CPT4_PROC_CD. You may see "155" which is a REVENUE_CD, etc.
+Note that codes may be present, but not explicitly labeled as codes. For example, you may simply see "J1098", which is a PROCEDURE_CD. You may see "155" which is a REVENUE_CD, etc.
 If the contract gives a range of codes, without listing each code in the range individually, return the range in the format 'LowestCode-HighestCode'.
 If any of the codes are not found, do not write a list for that field. Simply populate the field with 'N/A'.