cms discharge disposition codes 2021

05. 0000003557 00000 n 518.867.8384 fax, Assisted Living and Adult Care Facilities. 0000048264 00000 n 0000006792 00000 n If you choose not to accept the agreement, you will return to the Noridian Medicare home page. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 222 0 obj <> endobj Department of Defense hospitals; This Agreement will terminate upon notice if you violate its terms. Nor transfers to a CAH swing bed should still be coded with Patient discharge status Code 61. CMS DISCLAIMER. In cases in which two or more Patient Discharge Status codes apply, providers should code the highest level of care known. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Patient discharge status code 04 is typically defined at the state level for specifically designated ["Discharge Disposition": "Discharge To Acute Care Facility"] ** Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); DISCLAIMER: The contents of this database lack the force and effect of law, except as 0000000813 00000 n Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). PATIENT DISCHARGE STATUS CODES MATTER This code is for hospitals that meet the Medicare criteria for LTCH certification. WebKey Findings. The Office of Inspector General (OIG) conducted several reviews identifying Medicare overpayments to hospitals that did not comply with the post-acute care transfer policy. Clarification of Patient Discharge Status Codes and The sole responsibility for the software, including any CDT-4 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. , 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. The scope of this license is determined by the ADA, the copyright holder. intermediate care facilities. H|TM0WJ*a8viUi%]n)X*VLb;273~y[Lu. Designed by Elegant Themes | Powered by WordPress. 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). For reporting other discharges/transfers to nursing facilities, providers should see codes 04 and 64. %%EOF You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. 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. 42 Expired Place Unknown; This code is for use only on Medicare and TRICARE claims for hospice care. ["Discharge Disposition": "Discharge To Acute Care Facility"], Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, CMS105v9 - Discharged on Statin Medication, CMS71v10 - Anticoagulation Therapy for Atrial Fibrillation/Flutter, CMS104v9 - Discharged on Antithrombotic Therapy. The site is secure. Webwhich tools would you use to make header 1 look like header 2 0000011314 00000 n 100-04), Chapter 3, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. 06. hb```b``fa`2lx$e6~-Ud_I*ee^#}R hVc`@Yf,|@A4rDuD8*6cuPC>C[30 i) w=X`` The scope of this license is determined by the AMA, the copyright holder. The same processes should be applied for patient discharge status codes as with any other coding. 63 Discharged/Transferred to Long Term Care Hospitals (LTCHs) 0000000016 00000 n 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. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. 0000014662 00000 n 0000109996 00000 n means youve safely connected to the .gov website. 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. Assigning the correct patient discharge There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. A list of (National Cancer Institute) Designated Cancer Centers can be found at http://cancercenters.cancer.gov/cancer_centers/cancer-centers-names.html on the Internet. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. discharge-disposition 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. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. 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. This license will terminate upon notice to you if you violate the terms of this license. 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). website belongs to an official government organization in the United States. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. 1. Patient Discharge Status Code Definition. The level of care the patient is receiving; and The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. 30 Still Patient or Expected to Return for Outpatient Services End users do not act for or on behalf of the CMS. 0000004341 00000 n In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. 0000002026 00000 n The ADA does not directly or indirectly practice medicine or dispense dental services. Discharged from acute hospital care but remains at the same hospital under hospice care, Monday to Friday. ( Discharge Discharge Disposition code 2 - Patient discharged from agency (with formal assistive services). CMS Disclaimer 0000011969 00000 n 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. 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. 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. o 21 Discharged/transferred to court/law enforcement <]/Prev 800918>> %PDF-1.6 % FOURTH EDITION. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. All the articles are getting from various resources. NUBC clarified the following Hospice Levels of Care: list of discharge disposition codes 2021 - Sensornor.com Discharged/transferred to a facility that provides custodial or supportive care. 0000000016 00000 n Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. The National Uniform Billing Committee (NUBC) develops and maintains the data elements and codes. These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright 2002, 2004 American Dental Association (ADA). Veterans Administration nursing facilities. Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8827, 13 British American Blvd Suite 2 ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. 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 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. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Home This will prevent incorrect billing of the Discharge Status Code and avoid unnecessary adjustments to claims when the incorrect code is used. WebCodesystem-encounter-discharge-disposition - FHIR v4.3.0 Terminology Code Systems This page is part of the FHIR Specification (v4.3.0: R4B - STU ). For discharges/transfers to state designated Assisted Living Facilities. %%EOF Federal government websites often end in .gov or .mil. 518.867.8383 This code includes discharge to home; jail or law enforcement; home on oxygen if durable medical equipment (DME) only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state-designated. ** The second digit is the type of facility. This code indicates that the patient is discharged/transferred to a Medicare-certified nursing facility in anticipation of skilled care. WebThis is the current published version in it's permanent home (it will always be available at this URL). All rights reserved. ; Race/Ethnicity: In 2021, 30,161 White patients were discharged to hospice, more than for other Race/Ethnicity groups. 09. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. ** All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. 20: Expired -used only when the patient dies: 21: Discharges or transfers to court/law The AMA is a third party beneficiary to this Agreement. Toll Free Call Center: 1-877-696-6775. WebCMS 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 0000003474 00000 n 0000003442 00000 n 200 Independence Avenue, S.W. 20 Expired Keep Up To Date On New VBP Info - AAPC Knowledge Center To designate patients that are discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification, or Routine or Continuous Home Care Patient discharge status code 50: Hospice home should be used if the patient went to his/her own home or an alternative setting that is the patients home, such as a nursing facility, and will receive in-home hospice services; General Inpatient Care Patient discharge status code 51: Hospice medical facility 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; and. Last Updated: Jul 08, 2021 Review of Hospital Compliance with Medicare's Discharge Disposition": "Discharge To Acute Care All our content are education purpose only. 62 Discharged/Transferred to an Inpatient Rehabilitation Facility Including Distinct Part Units of a Hospital The AMA does not directly or indirectly practice medicine or dispense medical services. BCBS prefix Why its important to read correctly. New Patient Discharge Status Code 21 to Define Web0 = Unknown Value (but present in data) 01 = Discharged to home/self-care (routine charge). LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) Web05. Bookmark | Transferred from an inpatient acute care hospital to a Medicare-certified SNF under the following conditions: End Users do not act for or on behalf of the CMS. Please click here to see all U.S. Government Rights Provisions. A Critical Access Hospital (Patient Discharge Status Code 66 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 94) Discharged but then Email | Discharge WebThe disposition, or location to which the patient is transferred at the time of hospital discharge. No fee schedules, basic unit, relative values or related listings are included in CPT. which insurance is primary. Sign up to get the latest information about your choice of CMS topics. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, ICD-10-CM and ICD-10 PCS and GEMs Archive, ICD-10 Coordination and Maintenance Committee Meetings, Process for Requesting New/Revised ICD-10-PCS Procedure Codes, ICD-10 Coordination and Maintenance Committee Meeting Materials, ICD-9-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles, Updates and Revisions to ICD-9-CM Procedure Codes (Addendum), 2023 POA Exempt Codes - Updated 03/01/2023 (ZIP), 2023 Conversion Table - Updated 01/23/2023 (ZIP), 2023 Code Descriptions in Tabular Order - updated 01/11/2023 (ZIP), 2023 Code Tables, Tabular and Index - updated 01/11/2023 (ZIP), FY 2023 ICD-10-CM Coding Guidelines - updated 01/11/2023 (PDF). CMS Updates Medicare Discharge Codes - LeadingAge New York Reporting incorrect patient discharge status codes may result in the following: CMS published the following Special Edition MLN Matters articles to provide clarifications and instructions on determining the correct patient discharge status code to use when completing your claims: For the purpose of discussing transfers the following terms describe when a patient leaves the hospital. Web The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled If the first hospital was unaware of the planned admission at the second hospital, its likely the first hospital will have to adjust the previously submitted claim to correct the patient discharge status code to indicate a transfer (02), which reflects where the patient was later admitted on the same date. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Toll Free Call Center: 1-877-696-6775. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. Webadjustment bill to correct the discharge status code following Medicares claim adjustment criteria located in the Medicare Claims Processing Manual, Chapter 1, Section 130.1.1 The disposition, or location to which the patient is transferred at the time of hospital discharge. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. This code should be used regardless of whether or not the patient has skilled benefit days and regardless of whether the transferring hospital anticipates that this SNF stay will be covered by Medicare. Patients who leave before triage, or are triaged and leave without being seen by a physician; or Warning: you are accessing an information system that may be a U.S. Government information system. 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. ). Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Discharged but then readmitted the same day to another IPPS hospital (unless the readmission is unrelated to the initial discharge). The NUBC has also clarified that this code should also be used when a patient is transferred to an inpatient psychiatric unit of a Veterans Administration hospital. Discharged/transferred to a foster care facility with home care; and authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically 2742 0 obj <>/Filter/FlateDecode/ID[<53B0157D40280326833A3E6B2AA10E6C>]/Index[2730 21]/Info 2729 0 R/Length 67/Prev 112585/Root 2731 0 R/Size 2751/Type/XRef/W[1 2 1]>>stream The AMA is a third-party beneficiary to this license. X XMCE 5764.2 FISS shall map patient discharge status code 70 to IPPS Pricer review code 00 (as is UnitedHealthCare Community Plan will deny claims when the Patient Discharge Status is inconsistent with the type of bill reported. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. ** The fourth digit indicates the sequence of the bill for a specific episode of care. 61 Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. [ Modified: 8.5.108.11, 8.5.146.06] The Workspace Disposition Code view This code should be used when a patient is transferred to a facility or designated unit that meets this qualification. Correction to Patient Discharge Status Codes in Medicaid Providers Manual Information posted February 1, 2013. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. 0000002819 00000 n Centers for Medicare & Medicaid Services You may also contact AHA at ub04@healthforum.com. The files in the Downloads section below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2023. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 44-49 Reserved for National Assignment endstream endobj 2734 0 obj <>stream 2730 0 obj <> endobj 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 0000002491 00000 n CMS Manual System - Centers For Medicare J\6]q%" =H4$ 0ASR`>^^3/[m 0 c6zA9l4y63Ma;$e:|re@|^p&-DF "SJQ:EnVuSu^w4_k+8m69)36:/#(%M^a,5PIhC!CXH(o59ZVm}MkWy?8' CPT is a trademark of the AMA. All Rights Reserved to AMA. trailer 0000004018 00000 n Patient Discharge Status Codes and Hospital Transfer Policies 07. discharge disposition codes Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. Some of the descriptions of the discharged status codes were changed prematurely. In cases in which two or more patient discharge status codes apply, providers should code the highest level of care known. endstream endobj 813 0 obj <>/Outlines 24 0 R/Metadata 308 0 R/PieceInfo<>>>/Pages 307 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[814 0 R]>>/StructTreeRoot 310 0 R/Type/Catalog/LastModified(D:20090710093708)/PageLabels 305 0 R>> endobj 814 0 obj <. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. 0000007895 00000 n 0000002464 00000 n WebIPPS, but does not have an agreement to participate in the Medicare program (Patient Discharge Status Code 02 or 82 when an Acute Care Hospital Inpatient Readmission is 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. on the guidance repository, except to establish historical facts. 02 = Discharged/transferred to other short term general hospital for inpatient care. incorporated into a contract. Sign In - Log in The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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 lock 0000001199 00000 n 222 42 If you do not agree to the terms and conditions, you may not access or use the software. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. 41 Expired in a Medical Facility, such as a hospital, SNF, ICF, or free-standing hospice; and Clinical Focus: This value set contains concepts that represent a patient leaving against medical advice. The fourth digit is commonly referred to as the frequency code. 2. Overall: 78 percent of patients discharged to hospice care in 2021 were placed in home hospice compared to facility hospice. startxref It can be used for both inpatient or outpatient claims. Whether the bed is Medicare certified or not. No fee schedules, basic unit, relative values or related listings are included in CPT. The table omitted patient status discharge codes that continue to be valid in the TMHP claims processing system: cms discharge disposition codes 2021 - Squaredomus.com Cms discharge planning rule: are you Code 03 should not be used if the patient is admitted to a non-Medicare certified area. This article is based on Change Request (CR) 6385 which provides implementing instructions for a new patient discharge status code 21, which defines discharges This patient discharge status code should be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not. The following patient discharge status codes should only be used when submitting hospice claims: This Agreement will terminate upon notice to you if you violate the terms of this Agreement. cms discharge disposition codes 2021 - Sure-reserve.com 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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