30 Still Patient or Expected to Return for Outpatient Services 0000001731 00000 n ~``P(p#mC??``dR/6d`` = _= `qs@G2201= O 0000047974 00000 n + | To sign up for updates or to access your subscriber preferences, please enter your contact information below. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. CMS Updates Medicare Discharge Codes. Patient discharge status Code 51 should be used when a patient is: 06 Discharged/Transferred to Home Under Care of Organized Home Health Service Organization in Anticipation of Covered Skilled Care. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Hospitals transferred inpatients to certain post-acute care settings but coded the patient discharge status as a discharge to home. Transferred to a hospital or hospital unit that hasnt been officially determined as being excluded from IPPS such as: An acute care hospital that would otherwise be eligible to be paid under the IPPS, but doesnt have an agreement to participate in the Medicare Program (Patient Discharge Status Code 02 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 82), A Critical Access Hospital (Patient Discharge Status Code 66 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 94). Department of Defense hospitals; The following patient discharge status codes should only be used when submitting hospice claims: 812 25 If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". 1. The patient is admitted from home (a private residence) to an acute setting. It is important to select the correct Patient Discharge Status code. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. Official websites use .govA `U~F+$4h These patient discharge status codes are reserved for national assignment. Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Outpatient Hospital Services (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and. All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 0000006885 00000 n How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. 3. U.S. Department of Health & Human Services 0000003940 00000 n 2021 CODE:307.2.1.1 Condensate discharge. %PDF-1.6 % 0000003557 00000 n 07. Overall: 78 percent of patients discharged to hospice care in 2021 were placed in home hospice compared to facility hospice. U.S. Department of Health & Human Services Print | DISCLAIMER: The contents of this database lack the force and effect of law, except as startxref For a full list of available versions, see the Directory of published versions Using Codes Code Systems Value Sets Concept Maps Identifier Systems which insurance is primary. 42 Expired Place Unknown; This code is for use only on Medicare and TRICARE claims for hospice care. New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement. 20: Expired -used only when the patient dies: 21: Discharges or transfers to court/law Reproduced with permission. This code is used only when the patient dies. Applications are available at the AMA website. [ Modified: 8.5.108.11, 8.5.146.06] The Workspace Disposition Code view The latest ones are on May 30, 2021 11 new Cms Discharge Disposition Code List results have been found in the last 90 days, which means that every 9, a new %%EOF Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8827, 13 British American Blvd Suite 2 0000093210 00000 n 0000007191 00000 n You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Inpatient Discharges 812 0 obj <> endobj End Users do not act for or on behalf of the CMS. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 63 Discharged/Transferred to Long Term Care Hospitals (LTCHs) 0000007758 00000 n CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. hb```b``fa`2lx$e6~-Ud_I*ee^#}R hVc`@Yf,|@A4rDuD8*6cuPC>C[30 i) w=X`` CMS Updates Medicare Discharge Codes - LeadingAge New York https:// 0000005441 00000 n This code is used when the patient is still within the same facility and is typically used when billing for leave of absence days or interim bills. Answer: Episodes for patients discharged to a non-institutional (home) hospice (M0100 Reason for assessment RFA 9 Discharge from Agency) where M2420 Discharge Disposition is coded with Response 3 Patient transferred to a non-institutional hospice, and with a M0906 Discharge/Transfer/Death Date of 1/1/2023 or Washington, D.C. 20201 WebThe grouper software is updated by CMS at the beginning of each federal fiscal year (October 1st) and applied to patient records based on their reported discharge date. xb```b``ud`e`` @1V@ olvqZ304/aPhxDdA b~hQ[{6~()`vA'O%j_ "hl6J *A Bs@(P4G@{ - o 70 Discharged/transferred to another type of health-care institution not defined elsewhere in the patient discharge status code table Applications are available at the AMA Web site, https://www.ama-assn.org. LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) WebKey Findings. WebC-CDA Not much help. The site is secure. , November 23, 2016 - Revised March 18, 2021, Patient discharge status codes identify where a patient is at the conclusion of a health care facility encounter or at the end of a billing cycle. All our content are education purpose only. To designate patients that are discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification, or 06. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. intermediate care facilities. The Department may not cite, use, or rely on any guidance that is not posted Patient discharge status code 04 is typically defined at the state level for specifically designated 0000010530 00000 n NUBC clarified the following Hospice Levels of Care: CDT is a trademark of the ADA. eCQMs using this data element: CMS105v10 - Discharged on Statin Medication CMS71v11 - Anticoagulation Therapy for Atrial Fibrillation/Flutter CMS104v10 - Discharged on Antithrombotic Therapy CMS506v4 - Safe Use of Opioids - Concurrent Prescribing Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. These 2023 ICD-10-CM codes are to be used for discharges occurring from October 1, 2022 through September 30, 2023 and for patient encounters occurring from October 1, 2022 through September 30, 2023. lock The important thing to remember about this patient discharge status code is that it is to be used when a patient leaves against medical advice or the care is discontinued. It is important to select the correct patient discharge status code. These codes are important in understanding the discharge status as reported to CMS by the hospital and may impact post-acute Medicare Part A coverage in the skilled nursing facility and home care. endstream endobj 2731 0 obj <>/Metadata 86 0 R/Outlines 119 0 R/PageLabels 2722 0 R/PageLayout/OneColumn/Pages 2724 0 R/PieceInfo<>>>/StructTreeRoot 133 0 R/Type/Catalog>> endobj 2732 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Type/Page>> endobj 2733 0 obj <>stream These patient discharge status codes are reserved for national assignment. 0000092597 00000 n End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). Monday to Friday. A discharge occurs when a Medicare beneficiary leaves an acute care hospital after receiving acute care treatment; or dies in the hospital. 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). (Note: your organization may need to subscribe.). This includes transfers to incarceration facilities such as jail, prison, or other detention facility. The revenue codes and UB-04 codes are the IP of the American Hospital Association. The definitions of discharges and transfers under the inpatient prospective payment system (IPPS) are in 42 CFR 412.4(a) and (b). 06. The recent CMS discharge planning rule that went into effect in November 2019 included several changes aimed at improving care transitions and encouraging patients involvement in their follow-up treatment and care protocols. Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. ** Outpatient Hospital Claims (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and Users must adhere to CMS Information Security Policies, Standards, and Procedures. Webmedical record. Discharge Disposition": "Left Against Medical Advice This license will terminate upon notice to you if you violate the terms of this license. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. In cases in which two or more patient discharge status codes apply, providers should code the highest level of care known. WebThey are generally infections that occur more than 48 to 72 hours after _____ and within 10 days after hospital discharge. incorporated into a contract. United HealthCare Community Plan requires Patient Discharge Status codes for: ** Hospital Inpatient Claims (TOBs 11X and 12X); There is no FY 2023 GEMs file. ["Discharge Disposition": "Discharge To Acute Care Facility"] trailer a. CM MS-DRG Grouper - Codify Add On Inpatient Discharges to Home Hospice and Facility Hospice Care in The AMA is a third party beneficiary to this license. Discharged/transferred to home with a written plan of care for home care services (tailored to the patients medical needs) whether home attendant, nursing aides, certified attendants, etc. In addition, CMS has added a specific code for discharges related to disaster situations. Additionally, a type of bill reflective of a discharge or final claim should be reported with a Patient Discharge Status 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). The .gov means its official. These two patient discharge status codes are used to identify when a patient is discharged or transferred to hospice care. 200 Independence Avenue, S.W. 0 All Rights Reserved (or such other date of publication of CPT). Some of the descriptions of the discharged status codes were changed prematurely. The level of care the patient is receiving; and Bookmark | All Rights Reserved. Discharge Disposition code 2 - Patient discharged from agency (with formal assistive services). wKb${aY]YlYwKr{l."T-g3q,$I=hS!b ;fj5Ku{:m3>g'9?0"y*Ieo&5qMHtZT`;QA]Uv|:Z{9,VGk,}D=aS&=JE(e;J)yXHUB3'SqM`}tu;nvkuO?O%Fi X. ( Reserved for national assignment. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). 0000011969 00000 n 0000002967 00000 n PC-06.2 Newborns with moderate complications. discharge-disposition 01- Discharge to Home or Self Care (Routine Discharge) 0000007548 00000 n 0000007325 00000 n On September 26, 2019, the Centers for Medicare and Medicare Services (CMS) released the final rule on discharge planning requirements (the Final Rule) in an effort to empower patients to be active participants in the discharge planning process. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. Issued by: Centers for Medicare & Medicaid Services (CMS). Clarification of Patient Discharge Status Codes and 0000003963 00000 n CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). This will prevent incorrect billing of the Discharge Status Code and avoid unnecessary adjustments to claims when the incorrect code is used. 0000007836 00000 n Keep Up To Date On New VBP Info - AAPC Knowledge Center 0000004018 00000 n Constrained to codes in the Discharge Disposition: Patient Expired value set (2.16.840.1.113883.3.117.1.7.1.309) QDM Attribute and Definition (QDM Version 5.3) dischargeDisposition The disposition or location to which the patient is transferred at the time of hospital discharge. Based on national guidelines for completing and submitting a UB-04 (or the electronic comparative) a provider must assign a Patient Discharge Status code which aligns with the type of bill (TOB) submitted. Keep Up To Date On New VBP Info - AAPC Knowledge Center ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. 2023 Alora Healthcare Systems, LLC. Rolling Stone Media Kit 2021; National Verifier Ebb Number; Tenerife Airport Disaster Bodies; Stellaris: Console Edition The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. End users do not act for or on behalf of the CMS. 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 a billing cycle (the through' date of a claim). In an effort to better enable the collection of health-related social needs (HRSNs), defined as individual-level, adverse social conditions that negatively impact a persons health or healthcare, are significant risk factors associated with worse health outcomes as well as increased healthcare utilization, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 42 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting effective April 1, 2023. Patient discharge status code List and Definition This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. WebThe Grouper allows users to enter one or more ICD-10-CM diagnosis codes and any applicable ICD-10-PCS procedure codes along with some other required inputs, click a button, and quickly get the resulting DRG and other important information (including the Relative Weight, Length of Stay, Procedure Type, Post Acute indication, etc. The appropriate type of bill is determined based on the following guidance from the NUBC: ** The first digit is a leading zero. New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement This article is based on Change Request (CR) 6385 which If you choose not to accept the agreement, you will return to the Noridian Medicare home page. WebThe disposition, or location to which the patient is transferred at the time of hospital discharge. 989.583.6014. Business Hours. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. 8AM - 4:30PM. An official website of the United States government It is used for inpatient claims when billing for leave of absence days or interim billing (i.e., the length of stay is longer than 60 days). Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). CMS DISCLAIMER. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). WebConstrained to codes in the Discharge Disposition: Discharge To Acute Care Facility value set (2.16.840.1.113883.3.117.1.7.1.87) QDM Attribute and Definition (QDM Version This is the current published version. 0000002026 00000 n 08 Reserved for National Assignment ** All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. 0000001136 00000 n The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. on the guidance repository, except to establish historical facts. 03 Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care. The ADA is a third-party beneficiary to this Agreement. 2730 0 obj <> endobj The AMA does not directly or indirectly practice medicine or dispense medical services. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 2023 ICD-10-CM | CMS - Centers For Medicare & Medicaid Services 21-29 Reserved for National Assignment Discharged but then readmitted the same day to another IPPS hospital (unless the readmission is unrelated to the initial discharge). This code is for hospitals that meet the Medicare criteria for LTCH certification. Patient Discharge Status Codes - JF Part A - Noridian You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. 100-04), Chapter 3, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. Correction to Patient Discharge Status Codes in Medicaid Providers Manual Information posted February 1, 2013. 0000011314 00000 n Therefore, you have no reasonable expectation of privacy. The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Outpatient Hospital Services (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and. The discharge disposition code 06 is for patients who are discharged or transferred to home under care of organized home health service organization. Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, Last Updated Tue, 18 Jan 2022 20:55:43 +0000. 65 Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital hbbd``b`f " BD "'L\ M~ w` The National Uniform Billing Committee (NUBC) develops and maintains the data elements and codes. No fee schedules, basic unit, relative values or related listings are included in CDT. Cms discharge planning rule: are you You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. This code indicates that the patient is discharged/transferred to a Medicare-certified nursing facility in anticipation of skilled care. If providers are not sure whether a facility is a LTCH or a short-term care hospital, they should contact the facility to verify their facility type before assigning a patient discharge status code. 836 0 obj <>stream The fourth digit is indicative of the submission frequency, and should align with the Patient Discharge Status reported on the claim. 09 Admitted as an Inpatient to this Hospital This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. All rights reserved. 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. UnitedHealthCare Community Plan will deny claims when the Patient Discharge Status is inconsistent with the type of bill reported. In this case, see Patient discharge status Code 43. Federal government websites often end in .gov or .mil. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. All the articles are getting from various resources. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. CMS The same processes should be applied for patient discharge status codes as with any other coding. Discharge Disposition 0000093113 00000 n xref You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. FOURTH EDITION. Patient Discharge Status Code Reporting - Novitas Solutions The AMA does not directly or indirectly practice medicine or dispense medical services. This code is for use only on Medicare outpatient claims, and it applies only to those Medicare outpatient services that begin greater than three days prior to an admission. A: Yes, it can be used on both types of claims. 0000110189 00000 n It is also used: If any beds at the facility are Medicare certified, then the provider should use either patient discharge status code 03 or 04, depending on: %PDF-1.4 % MLN Matters article SE0801 is provided to assist providers in determining the right discharge status code to use with their claims. This code should be used when transferring a patient to a LTCH. Q: Can Patient Discharge Status Code 30, Still a Patient, be used on both inpatient and outpatient claims? The scope of this license is determined by the AMA, the copyright holder. 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 patients medical record supports the billed discharge status code. Home list of discharge disposition codes 2021 - Sensornor.com No fee schedules, basic unit, relative values or related listings are included in CPT. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. PATIENT DISCHARGE STATUS CODES MATTER else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Cardiac and Pulmonary Rehabilitation Programs, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Acute Inpatient Prospective Payment System (IPPS) Hospital, Comprehensive Outpatient Rehabilitation Facility (CORF), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Outpatient Prospective Payment System (OPPS), Provider Appeal Requests - PRRB or Contractor Hearings, Provider Statistical and Reimbursement (PS&R) System, Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Discharged to home or self-care (routine discharge), Discharged/transferred to a short-term general hospital for inpatient care, Discharged/transferred to skilled nursing facility (SNF) with Medicare certification, Discharged/transferred to a facility that provides custodial or supportive care, Discharged/transferred to a designated cancer center or children's hospital, Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care, Left against medical advice or discontinued care, Admitted as an inpatient to this hospital, Discharged/transferred to court/law enforcement, Expired in a medical facility (e.g., hospital, SNF, ICF, or free-standing hospice), Discharged/transferred to a federal health care facility, Hospice - medical facility (certified) providing hospice level of care, Discharged/transferred to a hospital-based Medicare approved swing bed, Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital, Discharged/transferred to a Medicare certified long term care hospital (LTCH), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare, Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital, Discharged/transferred to a critical access hospital (CAH), Discharged/transferred to a designated disaster alternate care site (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list, Discharged to home or self-care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a designated cancer center or children's hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission (effective 10/1/13).

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