Thursday, January 7, 2016

UB 04 Medicare Discharge status code

DISCHARGE STATUS

This field identifies the discharge status of the patient at the statement through date. This is a two-position alphanumeric field. The valid values are:

Value Description

01 Discharged to home or self-care (routine discharge)
02 Discharged/transferred to another short-term general hospital
03 Discharged/transferred to SNF
04 Discharged/transferred to an ICF
05 Discharged/transferred to another type of institution
06 Discharged/transferred to home under care of organized home health service organization
07 Left against medical advice
08 Discharged from outpatient care to be admitted to the same hospital from which the patient received outpatient services
09 Discharged from outpatient care to be admitted to the same hospital from which the patient received outpatient services
20 Expired (Or did not recover – Christian Science Patient)
30 Still a patient
40 Expired at home. For use only on Medicare hospice care claims.
41 Expired in a medical facility, i.e., hospital, SNF, ICF or freestanding hospice
42 Expired – place unknown. For use only on Medicare hospice care claims
50 Hospice – home
51 Hospice – medical facility
61 Discharged/transferred to a hospital based Medicare approved swing bed
62 Discharged/transferred to inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital.
63 Discharged/transferred to a Medicare certified long term care hospital (LTCH).
64 Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare.
64 Discharged/transferred to a psychiatric hospital or psychiatric distinct part of a hospital (effective for discharges on or after April 1, 2004).

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