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Appendix C-New York State Patient Status or Disposition

Code      Status/Disposition
01 Definition Redefined Effective 10/1/09:  
Discharge to Home or Self Care (Routine Discharge)
USAGE NOTE:  Includes discharge to home; home on oxygen if DME only; any other DME only; group home, foster care, independent living and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs.

02 Discharged/transferred to a Short-Term General Hospital for Inpatient Care

03 Discharged/transferred to Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care
USAGE NOTE:  Medicare - Indicates that the patient is discharged/transferred to a Medicare certified nursing facility. For hospitals with an approved swing bed arrangement, use Code 61 - Swing Bed. For reporting other discharges/transfers to nursing facilities see 04 and 64.

04 Definition Redefined Effective 10/1/09:  
Discharged/transferred to a Facility that Provides Custodial or Supportive Care (ICF is no longer used in NYS)
USAGE NOTE:  Includes intermediate care facilities (ICFs) if specifically designated at the state level. Also used to designate patients that are discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification and for discharges/transfers to Assisted Living Facilities.

SPARCS Notation: NYS no longer has the ICF designation for nursing homes. This code should be used for State Designated ALPs only. A list of facilities can be found at: www.health.state.ny.us/facilities/assisted_living/licensed_programs_residences.htm.

05 Discharged/transferred to a Designated Cancer Center or Children's Hospital
USAGE NOTE:  Transfers to non-designated cancer hospitals should use Code 02. A list of (National Cancer Institute) Designated Cancer Centers can be found at http://www3.cancer.gov/cancercenters/centerslist.html. (Effective 4/1/2008)

06 Discharged/transferred to Home Under Care of Organized Home Health Service Organization in Anticipation of Covered Skilled Care
USAGE NOTE:  Report this code when the patient is discharged/transferred to home with a written plan of care (tailored to the patient's medical needs) for home care services. Not used for home health services provided by a DME supplier or from a Home IV provider for home IV services.

07 Left Against Medical Advice or Discontinued Care

09 Admitted as an Inpatient to this Hospital
Patient admitted to the same short-term medical or specialty hospital where the hospital-based ambulatory surgery service was performed (excluding chronic disease hospitals).
USAGE NOTE:  For use only on Medicare outpatient claims. Applies only to those Medicare outpatient services that begin greater than three days prior to an admission. OUTPATIENT ONLY

20 Expired (or did not recover - Christian Science patient)

21 Effective 10/1/09:  
Discharged/transferred to Court/Law Enforcement
USAGE NOTE:  Includes transfers to incarceration facilities such as jail, prison or other detention facilities.

40 Expired at Home

41 Expired in a Medical Facility (e.g. hospital, SNF, ICF, or free standing hospice)
USAGE NOTE:  Codes 40 and 41 are for use only on Medicare and TRICARE claims for hospice care.

42 Expired - Place Unknown
USAGE NOTE:  For use only on Medicare and TRICARE claims for hospice care.

43 Discharged/transferred to a Federal Health Care Facility
USAGE NOTE:  Discharges and transfers to a government operated health care facility such as a Department of Defense hospital, a Veteran's Administration hospital or a Veteran's Administration nursing facility. To be used whenever the destination at discharge is a federal health care facility, whether the patient lives there or not.

50 Hospice - Home (Effective 10/1/1995)

51 Hospice - Medical Facility (Certified) Providing Hospice Level of Care (Effective 10/1/1995)

61 Discharged/transferred to Hospital-Based Medicare Approved Swing Bed
USAGE NOTE:  Medicare - Used for reporting patients discharged/transferred to a SNF level of care within the hospital's approved swing bed arrangement.

62 Discharged/transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct Part Units of a Hospital (Effective 10/1/2001)

63 Discharged/transferred to a Medicare Certified Long Term Care Hospital (LTCH)
USAGE NOTE:  For hospitals that meet the Medicare criteria for LTCH certification. (Effective 10/1/2001)

64 Discharged/transferred to a Nursing Facility Certified under Medicaid but not Certified under Medicare

65 Discharged/transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital (Effective 4/1/2004)

66 Discharged/transferred to a Critical Access Hospital (CAH) (Effective 1/1/2006)

69 Discharged/transferred to a Designated Disaster Alternative Care Site (Effective 10/1/2013)

70 Discharged/transferred to another Type of Health Care Institution not Defined Elsewhere in this Code List (See Code 05) (Effective 4/1/2008)

81 Discharged to Home or Self Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

82 Discharged/transferred to a Short-Term General Hospital for Inpatient Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

83 Discharged/transferred to Skilled Nursing Facility (SNF) with Medicare Certification with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

84 Discharged/transferred to a Facility that Provides Custodial or Supportive Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

85 Discharged/transferred to a Designated Cancer Center or Children's Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

86 Discharged/transferred to Home Under Care of Organized Home Health Service Organization with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

87 Discharged/transferred to Court/Law Enforcement with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

88 Discharged/transferred to a Federal Health Care Facility with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

89 Discharged/transferred to Hospital-Based Medicare Approved Swing Bed with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

90 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 10/1/2013).

91 Discharged/transferred to a Medicare Certified Long Term Care Hospital (LTCH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

92 Discharged/transferred to a Nursing Facility Certified under Medicaid but not Certified under Medicare with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

93 Discharged/transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

94 Discharged/transferred to a Critical Access Hospital (CAH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/2013).

95 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 10/1/2013).

NOTE:  Refer to the Patient Discharge Status FAQs for answers to coding questions.

Discontinued Codes

Code      Status/Disposition
08 Discharged/transferred to home under care of a Home IV provider.
(Obsolete after 10/1/2005) INPATIENT ONLY
10 Neonate discharged to another hospital for neonatal aftercare for weight gain.
(Obsolete after 12/31/2002) INPATIENT ONLY
11 Patient discharged to a short-term psychiatric, chronic hospital or long-term specialty hospital providing for psychiatric illnesses.
(Obsolete after 12/31/2002)
12 Discharged/transferred to intermediate care facility for the mentally retarded.
(Obsolete after 12/31/2002)
13 Transferred to another hospital for tertiary aftercare. This code is for multiple significant trauma reasons.
(Obsolete after 12/31/2002) INPATIENT ONLY
14 Admitted to Domiciliary Care Facility (DCF).
(Obsolete after 12/31/2002) INPATIENT ONLY
71 Discharged/transferred/referred to another institution for outpatient services as specified by the discharge plan of care.
(Obsolete after 3/31/2003)
72 Discharged/transferred/referred to this institution for outpatient services as specified by the discharge plan of care.
(Obsolete after 3/31/2003)
90 Plan of Care Completed - as of 10/1/1995 Replaces code 50. MEDICAID OUTPATIENT ONLY (Not a valid NUBC code)
91 Pre-Admission - as of 10/1/1995 Replaces code 51. MEDICAID OUTPATIENT ONLY (Not a valid NUBC code)

Inpatient Output Only

Status Code Mappings For Grouper Versions

In the table below are the Patient Disposition Codes being collected by SPARCS with the status code mappings for the various Medicare and New York State grouper versions.

Year(s) Federal DRG *Map# NY/AP DRG *Map# APR DRG *Map#
1980-1985 2.0 1 N/A N/A N/A N/A
1986 3.0 1 N/A N/A N/A N/A
1987 4.0 1 N/A N/A N/A N/A
1988 5.0 1 5.0 1 N/A N/A
1989 6.0 1 6.0 2 N/A N/A
1990 7.0 1 7.0 3 N/A N/A
1991 8.0 4 8.0 3 N/A N/A
1992 9.0 4 9.0 3 N/A N/A
1993 10.0 4 10.0 3 N/A N/A
1994 11.0 4 11.0 5 N/A N/A
1995 12.0 4 12.0 5 N/A N/A
1996 13.0 4 12.0 5 N/A N/A
1997 14.1 6 14.1 7 N/A N/A
1998 15.0 6 14.1 7 N/A N/A
1999-2000 16.0 6 14.1 7 N/A N/A
2001 18.0 6 18.0 7 N/A N/A
2002 19.0 8 18.0 7 N/A N/A
2003 20.0 9 18.0 7 N/A N/A
2004 21.0 11 21.0 10 20.0 15
2005 22.0 11 21.0 10 20.0 15
2006 23.0 13 23.0 12 20.0 15
2007 24.0 13 24.0 13 24.0 15
1-3/2008 25.0 13 25.0 13 25.0 15
4-12/2008 25.1 14 25.1 14 25.0 15
2009 26.0 14 26.0 14 26.0 15
2010 27.0 15 27.0 15 27.0 15
2011 28.0 15 N/A N/A 28.0 15
2012 29.0 15 N/A N/A 29.0 15
2013 30.0 15 N/A N/A 30.0 15

*Use the map number to determine the disposition code mapping in the following table

Code Description Map1 Map2 Map3 Map4 Map5 Map6 Map7 Map8 Map9 Map10 Map11 Map12 Map13 Map14 Map15 Map16
01 Home 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01
02 Short Term Hosp 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02
03 SNF 03 03 03 03 03 03 03 03 03 03 03 03 03 03 03 03
04 ICF 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04
05 Cancer Center 05 05 05 05 05 05 05 05 05 05 05 05 05 05 05 05
06 Home Health 06 06 06 06 06 06 06 06 06 06 06 06 06 06 06 06
07 LAMA 07 07 07 07 07 07 07 07 07 07 07 07 07 07 07 07
*08 Home IV 01 01 08 08 08 08 08 08 08 08 08 01 01 01 01 01
*10 Neonatal Aftercare 02 22 22 02 10 02 10 02 02 10 02 10 02 02 02 02
*11 Short Term Psych Fac 05 05 05 05 05 05 05 05 05 05 05 05 05 70 70 70
*12 ICF Psych Facility 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04
*13 Tertiary Aftercare 02 02 23 02 13 02 13 02 02 13 02 13 02 02 02 02
*14 DCF 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04
20 Died 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
21 Court/Law Enforcement 05 05 05 05 05 05 05 05 05 05 05 05 05 70 21 21
40 Expired Home 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
41 Expired Med Fac 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
42 Expired Unknown 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
43 Federal Hospital 02 02 02 02 02 02 02 02 02 43 43 43 43 43 43 43
50 Hospice Home 06 06 06 06 06 50 50 50 50 50 50 50 50 50 50 50
51 Hospice Med Facility 05 05 05 05 05 51 51 51 51 51 51 51 51 51 51 51
61 Swing Bed 02 02 02 02 02 02 02 61 61 61 61 61 61 61 61 61
62 Rehab Facility 05 05 05 05 05 05 05 62 62 62 62 62 62 62 62 62
63 LTC Hospital 03 03 03 03 03 03 03 63 63 63 63 63 63 63 63 63
64 Nursing Fac MC Cert 03 03 03 03 03 03 03 03 64 64 64 64 64 64 64 64
65 Psych Hospital/Unit 05 05 05 05 05 05 05 05 05 65 65 65 65 65 65 65
66 Critical Access Hospital 05 05 05 05 05 05 05 05 05 05 05 66 66 66 66 66
69 Designated Disaster Alt Care 05 05 05 05 05 05 05 05 05 05 05 05 05 70 70 70
70 Other Facility 05 05 05 05 05 05 05 05 05 05 05 05 05 70 70 70
*71 Outpatient Other 05 05 05 05 05 05 05 71 71 05 05 05 05 70 70 70
*72 Outpatient This Facility 05 05 05 05 05 05 05 72 72 05 05 05 05 70 70 70
81 Home/Acute 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01
82 Short Term Hosp/Acute 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02 02
83 SNF/Acute 03 03 03 03 03 03 03 03 03 03 03 03 03 03 03 03
84 ICF/Acute 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04 04
85 Cancer Center/Acute 05 05 05 05 05 05 05 05 05 05 05 05 05 05 05 05
86 Home Health/Acute 06 06 06 06 06 06 06 06 06 06 06 06 06 06 06 06
87 Court/Law Enforcement/Acute 05 05 05 05 05 05 05 05 05 05 05 05 05 70 21 21
88 Federal Hospital/Acute 02 02 02 02 02 02 02 02 02 43 43 43 43 43 43 43
89 Swing Bed/Acute 02 02 02 02 02 02 02 61 61 61 61 61 61 61 61 61
90 Rehab Facility/Acute 05 05 05 05 05 05 05 62 62 62 62 62 62 62 62 62
91 LTC Hospital/Acute 03 03 03 03 03 03 03 63 63 63 63 63 63 63 63 63
92 Nursing Fac MC Cert/Acute 03 03 03 03 03 03 03 03 64 64 64 64 64 64 64 64
93 Psych Hospital/Unit/Acute 05 05 05 05 05 05 05 05 05 65 65 65 65 65 65 65
94 Critical Access Hospital/Acute 05 05 05 05 05 05 05 05 05 05 05 66 66 66 66 66
95 Other Facility/Acute 05 05 05 05 05 05 05 05 05 05 05 05 05 70 70 70

*Obsolete
Revised 09/2009
The table below is the conversion mapping of the DDA Disposition Code and UBF Discharge Status to the New York State Patient Status or Disposition Code. Where both DDA and UBF were present, the DDA Disposition Code was used, with the exception of the combination of UBF Status Code of 23 or 24, with the DDA Disposition Codes of 01 and 05 as listed below

DDA Code Description UBF Code Description UDS Code
01 Other Acute Care Hosp 23 Tertiary Aftercare 13
05 Home 24 Home Intravenous 08

DDA Code Description UDS Code
00 Neonatal Aftercare 10
01 Other Acute Care Hospital 02
02 Residential Health Care Facility 03
04 Other Health Care Facilities 05
05 Home 01
06 Home Health Services 06
07 Left Against Medical Advice 07
08 Died 20
09 Psychiatric Chronic Care Facility 11

In the case of unmatched UBF's, the conversion mapping is listed below.

DDA Code Description UDS Code
01 Home 01
02 Other Acute Care Hospital 02
03 Residential Health Care Facility 03
05 Other Health Care Facilities 05
06 Home Health Services 06
07 Alternate Level of Care 31
08 Died 20
09 Left Against Medical Advice 07
11 Still a Patient 30
23 Tertiary Aftercare 13
24 Home Intravenous 08

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