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 or at the end of a billing cycle (the 'through' date of a claim). If you find anything not as per policy. Constrained to codes in the Discharge Disposition: Patient Expired value set (2.16.840.1.113883.3.117.1.7.1.309) o 21 Discharged/transferred to court/law enforcement A: Based on the information the hospital had at discharge, the patient was discharged to home (01). 44-49 Reserved for National Assignment hmo0^P?]& V5hTED Inpatient Discharge Reporting - HCAI Select value 2 (Hospice - Home). Patient discharge status Code 50 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. Patient Discharge Status Codes - JF Part A - Noridian Reproduced with permission. &)c%pc+N-e]IQ]! For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. Another Word For Making Plans, 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 . An official website of the U.S. Department of Homeland Security. Cell-Gene Therapy Code Changes. PDF 7.8 Patient Discharge Status Codes 01 - WHA Info Center The data elements and codes are developed and maintained by the National Uniform Billing Committee (NUBC). The patient discharge status codes listed below is not an all-inclusive list. 64 Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare Unless a patient has already been admitted to/accepted by a hospice, level of care cannot be determined. Download Value Set. 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. 61 Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed %PDF-1.5 Discharge Disposition (HL7) Value Set OID. This code is used only when the patient dies. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) The level of care the patient is receiving; and Discharge disposition. The disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.). box-shadow: none !important; ear - see also Otorrhea. xb```b``ud`e`` @1V@ olvqZ304/aPhxDdA b~hQ[{6~()`vA'O%j_ "hl6J *A Bs@(P4G@{ - The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. A lock ( 0000014517 00000 n Telephone:+44 (0)161 499 7871, How Do You Reduce The Chances Of Getting Malaria, How Does Nasa Communicate With Mars Rover, Successful topping out event for new 310 bed purpose-built student accommodation development, Coppergate in Swansea, that is on track and on budget for opening in September 2019. 05 Discharged/Transferred to Another Type of Health Care Institution Not Defined Elsewhere in This Code List 5764.1 Medicare systems shall accept patient discharge status code 70. 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' 06. %%EOF You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. These patient discharge status codes are reserved for national assignment. 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. %PDF-1.7 % Staff reviewed the EO13891-OT-458. The HBIPS Discharge Topic Population is defined as patients discharged from the Psychiatric Care Setting with an ICD-10-CM Principal or Other Diagnosis Code for Mental Disorders as defined in Appendix A, Table 10.01 and a Patient Age at Discharge ( Discharge Date - Birthdate) >= 1 year. CDT is a trademark of the ADA. Providers will need to establish a process for identifying whether a hospital is paid under the PPS or whether the facility is designated as a CAH. var ga = document.createElement('script'); 52-60 Reserved for National Assignment background: none !important; Value Set Name. 0000001199 00000 n 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. Nor transfers to a CAH swing bed should still be coded with Patient discharge status Code 61. To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. No fee schedules, basic unit, relative values or related listings are included in CPT. xref endstream endobj 835 0 obj <>/Size 812/Type/XRef>>stream 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 product. 2730 0 obj <> endobj Still others elect not to certify any of their beds under Medicare. As promised, the HSCRC convened a workgroup to review the source of admission and discharge disposition codes and how they should map to provider types. This code should be used when transferring a patient to a LTCH. A list of (National Cancer Institute) Designated Cancer Centers can be found at http://cancercenters.cancer.gov/cancer_centers/cancer-centers-names.html on the Internet. Uses User-defined Table 0112 - Discharge Disposition; this field is used on UB92 FL22. The Official UB-04 Data Specifications Manual 2021, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC). The discharging facility should ensure that documentation in the patients medical record supports the billed discharge status code. endstream endobj startxref 01- Discharge to Home or Self Care (Routine Discharge) 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 As of 2015, the list of MS-DRGs impacted by the discharge status code has grown to 273. The table included patient discharge status codes that are not available in the TMHP claims processing system: HL7.TERMINOLOGY\Clinical Discharge Disposition - FHIR v4.0.1 The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Feb 7, 2020. CPT 91311, 0111A, 0112A Covid Vaccine for children. ICD-10-CM and ICD-10 PCS and GEMs Archive, ICD-10 Coordination and Maintenance Committee Meetings, Process for Requesting New/Revised ICD-10-PCS Procedure Codes, ICD-10 Coordination and Maintenance Committee Meeting Materials, ICD-9-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles, Updates and Revisions to ICD-9-CM Procedure Codes (Addendum), 2021 Coding Guidelines - Updated 12/16/2020 (PDF), 2021 POA Exempt Codes - Updated 12/04/2020 (ZIP), 2021 Code Descriptions in Tabular Order Updated 12/16/2020 (ZIP), 2021 Addendum Updated 12/16/2020 (ZIP), 2021 Code Tables, Tabular and Index Updated 12/16/2020 (ZIP), 2021 Conversion Table Updated 12/16/2020 (ZIP). 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. Patient Discharge Status Code - Definition 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). Staff met with the workgroup twice between October and November 2019. The AMA does not directly or indirectly practice medicine or dispense medical services. How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. 0000014725 00000 n _gaq.push(['_gat._forceSSL']); The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Snake Riddle Poisonous, Do not consider AMA documentation and other disposition documentation as contradictory. Click Share This Page button to display social media links. var url = document.URL; AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. ~``P(p#mC??``dR/6d`` = _= `qs@G2201= O else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Cardiac and Pulmonary Rehabilitation Programs, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Acute Inpatient Prospective Payment System (IPPS) Hospital, Comprehensive Outpatient Rehabilitation Facility (CORF), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Outpatient Prospective Payment System (OPPS), Provider Appeal Requests - PRRB or Contractor Hearings, Provider Statistical and Reimbursement (PS&R) System, Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Discharged to home or self-care (routine discharge), Discharged/transferred to a short-term general hospital for inpatient care, Discharged/transferred to skilled nursing facility (SNF) with Medicare certification, Discharged/transferred to a facility that provides custodial or supportive care, Discharged/transferred to a designated cancer center or children's hospital, Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care, Left against medical advice or discontinued care, Admitted as an inpatient to this hospital, Discharged/transferred to court/law enforcement, Expired in a medical facility (e.g., hospital, SNF, ICF, or free-standing hospice), Discharged/transferred to a federal health care facility, Hospice - medical facility (certified) providing hospice level of care, Discharged/transferred to a hospital-based Medicare approved swing bed, Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital, Discharged/transferred to a Medicare certified long term care hospital (LTCH), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare, Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital, Discharged/transferred to a critical access hospital (CAH), Discharged/transferred to a designated disaster alternate care site (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list, Discharged to home or self-care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a designated cancer center or children's hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission (effective 10/1/13). 0000006351 00000 n which insurance is primary. All our content are education purpose only. 2021 ICD-10-CM | CMS - Centers for Medicare & Medicaid Services You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. PDF Patient Discharge Data (PDD) Data Dictionary - HCAI These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). When a patient is transferred to a nursing facility that has no Medicare certified beds, this code should be used. ** Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Cancer hospitals excluded from Medicare Prospective Payment System (PPS) and childrens hospitals are examples of such other types of health care institutions. 0000003710 00000 n The disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.). 0000046532 00000 n Physician order on discharge states Discharge to ALF. 2.16.840.1.114222.4.11.915. DME supplier or endstream endobj 2734 0 obj <>stream The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. 0000007191 00000 n Discharge summary dictated 2 days after discharge states patient went home. No other publicationgovernmental or Pivot Profile#. blood - see Otorrhagia. " /> See Inclusion lists for examples. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. padding: 0 !important; 837i or 837 r . 0 Encounter Disposition | Interoperability Standards Advisory (ISA) If any source states the patient left against medical advice, select value 7, regardless of whether the AMA documentation was written last. hbbd``b`f " BD "'L\ M~ w` 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).