Patient Status
Patient StatusThere are a few Medicaid codes that will, under HIPAA, be reported as revenue codes or occurrence span codes. In addition, there are several codes which are no longer used under HIPAA. The table below has been included to clarify these issues.
|
HIPAA Code |
HIPAA Description |
MMIS Code |
MMIS Description |
Notes |
|
01 |
Discharged to home or self care (routine discharge) |
01 |
Discharged/Transferred to Home or Self Care (Routine Discharge) |
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02 |
Discharged/Transferred to another short term general hospital for inpatient care |
02 |
Transferred to a DRG Hospital |
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03 |
Discharged/Transferred to skilled nursing facility (SNF) with Medicare certification |
03 |
Discharged/Transferred to Skilled Nursing Facility (SNF) |
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04 |
Discharged/Transferred to intermediate care facility (ICF). Also used to designate patients discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification and for discharges/transfers to state designated Assistant Living Facilities. |
04 |
Discharged/Transferred to Intermediate Care Facilities (ICF), Health Rel Facilities (HRF). |
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|
05 |
Discharged/Transferred to another type of institution for inpatient care |
05 |
Transferred to a non-DRG Hospital |
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06 |
Discharged/Transferred to home under care of organized home health service organization |
06 |
Discharged/Transferred to Home under care of organized Home Health Service Organization |
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07 |
Left against medical advice or discontinued care |
09 |
Left Against Medical Advice |
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08 |
Discharged/Transferred to home under care of a Home IV Provider |
24 |
Discharged to Home IV Therapy |
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|
09 |
Admitted as an inpatient to this hospital |
2 |
Admitted on From Date/Still a Patient on To Date |
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20 |
Expired |
08 |
Expired (or Did Not Recover - Christian Science Patient) |
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30 |
Still Patient |
11 |
Still a Patient/Resident |
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|
40 |
Expired at Home |
08 |
Expired (or Did Not Recover - Christian Science Patient) |
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41 |
Expired in a medical facility (e.g. hospital, SNF, ICF, or freestanding hospice) |
08 |
Expired (or Did Not Recover - Christian Science Patient) |
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42 |
Expired - Place unknown |
08 |
Expired (or Did Not Recover - Christian Science Patient) |
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|
50 |
Hospice - Home |
01 |
Discharged/Transferred to Home or Self Care (Routine Discharge) |
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51 |
Hospice - medical facility |
03 |
Discharged/Transferred to Skilled Nursing Facility (SNF) |
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61 |
Discharged/Transferred within this institution to hospital-based Medicare approved swing bed |
03 |
Discharged/Transferred to Skilled Nursing Facility (SNF) |
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62 |
Discharged/Transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital |
05 |
Transferred to a Non-DRG Hospital |
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63 |
Discharged/Transferred to a Medicare certified long term care hospital (LTCH) |
05 |
Transferred to a Non-DRG Hospital |
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64 |
Discharged/Transferred to a nursing facility certified under Medicaid but not certified under Medicare |
03 |
Discharged/Transferred to Skilled Nursing Facility (SNF) |
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71 |
Discharged/Transferred to another institution for outpatient services as specified by the discharge plan of care |
05 |
Transferred to a Non-DRG Hospital |
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72 |
Discharged/Transferred to this institution for outpatient services as specified by the discharge plan of care |
05 |
Transferred to a Non-DRG Hospital |
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|
07 |
Transferred to Alternate Level of Care Status within Facility |
Report Status as "30" and use Occurrence Code of "75" for the date. |
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10 |
Same Day Transfer |
No longer valid status |
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12 |
Discharged/Transferred to Intermediate Care Facility for the Mentally Retarded (ICF-MR) |
Report status as "04" |
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13 |
On Hospital Leave - Bed Reserved (RHCF-only) |
Report Status as "30" and use Revenue Code (Value Code of "24") = 0185 |
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14 |
On Leave of Absence - Bed Reserved (RHCF-only) |
Report Status as "30" and use Revenue Code (Value Code of "24") = 0183 |
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15 |
Patient Has Returned to the RHCF within 1 Day of the date of Discharge from a Hospital Leave |
No longer valid status |
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16 |
AWOL - Child Care Agencies Only |
Report Status as "30", use Revenue Code (Value Code of "24") = 0189, and Type of Bill = 89 |
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17 |
Trial Discharge - Child Care Agencies Only |
Report Status as "30" and use Revenue Code (Value Code of "24") = 0180 |
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18 |
Admitted on From Date/Still a Patient on To Date |
No longer a valid status |
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22 |
Neonate Transfer for Weight Gain |
No longer a valid status |
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23 |
Transferred to another hospital - Tertiary Aftercare |
No longer a valid status |