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Patient Discharge Status Codes. Search for a Patient Status. Last Updated Dec 09 , 2023. View patient discharge status codes.
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.
Patient Discharge Status Enter one of the following two-digit codes for the patient's status (as of the "through" date): 01 = Discharged to home or self care (routine
UB-04 Form Locator code lookup. The UB-04 form locator tool is designed to help facilities understand the definitions of the codes needed for claim submission. Click on the form locator headers for definitions to the codes used when filing the UB-04 claim to Medicare or enter the code in the search box and the definition will be returned.
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.
FL 17 – Patient Discharge Status Required. (For all Part A inpatient, SNF, hospice, home health agency (HHA) and outpatient hospital services.) This code indicates the patient’s discharge status as of the “Through” date of the billing period (FL 6). Codes used for Medicare claims are available from Medicare contractors.
The UB-04, also known as the Form CMS-1450, is the uniform institutional provider hardcopy claim form suitable for use in billing multiple third party payers. Unique to Medicare is that the Administrative Simplification Compliance Act (ASCA) prohibits payment of services or supplies for initial claims that a provider did not bill electronically.
