The ADA is a third-party beneficiary to this Agreement. Please click here to see all U.S. Government Rights Provisions. 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 End Users do not act for or on behalf of the CMS. The Department may not cite, use, or rely on any guidance that is not posted In cases in which two or more patient discharge status codes apply, providers should code the highest level of care known. hbbd``b`f " BD "'L\ M~ w` startxref ( ** The fourth digit indicates the sequence of the bill for a specific episode of care. Discharges or transfers to long-term care hospitals (LTCHs) should be coded with Patient discharge status Code 63. These patient discharge status codes are reserved for national assignment. Patient discharge status Code 50 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. 0000002266 00000 n 0000004018 00000 n Patient discharge status Code 66 is used to identify a transfer to a critical access hospital (CAH) for inpatient care. Discharged but then readmitted the same day to another IPPS hospital (unless the readmission is unrelated to the initial discharge). 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 Patients who leave before triage, or are triaged and leave without being seen by a physician; or 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. 0000011314 00000 n If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". This code is used for reporting patients discharged/transferred to a SNF level of care within the hospitals approved swing bed arrangement. 0000006792 00000 n 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). 0000048794 00000 n These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 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 0000003963 00000 n You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. 0000005441 00000 n 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). 42 Expired Place Unknown; This code is for use only on Medicare and TRICARE claims for hospice care. Web05. 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 The AMA does not directly or indirectly practice medicine or dispense medical services. Before sharing sensitive information, make sure youre on a federal government site. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Official websites use .govA The use of the information system establishes user's consent to any and all monitoring and recording of their activities. Inpatient rehabilitation facilities (or designated units) are those facilities that meet a specific requirement that 75% of their patients require intensive rehabilitative services for the treatment of certain medical conditions. Federal government websites often end in .gov or .mil. 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. CPT is a trademark of the AMA. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. on the guidance repository, except to establish historical facts. 64 Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare which insurance is primary. 8AM - 4:30PM. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 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. (Note: your organization may need to subscribe.). End Users do not act for or on behalf of the CMS. 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. In the past, HCAI adjusted the grouper and applied it to records based on a calendar year. 0000002491 00000 n ** The first digit is a leading zero. 0000003940 00000 n Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Still others elect not to certify any of their beds under Medicare. This license will terminate upon notice to you if you violate the terms of this license. 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. 43 Discharged/Transferred to a Federal Hospital LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. The primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 2: Interim First Claim, or Frequency Code 3: Interim Continuing Claim) Bill types ending in 2 or 3 should be reported with patient status of 30. 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. endstream endobj 835 0 obj <>/Size 812/Type/XRef>>stream 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 01 Discharged to home or self care (routine discharge) 02 Discharged/transferred to a short-term general hospital for inpatient care. The following patient discharge status codes should only be used when submitting hospice claims: For discharges/transfers to state designated Assisted Living Facilities. Cancer hospitals excluded from Medicare Prospective Payment System (PPS) and childrens hospitals are examples of such other types of health care institutions. 200 Independence Avenue, S.W. You may also contact AHA at ub04@healthforum.com. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. Therefore, it is recommended that if a patient is going home or to an institutional setting with a hospice referral only (without having already been accepted for hospice care by a hospice organization), the patient discharge status code should simply reflect the site to which the patient was discharged; not hospice (i.e., 01: home or self care, or 04: an intermediate care nursing facility, assuming it is not a Medicare SNF admission). If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 03 = Discharged/transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of covered skilled care (For hospitals with an approved swing DISCLAIMER: The contents of this database lack the force and effect of law, except as 30 Still Patient or Expected to Return for Outpatient Services Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. Assigning the correct patient discharge status code is just as important as any other coding used when filing a claim. Left against medical advice or discontinued care. Toll Free Call Center: 1-877-696-6775. No fee schedules, basic unit, relative values or related listings are included in CDT. Claim denials and recoupment of payment due to a post-payment review decision, Claim rejections due to edits in the Fiscal Intermediary Shared System (FISS) to prevent incorrect payments, Inquiries to the Provider Contact Center (PCC) as a result of a claim denial or rejection to obtain the correct patient discharge status (e.g., In some cases, the patients status may change after leaving your facility. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. These two patient discharge status codes are used to identify when a patient is discharged or transferred to hospice care. 0000002858 00000 n Veterans Administration nursing facilities. 0000006647 00000 n intermediate care facilities. 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 DISCLAIMER: The contents of this database lack the force and effect of law, except as 100-04), Chapter 3, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. Reserved for national assignment. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. Constrained 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 5.5 Guidance Update). endstream endobj startxref %PDF-1.4 % 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 <. Additional Guidance on Use of Patient discharge status Code 50 or 51. hmo0^P?]& V5hTED The fourth digit is indicative of the submission frequency, and should align with the Patient Discharge Status reported on the claim. 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. This code should be used when transferring a patient to a LTCH. Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. Clinical Focus: This value set contains concepts that represent a patient leaving against medical advice. This code should not be used for home health services provided by a: The revenue codes and UB-04 codes are the IP of the American Hospital Association. 0000010568 00000 n 07. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. The level of care the patient is receiving; and All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 0000006148 00000 n 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 This patient discharge status code is reserved for national assignment. 0000007836 00000 n Providers will need to establish a process for identifying whether a hospital is paid under the PPS or whether the facility is designated as a CAH. All rights reserved. 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. Warning: you are accessing an information system that may be a U.S. Government information system. 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. Web 482.43 Condition of participation: Discharge planning. 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. 0000001396 00000 n 21-29 Reserved for National Assignment + | The level of care that will be provided by the hospice upon discharge is essential to determining the proper code to use. 263 0 obj <>stream There is no FY 2023 GEMs file. 812 25 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). Therefore, you have no reasonable expectation of privacy. This is the current published version. To assure proper payment under the Medicare Severity-Diagnosis Related Group (MS-DRG) payment system, hospitals must be sure to code the 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 LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. 02 Discharged/Transferred to a Short Term General Hospital for Inpatient Care Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. 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. 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 2. Discharge Disposition code 2 - Patient discharged from agency (with formal assistive 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. It can be used for both inpatient or outpatient claims. In this case, see Patient discharge status Code 43. a. Age: In 2021, about 54 percent of total discharges to hospice care were patients aged 70-89. The AMA does not directly or indirectly practice medicine or dispense medical services. BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. <<5887C3D76045B64BA1888B73E4DDD033>]>> The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 989.583.6014. Business Hours. To assure proper payment under the Medicare Severity-Diagnosis Related Group (MS-DRG) payment system, hospitals must be sure to code the discharge/transfer status of patients accurately to reflect the level of post-discharge care to be received by the patient. 0000001199 00000 n CMS DISCLAIMER. Share sensitive information only on official, secure websites. 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. 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. 20 Expired Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8827, 13 British American Blvd Suite 2 2730 0 obj <> endobj 52-60 Reserved for National Assignment 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. 65 Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital Toll Free Call Center: 1-877-696-6775. This is a correction to the Texas Medicaid Provider Procedures Manual (TMPPM), Volume 1, General Information, subsection 6.6.6, Patient Discharge Status Codes. The table in this subsection in the December 2012 and January 2013 editions of the TMPPM has the following errors: lock 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. This code should be used when a patient is transferred to a facility or designated unit that meets this qualification. On outpatient claims, the primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 3: Interim Continuing Claim). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. 08. 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 05 Discharged/Transferred to Another Type of Health Care Institution Not Defined Elsewhere in This Code List 0000003710 00000 n Webafc urgent care near me failed to install flexnet license manager solidworks; dahlonega nugget arrests hells angels shooting san bernardino; candybar doll maker 4 introduction to computer science 2nd edition pdf; socks for cold feet at night WebCodesystem-encounter-discharge-disposition - FHIR v4.3.0 Terminology Code Systems This page is part of the FHIR Specification (v4.3.0: R4B - STU ). endstream endobj 2734 0 obj <>stream CPT 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. The AMA 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. The site is secure. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. var pathArray = url.split( '/' ); 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 0000002464 00000 n trailer 50 and 51 Discharged/Transferred to a Hospice 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. 0000006885 00000 n 0000110189 00000 n 5. Code Description 69 Discharges/transfers to a Designated Disaster Alternative Care Site, NEW READMISSION PATIENT DISCHARGE STATUS CODES, Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification with a Planned Acute Care Hospital Inpatient Readmission, Discharged/Transferred to Home Under Care of Organized Home Health Service Organization with a Planned Acute Care Hospital Inpatient Readmission, (Source: CMS Medlearn Matters article SE1411). 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. o 21 Discharged/transferred to court/law enforcement New Definition for Patient Discharge Status Code 05 Effective, per National Uniform Billing Committee (NUBC), on April 1, 2008: 05 Discharged/Transferred to a Designated Cancer Center or Childrens Hospital Usage Note: Transfers to non-designated cancer hospitals should use Code 02. 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. var url = document.URL; You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. ~``P(p#mC??``dR/6d`` = _= `qs@G2201= O You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. 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. Heres how you know. Monday to Friday. 10-19 Reserved for National Assignment BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. ** All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 40 Expired at Home This code is for use only on Medicare and TRICARE claims for hospice care; 0000048901 00000 n If you do not agree to the terms and conditions, you may not access or use the software. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. This code is used only when the patient dies. 66 Discharged/Transferred to a CAH CMS DISCLAIMER. or You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Issued by: Centers for Medicare & Medicaid Services (CMS). The scope of this license is determined by the ADA, the copyright holder. Nursing facilities may elect to certify only a portion of their beds under Medicare, and some nursing facilities choose to certify all of their beds under Medicare. 0000093210 00000 n 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 THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Latham, NY 12110 The patient has elected the hospice benefit and will be receiving hospice care under arrangement with a hospice organization; the patient is receiving residential care only; incorporated into a contract. 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.