Patient Discharge Status Codes and Hospital Transfer Policies - Clarification

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
October 17th, 2014

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 time of a billing cycle. It belongs in Form Locator 17 on a UB-04 claim form or its electronic equivalent in the HIPAA compliant 837 format.

The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for:

In cases in which two or more patient discharge status codes apply, you should code the highest level of care known. Omitting a code or submitting a claim with an incorrect code is a claim billing error and could result in your claim being rejected or your claim being cancelled and payment being taken back.

Applying the correct code will help assure that you receive prompt and correct payment.

To view the complete article and codes visit MLN Matters: SE0801 Revised March 06, 2014

To view the Patient Discharge Status code history Click Here.

References:

Patient Discharge Status Codes and Hospital Transfer Policies - Clarification. (2014, October 17). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/patient-discharge-status-codes-and-ho-spital-transfer-policies-clarification-2217.html

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