State Operations Manual (Pub. 100-07), Ch. 6 § 6130.2
Citing Standard-Level Deficiencies
6130.2 - Citing Standard-Level Deficiencies
(Rev. 199, Issued: 01-17-20, Effective: 01-17-20, Implementation: 01-17-20)
If standard-level noncompliance has been identified, cite the most specific
standard available. For instance, if the deficient practice(s) is related to control
procedures:
• Cite the appropriate D-tag (D5501 - D5773) for the specialty/subspecialty
standards under 42 CFR §§493.1261 through 493.1278, which are
Bacteriology,Mycobacteriology, Mycology, Parasitology, Virology, Routine
Chemistry, Hematology, Immunohematology, Histopathology, Cytology, Clinical
Cytogenetics, and Histocompatibility if such standard is available; OR
• Use the appropriate D-tag (D5401 - D5485; D5775 - D5793) for 42 CFR
§§493.1251 through 493.1256 and 42 CFR §§493.1281 through 493.1289,
if an appropriate D-tag is NOT available in the specialty/subspecialty
standards.
EXAMPLE: A laboratory performs fluid cell counts using a hemocytometer. Use
D5543.
EXAMPLE: A rheumatologist performs rheumatoid factor (RF) titers. Use D5451.
Where there are underlying standards, condition-level deficiencies can only be cited
when standard-level deficiencies have been identified. Remember to cite to standard-
level deficiencies when such deficiencies support a finding of condition-level
deficiencies.