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Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the “Patient Discharge Status” field (FL 17). The claim must include the discharge status code that most accurately reflects the discharge of the patient.
Choosing the patient discharge status code correctly avoids claim errors and helps you receive payment for your claim sooner. A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion
Patient Discharge Status Codes. Search for a Patient Status . Status Definition; 01: Discharged to home or self-care (routine discharge) 02: ... Expired in a medical facility (e.g., hospital, SNF, ICF, or free-standing hospice) 42: Expired - place unknown: 43: Discharged/transferred to a federal health care facility:
patient discharge status code 20 (expired), 40 (expired at home), 41 (expired in a medical facility), or 42 (expired – place unknown) is present.
claims. This code indicates the disposition or discharge status of the beneficiary on the submitted claims.
There is a difference between the two: "Patient Characteristic Expired" simply indicates that the patient is dead. An encounter with "Discharge Status: Expired" indicates that the patient died during the encounter. For some measures, this distinction may be important.
7.9 Patient Discharge Status Codes Required on all Institutional claims – i.e., 837i or 837r . Definition: A code indicating the disposition or discharge status of the patient at the end of service for the period covered on the bill/record or claim. 01
Discharge status code is a numerical identifier used in healthcare RCM to indicate the patient's condition at the time of discharge from a healthcare facility.
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 patient’s medical record supports the billed discharge status code.
A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a healthcare facility encounter or at the end of a billing cycle (the ‘through’ date of a claim).