list of discharge disposition codes 2020

There is no FY 2021 GEMs file. %%EOF 4. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the (AMA is not recommending their use. ** The fourth digit indicates the sequence of the bill for a specific episode of care. Disclaimer of Warranties and Liabilities. These patient discharge status codes are reserved for national assignment. assigns each case into a MS-DRG based on the reported diagnosis and procedure codes and demographic information (that is age, sex, and discharge status). X 5764.4 Medicare systems shall NOT include patient The ICD-10 MCE Version 37.0, which is also developed by 3M-HIS, uses edits for the ICD-10 codes reported to validate correct coding on claims for discharges on or after October 1, 2019. 812 0 obj <> endobj Click Share This Page button to display social media links. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. This is a correction to the Texas Medicaid Provider Procedures Manual (TMPPM), Volume 1, General Information, subsection 6.6.6, Patient Discharge Status Codes. The table in this subsection in the December 2012 and January 2013 editions of the TMPPM has the following errors: This Code system is referenced in the content logical definition of the following value sets: DischargeDisposition ClinicalDischargeDisposition DischargeDisposition 07 Left Against Medical Advice or Discontinued Care Suggested Data Collection Question: What was the patient s discharge disposition on the day of discharge? startxref The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Outpatient Hospital Services (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and. Jhu Mechanical Engineering Faculty, This is the current published version in it's permanent home (it will always be available at this URL). The AMA does not directly or indirectly practice medicine or dispense medical services. These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021. Provider Inquiry Assistance Clarification of Patient Discharge Status Codes and Hospital Transfer Policies- JA0801 Guidance for providers billing Medicare Fiscal Intermediaries (FIs) or Part A/B Medicare Administrative Contractors (A/B MACs). 0000002266 00000 n margin: 0 .07em !important; Discharge Disposition Collected For: ACHF, HBIPS-5, PC-04, PC-05, STK-10, STK-2, STK-3, STK-6, STK-8, Definition: The final place or setting to which the patient was discharged on the day of discharge. Receive Medicare's "Latest Updates" each week. 0000003437 00000 n ga.async = true; 2.16.840.1.114222.4.11.915. box-shadow: none !important; ga.type = 'text/javascript'; Note: The information obtained from this Noridian website application is as current as possible. trailer The AMA is a third party beneficiary to this Agreement. The NUBC has also clarified that this code should also be used when a patient is transferred to an inpatient psychiatric unit of a Veterans Administration hospital. Share sensitive information only on official, secure websites. 2 0 obj Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) 40 Expired at Home This code is for use only on Medicare and TRICARE claims for hospice care; AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. ) Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The American Medical Association reserves all rights to approve any license with any Federal agency. In this scheme, some codes are under other codes, and imply that the code they are under also applies: System: The source of the definition of the code (when the value set draws in codes defined elsewhere) Code: The code (used as the code in the resource . Leaves against medical advice - Patient Discharge Status Code 07 but is admitted to another PPS hospital on the same day; or 3. In 2017, the HCUP databases represented more than 97 percent of all . Note: There is no FY 2021 GEMs file. Dec 26, 2019. 63 Discharged/Transferred to Long Term Care Hospitals (LTCHs) Whether the bed is Medicare certified or not. COVID-19 patients were identified through International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) discharge diagnosis code of U07.1 (COVID-19, virus identified) during April-July 2020 or B97.29 (Other coronavirus as the cause of disease classified elsewhere [recommended before the April 2020 release of U07.1] Veterans Administration hospitals; or You may also contact AHA at ub04@healthforum.com. Patients who leave before triage, or are triaged and leave without being seen by a physician; or 1. 0 Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. Publisher: FHIR Project team: Committee: Patient Administration: Maturity: 1: Content: Complete: All the concepts defined by the code system are included in the code system resource: OID: 2.16.840.1.113883.4.642.1.1093 (for OID based terminology . If documentation is contradictory, and you are unable to determine the latest documentation, select the disposition ranked highest (top to bottom) in the following list. A type of bill with a frequency reflective of an ongoing stay should align with a discharge status indicating that the patient is still receiving care. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. Unless a patient has already been admitted to/accepted by a hospice, level of care cannot be determined. This document is being posted to this portal to provide stakeholders with useful information. 2742 0 obj <>/Filter/FlateDecode/ID[<53B0157D40280326833A3E6B2AA10E6C>]/Index[2730 21]/Info 2729 0 R/Length 67/Prev 112585/Root 2731 0 R/Size 2751/Type/XRef/W[1 2 1]>>stream When determining whether to select value 7 (Left Against Medical Advice/AMA): Explicit left against medical advice documentation is not required. Effective immediately, agencies should begin using the . Discharge summary dictated 2 days after discharge states patient went home. This code applies to discharges and transfers to a government operated health care facility including: The Ohio Trauma Acute Care Registry Data Dictionary reflects the American College of Surgeons (ACS) reporting requirements adopted by the State of Ohio for 2020. s.parentNode.insertBefore(ga, s); IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. There are two types of disposition codes in JobScore: 1. According to the NUBC, discontinued services may include: Oclc Connexion Bad Character 2, Patient discharge status Code 51 should be used when a patient is: (b.addEventListener("DOMContentLoaded",g,!1),a.addEventListener("load",g,!1)):(a.attachEvent("onload",g),b.attachEvent("onreadystatechange",function(){"complete"===b.readyState&&c.readyCallback()})),f=c.source||{},f.concatemoji?e(f.concatemoji):f.wpemoji&&f.twemoji&&(e(f.twemoji),e(f.wpemoji)))}(window,document,window._wpemojiSettings); You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. https:// CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. It can be used for both inpatient or outpatient claims. In cases in which two or more patient discharge status codes apply, providers should code the highest level of care known. This code should be reported when a patient is: Heres how you know. xref The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. A signed AMA form is not required, for the purposes of this data element. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. If you are a cash basis taxpayer, you realize gain when you receive payments that are more than your basis in the property. Note: This code should not be used when a patient is transferred to an inpatient psychiatric unit of a federal hospital (e.g., Veterans Administration Hospitals). An interior exit stairway and ramp shall not continue below its level of exit discharge unless an approved barrier is provided at the level of exit . Discharged from acute hospital care but remains at the same hospital under hospice care, CMS Quarterly Q&As January 2020 Page 5 of 9 Code 1, Patient remained in the community (without formal assistive services), if, after discharge from your agency the patient remained in a non-inpatient setting, either with no assistive services, or with any assistive services EXCEPT: 1. A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a visit or an actual inpatient stay) or at the time end of a billing cycle (the through date of a claim). Reproduced with permission. endstream endobj 813 0 obj <>/Outlines 24 0 R/Metadata 308 0 R/PieceInfo<>>>/Pages 307 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[814 0 R]>>/StructTreeRoot 310 0 R/Type/Catalog/LastModified(D:20090710093708)/PageLabels 305 0 R>> endobj 814 0 obj <. Information on obtaining a manual is Q: A patient is discharged from our facility (disposition code 01) and is to go to a doctor's appointment the same day. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. When a patient is transferred to a nursing facility that has no Medicare certified beds, this code should be used. Discharge planner note from day before discharge states XYZ Nursing Home. The AMA is a third-party beneficiary to this license. CMS Quarterly Q&As - January 2020 Page 5 of 9 Code 1, Patient remained in the community (without formal assistive services), if, after discharge from your agency the patient remained in a non-inpatient setting, either with no assistive services, or with any assistive services EXCEPT: 1. 0000000016 00000 n 0000014725 00000 n Physician note on day of discharge further clarifies that the patient will be going home with hospice. Appendix N - Disposition Codes March 2020 - DRAFT Pub # 0875-0419 Customs and Trade Automated Interface Requirements Amendment 36 - March 2020 Appendix N N-1 Appendix N Disposition Codes This appendix provides a complete listing of valid disposition codes. ** The first digit is a leading zero. .gov 70. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). _gaq.push(['_gat._forceSSL']); xc```b`` @1 X.p!+ib&< 49'4 This value set defines a set of codes that can be used to where the patient left the hospital. The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. This code includes discharge to home; jail or law enforcement; home on oxygen if durable medical equipment (DME) only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state-designated. xcbd```b``:"A$zDF sb$cqm-? X%#114 SS : Discharge Codes 81-95 were adapted after existing codes with "a Planned Acute Care Hospital Inpatient Readmission" is appended in the title. 20 Expired New Definition for Patient Discharge Status Code 05 Effective, per National Uniform Billing Committee (NUBC), on April 1, 2008: 05 Discharged/Transferred to a Designated Cancer Center or Childrens Hospital Usage Note: Transfers to non-designated cancer hospitals should use Code 02. FOURTH EDITION. Question: which insurance is primary. Home IV provider for home IV services. lock ** Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); After completing the discharge OASIS (M2420 - Discharge Disposition coded with response 3 - Patient transferred to a non-institutional hospice), the agency learns that the patient expired prior to being admitted to hospice. Discharge Disposition (HL7) Value Set OID. Discharge disposition. The primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 2: Interim First Claim, or Frequency Code 3: Interim Continuing Claim) Bill types ending in 2 or 3 should be reported with patient status of 30. <>>> Official websites use .govA This code should be used when a patient is transferred to a facility or designated unit that meets this qualification. `U~F+$4h An official website of the United States government. These patient discharge status codes are reserved for national assignment. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Updated Guidance on Other Implant Revenue Code (0278) effective July 1, 2020. ** Outpatient Hospital Claims (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and Discharged / Since 01-06-2020 was the calendar day after the patient arrived at your ED/hospital (01-05-2020), then "13" should be reported for the Highest GCS Total data element, because that was the highest GCS total on 01-06-2020. 0000007548 00000 n Format: Allowable Values: You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Routine or Continuous Home Care Patient discharge status code 50: Hospice home should be used if the patient went to his/her own home or an alternative setting that is the patients home, such as a nursing facility, and will receive in-home hospice services; General Inpatient Care Patient discharge status code 51: Hospice medical facility should be used if the patient went to an inpatient facility that is qualified and the patient is to receive the general inpatient hospice level of care; and. The responsibility for the content of this file/product is with Noridian Healthcare Solutions or the CMS and no endorsement by the AMA is intended or implied. Variable Type: Character SAS Length: 60 Request Type: LIMITED DATA - Model Data Set ("label" version of .txt file only) 2020 Patient Discharge Data (PDD) Nonpublic Data Dictionary - NON-PUBLIC and LIMITED DATA img.wp-smiley, Transferred to a hospital that would ordinarily be paid under prospective payment, but is Most files are provided in compressed zip format for ease in downloading. 2730 0 obj <> endobj This patient discharge status code should be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not. In this scheme, some codes are under other codes, and imply that the code they are under also applies: System: The source of the definition of the code (when the value set draws in codes defined elsewhere) Code: The code (used as the code in the resource . Snake Riddle Poisonous, The patient is admitted from home (a private residence) to an acute setting. The patient is then admitted to another hospital after seeing the doctor. Initiating Systems SHALL use one of the following: The HL7 Value Set DischargeDisposition as stipulated in HL7 FHIR HL7 Table 112 codes referenced in the HL7 2.5.1 specification and referenced by C-CDA but under a different value set. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. J\6]q%" =H4$ 0ASR`>^^3/[m 0 c6zA9l4y63Ma;$e:|re@|^p&-DF "SJQ:EnVuSu^w4_k+8m69)36:/#(%M^a,5PIhC!CXH(o59ZVm}MkWy?8' ACE Air Import - August 2020 Appendix A A-6 Disposition/ Status Action Code Description BC Good not authorized for zone. This message will inform the trade partners that the admission of the goods identified is prohibited for Foreign Trade Zone (FTZ). This page provides the message formats and technical specifications necessary to electronically transmit data to CBP's automated systems. hbbd``b`f " BD "'L\ M~ w` Secure .gov websites use HTTPSA Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. o 21 Discharged/transferred to court/law enforcement hmo0^P?]& V5hTED with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing) Appendix G - Trauma Diagnosis Codes See below for code list Pulmonary embolism or deep vein thrombosis diagnosis codes: (FTR2DXB) I2602 I2609 I2692 I2694 I2699 I8010 I8011 (d.textBaseline="top",d.font="600 32px Arial","flag"===a? <<5887C3D76045B64BA1888B73E4DDD033>]>> CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). DISPOSITION OF PATIENT Section 97231 (1)E ffective with discharges on or after January 1, 2015the patients (routine discharge) elsewhere in this code list with a planned acute care hospital inpatient readmission . height: 1em !important; Mar 23, 2020. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. LockA locked padlock These patient discharge status codes are reserved for national assignment. 812 25 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; 2orVJZ":)d2O:]:f2JEa#vU6M6IUYy0y?OY3iv9V=-eKO?J:9+J#m Document Posting Date. To assist users of the "Code" file, a PROC Format file is available to associate the variable's code values with labels. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. !function(a,b,c){function d(a){var c=b.createElement("canvas"),d=c.getContext&&c.getContext("2d");return d&&d.fillText? Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. There are 16 new discharge status codes which went into effect 10/1/13. 09 Admitted as an Inpatient to this Hospital Collected For: ACHF, ASR-IP-3, CCCIP, CSTK-02, CSTK-10, HBIPS-5, IMM-2, PAL-05, PC-05, PC-06, STK-10, STK-2, STK-3, STK-6, STK-8, SUB-3, THKR-IP-2, THKR-IP-3, TOB-3. BD Goods Accepted/No Qty Verification. ** All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 64 Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare 00 Other . 81 : Registration Authority: Health Information Technology Standards Panel. 8 Not Documented or Unable to Determine (UTD). For reporting other discharges/transfers to nursing facilities, providers should see codes 04 and 64. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. Discharge Disposition (sometimes called Discharge Status) is the person's anticipated location or status following the encounter (e.g. See Inclusion lists for examples. How Do You Reduce The Chances Of Getting Malaria, The level of care that will be provided by the hospice upon discharge is essential to determining the proper code to use. Required on all Institutional claims - i.e. If the medical record states only that the patient is being discharged and does not address the place or setting to which the patient was discharged, select value 1 (Home). No fee schedules, basic unit, relative values or related listings are included in CDT. 179 . Discharged/transferred to a facility that provides custodial or supportive care. Correction to Patient Discharge Status Codes in Medicaid Providers Manual Information posted February 1, 2013. 31-39 Reserved for National Assignment Download Value Set. Patient Discharge Status Code A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a visit or an actual inpatient stay) or at the time end of a billing cycle (the through' date of a claim). To designate patients that are discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification, or Amendment 36 March 2020 Appendix N N-1 Appendix N Disposition Codes This appendix provides a complete listing of valid disposition codes. July 2020 2-I _____ CMG Version Final (ZIP) - This new version adds support for the new ICDCM code for COVID The new code, U, can be used for assessments with a discharge date of April 1, and beyond. The January 1, 2021 ICD-10-CM is available in both PDF (Adobe) and XML file formats. var url = document.URL; xMo@FTb+E$Q*JhpR !j~g I V9 6>3c8 }x#xxi}8 A:9b"pJ\Zxx}pCvoIw YG&c.F:a)HK5d432B=P/2l.;:HZ&Q&}z,m4-d$dZnqALwG 5sKWL2&fR0lU endobj Sign up to get the latest information about your choice of CMS topics. For discharges/transfers to state designated Assisted Living Facilities. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Coos County Nh Indictments, 3. var pathArray = url.split( '/' ); If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. On outpatient claims, the primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 3: Interim Continuing Claim). Long term care hospitals - Patient Discharge Status Code 63 (or 91 when an Acute Care Hospital Inpatient Readmission is planned ), Psychiatric hospitals and units - Patient Discharge Status Code 65 (or 93 when Disposition Codes track why candidates didn't work out, primarily for OFCCP (Office of Federal Contractor Compliance Program) purposes. ~``P(p#mC??``dR/6d`` = _= `qs@G2201= O An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update. Q: Can Patient Discharge Status Code 30, Still a Patient, be used on both inpatient and outpatient claims? 837i or 837 r . These files listed below represent the January 1, 2021 update for ICD-10-CM. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. No other publicationgovernmental or Pivot Profile#. 50 and 51 Discharged/Transferred to a Hospice BCBS prefix Why its important to read correctly. Patient has WC and Medicare insurance? CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. How Does Nasa Communicate With Mars Rover, Reimbursement Guidelines from UHC insurance. Document Posting Date: September 29, 2020. Discharge disposition: Status: Draft as of 2020-11-07T09:27:49+11:00 (Standards Status: Draft) Definition: This value set defines a set of codes that can be used to where the patient left the hospital. CMS Updates Medicare Discharge Codes. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} var _gaq = _gaq || []; Patient discharge status codes are part of the Official UB-04 Data Specifications Manual and are used nationwide by institutional, private, and public providers, and payers of health care claims. Still others elect not to certify any of their beds under Medicare. 0000001920 00000 n This code indicates that the patient is discharged/transferred to a Medicare-certified nursing facility in anticipation of skilled care. Patients who move without notice, and the home health agency is unable to complete the plan of care. endstream endobj 2734 0 obj <>stream Applications are available at the American Dental Association web site, http://www.ADA.org. Do not consider AMA documentation and other disposition documentation as contradictory. 0000004018 00000 n ga.src = ('https:' == document.location.protocol ? Select value 5 (Other Health Care Facility). Uses User-defined Table 0112 - Discharge Disposition; this field is used on UB92 FL22. January 2020 Page 5 of 9 Code 1, Patient remained in the community (without formal assistive services), if, after 0000007040 00000 n Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. 0000014285 00000 n The following patient discharge status codes should only be used when submitting hospice claims: Discharge disposition: Status: Draft as of 2020-02-24T12:41:39+11:00 (Standards Status: Draft) Definition: This value set defines a set of codes that can be used to where the patient left the hospital. Select value 2 (Hospice - Home). } Discharged/transferred to a designated cancer center or children's hospital. 0000007836 00000 n Value Set Description. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. The discharging facility should ensure that documentation in the patients medical record supports the billed discharge status code. E.g., AMA form signed and discharge instruction sheet states Discharged home with belongings - Select 7. 0000014517 00000 n Based on national guidelines for completing and submitting a UB-04 (or the electronic comparative) a provider must assign a Patient Discharge Status code which aligns with the type of bill (TOB) submitted. Applying the correct code will help assure that the providers receive prompt and correct payment. Contradictory documentation, use latest.

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