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 |
When would you use condition code 43?
Condition Code 43 may be used to indicate that Home Care was started more than three days after discharge from the Hospital and therefore payment will be based on the MS-DRG and not a per diem payment.
What is discharge status code 02?
01 Discharged to home or self care (routine discharge) 02 Discharged/transferred to a short-term general hospital for inpatient care.
What is discharge status code 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 does condition code 41 mean?
partial hospitalization services
All hospitals, including CAHs, report condition code 41 to indicate the claim is for partial hospitalization services.
What is discharge status code 06?
A: Use discharge status 06, discharged/transferred to home under care of organized home health services in anticipation of covered skilled care. If the patient is discharged home with oxygen that is not provided through a home health plan of care, use status code 01, discharged to home or self care.
What is status code 30 discharge?
For example, discharge status 30 (Still Patient) would not be appropriate with type of bill 211 (Inpatient Nursing Home: Admit through discharge claim). code is for use only on Medicare outpatient claims, and it applies only to those Medicare outpatient services that begin greater than three days prior to an admission.
What is place of service code 13?
Assisted Living Facility
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 11 | Office |
| 12 | Home |
| 13 | Assisted Living Facility |
| 14 | Group Home * |
What does condition code 47 mean?
Enter condition code 47 for a patient transferred from another HHA. HHAs can also use cc 47 when the patient has been discharged from another HHA, but the discharge claim has not been submitted or processed at the time of the new admission.
What is a condition code 44?
A Condition Code 44 is a billing code used when it is determined that a traditional Medicare patient does not meet medical necessity for an inpatient admission.
What is the difference between POS 21 and 22?
However, for a service rendered to a patient who is an inpatient of a hospital (POS code 21) or an outpatient of a hospital (POS code 22), the facility rate is paid, regardless of where the face-to-face encounter with the beneficiary occurred.”