TABLE E Discharge Status (UB Patient Status) Value Description Discharged alive to home / self-care (routine discharge) Discharged/Transferred to short term general hospital Discharged/Transferred to skilled nursing facility (SNF) Discharged/Transferred to intermediate care facility (ICF) Discharged/Transferred to other facility Discharged/Transferred to home care Left against medical advice Discharged/Transferred to home under care of a home IV drug therapy provider Admitted as an inpatient to this hospital 19 Discharged to be defined at State level if necessary – 20 Expired (Did not recover Christian Science – Patient) 21 29 Expired to be defined at State level if – necessary Still a patient 39 Still a patient to be defined at State level if necessary – Expired at home (Hospice claims only) Died in a medical facility (Hospice claims only) Place of death unknown (Hospice claims only) 43 99 Reserved for National Assignment –
TABLE E Discharge Status (UB Patient Status) Value Description Discharged alive to home / self-care (routine discharge) Discharged/Transferred to short term general hospital Discharged/Transferred to skilled nursing facility (SNF) Discharged/Transferred to intermediate care facility (ICF) Discharged/Transferred to other facility Discharged/Transferred to home care Left against medical advice Discharged/Transferred to home under care of a home IV drug therapy provider Admitted as an inpatient to this hospital – 19 Discharged to be defined at State level if necessary 20 Expired (Did not recover – Christian Science Patient) 21 – 29 Expired to be defined at State level if necessary Still a patient – 39 Still a patient to be defined at State level if necessary Expired at home (Hospice claims only) Died in a medical facility (Hospice claims only) Place of death unknown (Hospice claims only) 43 – 99 Reserved for National Assignment
Fully-Executed-Senior-Whole-Health-First-Amended-Restated-SCO-Contract-January-2018.docx