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 patient status?

Patient Status means the code indicating patient disposition at time of discharge.

What is discharge status code 03?

03. Discharged/transferred to skilled nursing facility (SNF) with Medicare certification. 04. Discharged/transferred to a facility that provides custodial or supportive care.

What is patient discharge status 30?

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.

What is a patient discharge status code 21?

This article is based on Change Request (CR) 6385 which provides implementing instructions for a new patient discharge status code 21, which defines discharges. or transfers to court/law enforcement. This includes transfers to incarceration facilities such as jail, prison, or other detention facility.

What does discharge status 70 mean?

In addition, a new patient discharge status code 70 was created in order for providers to be able to indicate discharges/transfers to another type of health care institution not defined elsewhere in the code list.

What is a condition code 40?

The earlier admission, which is not charged utilization, is recognized by condition code 40 (same day transfer), and the same date entered in the “From” and “Through” dates. Here is how a claim for a same day transfer should be billed: Same from and thru date for statement dates.

What is a 114 bill type?

114. Hospital Inpatient (Including Medicare Part A) interim – last claim. 115. Hospital Inpatient (Including Medicare Part A) late charge only.

What box is the discharge status on a UB?

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?

Transfers to a Home with Home Health Services

As the OIG states, by applying an incorrect patient discharge status code, hospitals receive the full MS-DRG payment, instead of the graduated payment rate.

What is a condition code 09?

09 – Neither patient nor spouse employed. 10 – Patient and/or spouse is employed, but no GHP. 28 – Patient and/or spouse’s GHP is secondary to Medicare.

What does condition code D1 mean?

Condition code D1. Only use when changing total charges. Do not use when adding a modifier; it makes a non-covered charge, covered.

What does condition Code C5 mean?

C5 Any medical review will be completed after the claim is paid. UB04 Condition Code. C6 The QIO authorized this admission/procedure but has not reviewed the services provided.