You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. 40 Expired at Home This code is for use only on Medicare and TRICARE claims for hospice care; If the patient is being discharged to assisted living care or an assisted living facility (ALF) that is located within a skilled nursing facility, and documentation in the medical record also includes nursing home, intermediate care or skilled nursing facility, select Value 1 (Home). ga.type = 'text/javascript'; BCBS prefix Why its important to read correctly. 0000001920 00000 n " /> 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. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. 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). lock endobj You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. wKb${aY]YlYwKr{l."T-g3q,$I=hS!b ;fj5Ku{:m3>g'9?0"y*Ieo&5qMHtZT`;QA]Uv|:Z{9,VGk,}D=aS&=JE(e;J)yXHUB3'SqM`}tu;nvkuO?O%Fi X. } The following patient discharge status codes should only be used when submitting hospice claims: 04 Discharged/Transferred to an Intermediate Care Facility (ICF) ( Disposition Codes Code Name Description A few code lists that FHIR defines are hierarchical - each code is assigned a level. death, transfer to home/hospice/snf/AMA) uses standard claims-based codes. 52-60 Reserved for National Assignment 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 <. analysis of discharge data from the 2017 AHRQ Healthcare Cost and Utilization Project (HCUP) State . In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January 1, 2021. January 2020 Page 5 of 9 Code 1, Patient remained in the community (without formal assistive services), if, after Select value 1" (Home). This code should not be used for home health services provided by a: xbbbf`b```%F8w4F|Qb4Ga ! A: Yes, it can be used on both types of claims. This patient discharge status code is reserved for national assignment. Select value 2 (Hospice - Home). Exclusion Criteria: No exclusions. These codes are important in understanding the discharge status as reported to CMS by the hospital and may impact post-acute 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. Encounter Disposition | Interoperability Standards Advisory (ISA) 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. Discharge Codes 81-95 were adapted after existing codes with "a Planned Acute Care Hospital Inpatient Readmission" is appended in the title. 00 Other . img.emoji { endstream endobj startxref 0 %%EOF 2050 0 obj <>/Metadata 119 0 R/Outlines 314 0 R/PageLabels 2047 0 R/Pages 309 0 R/StructTreeRoot 316 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2069 0 obj <> stream HL7.TERMINOLOGY\Discharge disposition - FHIR v4.0.1 You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. 04. Disposition Codes Code Name Description 01 Port of . For discharges/transfers to state designated Assisted Living Facilities. 904.4.1 Fire Protection and Life Safety Systems, Inspection. These patient discharge status codes are reserved for national assignment. 2750 0 obj <>stream Discharged/transferred to a designated cancer center or children's hospital. %PDF-1.7 % 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. All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 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). Disclaimer of Warranties and Liabilities. 06 Discharged/Transferred to Home Under Care of Organized Home Health Service Organization in Anticipation of Covered Skilled Care. hb```b``fa`2lx$e6~-Ud_I*ee^#}R hVc`@Yf,|@A4rDuD8*6cuPC>C[30 i) w=X`` A discharge occurs when a Medicare beneficiary leaves an acute care hospital after receiving acute care treatment; or dies in the hospital. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) 0000004018 00000 n According to the NUBC, discontinued services may include: LTCHs are facilities that provide acute inpatient care with an average length of stay of 25 days or greater. 03 Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care Disposition Codes Code Name Description 01 Port of discharge changed Generated when a rail carrier changes the port of discharge in the consist record - LOINC Code 78023-9 Hospital discharge disposition [NHCS] 78023-9 Hospital discharge disposition [NHCS] Active Term Description. Building Code 2018 of Illinois > 10 Means of Egress > 1023 Interior Exit Stairways and Ramps > 1023.8 Discharge Identification. The appropriate type of bill is determined based on the following guidance from the NUBC: 02 Discharged/Transferred to a Short Term General Hospital for Inpatient Care Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). 2orVJZ":)d2O:]:f2JEa#vU6M6IUYy0y?OY3iv9V=-eKO?J:9+J#m The patient discharge status codes listed below is not an all-inclusive list. This manual was developed by HCAI, Information Services Division, Patient Data Section, to provide discussion of the reporting requirements and data elements addressed in the California Code of Regulations, Title 22, Division 7, Chapter 10 Health Facility Data, Article 8 Patient Data Reporting Requirements. &)c%pc+N-e]IQ]! 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 warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. The AMA does not directly or indirectly practice medicine or dispense medical services. Uses User-defined Table 0112 - Discharge Disposition; this field is used on UB92 FL22. This page is part of the HL7 Terminology (v2.0.0: Release) based on FHIR R4. Payment Dispute Disposition and Detail Code List, v27 June 15, 2020 3 Disposition Codes Table 1: Disposition Codes Disposition Code Disposition Description REJECTED / RETURNED R1 Record/File Does Not Meet Format Requirements R2 Record Does Not Meet Dispute Requirements R3 Dispute Form Fields Do Not Match PPR/820 R4 Duplicate Dispute Record X 5764.3 CWF shall modify existing reject and informational unsolicited responses to include patient discharge status code 70. 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 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 there is documentation that further clarifies the level of care that documentation should be used to determine the correct value to abstract. HL7.TERMINOLOGY\Clinical Discharge Disposition - FHIR v4.0.1 Specifications Manual for Joint Commission National Quality Measures (v2021A1). 21-29 Reserved for National Assignment 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. Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. 5764.1 Medicare systems shall accept patient discharge status code 70. 05 Discharged/Transferred to Another Type of Health Care Institution Not Defined Elsewhere in This Code List Patient Discharge Status Code 30 should be used on inpatient claims when billing for leave of absence days, and for inpatient and outpatient interim bills. endstream endobj 2051 0 obj <> endobj 2052 0 obj <> stream 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. breast N64.52 (female) (male) diencephalic autonomic idiopathic - see Epilepsy, specified NEC. padding: 0 !important; Definition: A code indicating the disposition or discharge status of the patient at the end service for the period covered on the 08 Reserved for National Assignment LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) 0000007548 00000 n 0000002266 00000 n It is important to select the correct patient discharge status code. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. If the medical record states only that the patient is being discharged to another hospital and does not reflect the level of care that the patient will be receiving, select value 4 (Acute Care Facility). 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.