What are hospital discharge codes?

What are hospital discharge codes?

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).

What is a discharge status mean?

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 discharge status 01?

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 o2 patient code?

02. Discharged/transferred to short-term general hospital for Inpatient Care. 03. Discharged/transferred to with Medicare certification in anticipation of covered skilled care. Do not use this for transfers to a non-Medicare certified area.

What are some examples of discharge status 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 should a discharge summary include?

6 Components of a Hospital Discharge Summary

1. Reason for hospitalization: description of the patient’s primary presenting condition; and/or.
2. Significant findings:
3. Procedures and treatment provided:
4. Patient’s discharge condition:
5. Patient and family instructions (as appropriate):
6. Attending physician’s signature:

What is the appropriate discharge status code for a patient discharged to a long term care facility?

Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. This code indicates that the patient is discharged/transferred to a Medicare-certified nursing facility in anticipation of skilled care.

When would you use condition code 43?

The home health treatment plan is unrelated to the inpatient stay. However, Condition Code 43 is used when the hospital patient is discharged with home care services that do not begin until after the third day post-discharge.

What does discharge status 62 mean?

DISCHARGED/TRANSFERRED
62. DISCHARGED/TRANSFERRED TO AN INPATIENT REHABILITATION FACILITY (IRF) INCLUDING REHABILITATION DISTINCT PART UNITS OF A HOSPITAL. 63. DISCHARGED/TRANSFERRED TO A MEDICARE CERTIFIED LONG TERM CARE HOSPITAL (LTCH)

What is discharge disposition from hospital?

A critical factor in limiting excess hospital readmissions is ensuring that the discharge disposition process is well defined and collaborative. Disposition refers to where a patient is being discharged – i.e. home, home with home care, skilled nursing facility, or rehab center.

How do you write a discharge note?

How to Write a Discharge Summary

1. Demographics.
2. Clinical details.
3. Future management.
4. Medications.
5. Allergies and adverse reactions.
6. Information for the patient.
7. Person completing record.
8. Other sections that may be included.

How do you write a discharge plan?

When creating a discharge plan, be sure to include the following:

1. Client education regarding the patient, their problems and needs, and description of what to do, how to do it, and what not to do.
2. History of the hospitalization and an explanation of test data and in-hospital procedures.

What is the discharge status code for a patient?

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 • 41 – Expired in a Medical Facility, such as a hospital, SNF, ICF, or free-standing hospice; and

What is the discharge code for a hospice?

51. Discharged / transferred to a hospice for general inpatient care. This code 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. 61. Discharged / transferred to a hospital-based Medicare approved swing bed. 62

What is the patient status code for hospital X?

Hospital X must submit a claim adjustment to reflect a discharge to hospital Y (patient status code 02). Hospital Y can resubmit their claim once hospital X’s claim finalizes. Hospital X billed with patient status code 07 reflecting a discharge against medical advice. Hospital Y is unable to get their claim processed.

What is the discharge disposition for a skilled nursing facility?

For example, the discharging facility uses Discharge Disposition 03 (discharge to a skilled nursing facility); however, the submitted documentation indicated the beneficiary was discharged to a rehabilitation facility and should have used Discharge Disposition 62.