What are the discharge disposition codes?
What are the discharge disposition codes?
Patient Discharge Status Codes
| Status | Definition |
|---|---|
| 01 | DISCHARGED TO HOME OR SELF CARE (ROUTINE DISCHARGE) |
| 02 | DISCHARGED/TRANSFERRED TO A SHORT TERM GENERAL HOSPITAL FOR INPATIENT CARE |
| 03 | DISCHARGED/TRANSFERRED TO SKILLED NURSING FACILITY (SNF) WITH MEDICARE CERTIFICATION |
What are the discharge status?
The discharge status code identifies where the patient is being discharged to at the end of their facility stay or transferred to such as an acute/post-acute facility. The discharging facility should ensure that documentation in the patient’s medical record supports the billed discharge status code.
What is the appropriate discharge status code for a patient discharged to a long term care facility?
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)….Discharge codes.
| Discharge code | Definition |
|---|---|
| 63 | Discharged / transferred to long term care hospitals (LTCH). |
What is the discharge status code for a patient transferred to a skilled nursing facility?
03
03 – Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care. This code indicates that the patient is discharged/transferred to a Medicare certified nursing facility in anticipation of skilled care.
What box is the discharge status on a UB?
Box 17
Required on Hospital claims. Box 17 – Patient Discharge Status: (Required if applicable) This field indicates the discharge status of the patient when service is ended/complete.
Does discharge status affect DRG?
Medicare makes full MS-DRG payments to Inpatient Prospective Payment system (IPPS) hospitals when the patient is discharged to their home (Patient Discharge Status Code 01) or certain types of health care institutions (such as Patient Discharge Status Code 04 to an Intermediate Care Facility).
What does condition code 42 mean?
Note: Condition Code 42 may be used to indicate that the care provided by the Home Care Agency is not related to the Hospital Care and therefore, will result in payment based on the MS-DRG and not a per diem payment.
What is the CPT code for hospital discharge?
99238
The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service with the patient and his/her attending physician.
What are condition codes on ub04?
Condition codes refer to specific form locators in the UB-04 form that demand to describe the conditions applicable to the billing period. It is important to note that condition codes are situational. These codes should be entered in an alphanumeric sequence.
What is a 111 bill type?
Bill Type 111 represents a Hospital Inpatient Claim indicating that the claim period covers admit through the patients discharge.
What is patient status on ub04?
17. * Patient Status Enter the 2-digit patient status code that best describes the patient’s discharge status. 05-Discharged/transferred to another type of institution for inpatient care or referred for outpatient services to another institution. authority has certified all days billed.
What does condition code 64 mean?
Enter condition code 64 to indicate that the claim is not a “clean” claim, and therefore, not subject to the mandated claims processing timeliness standard.
What does a patient discharge status code mean?
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). 94. Discharged / transferred to a CAH with a planned acute care hospital inpatient readmission.
What is the Medicare 61 discharge status code?
61 – Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed This code is used for reporting patients discharged/transferred to a SNF level of care within the hospital’s approved swing bed arrangement.
Where does Medicare report the discharge status of a patient?
Discharged / transferred to a CAH with a planned acute care hospital inpatient readmission. Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the “Patient Discharge Status” field (FL 17).
What is the Ode code for hospital discharge?
Discharge codes Discharge c ode Definition 06 Discharged / transferred to home under c 07 Left against medical advice or discontin 09 Admitted as an inpatient to this hospita 20 Expired (report only when the patient di