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Data Element Name:  Admission Date/Start of Care
Format-Length:  N - 8 Required For:  AS, ED, IP
Effective Date:  10/1/98 Revision Date:  September 2003

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2300 DTP01 374 435 Admission
DTP02 1250 DT Date and Time Format (CCYYMMDDHHMM)
DTP03 1251 Admission Date and Hour

Paper Form Locator Code Qualifier
Institutional - UB-04 12 N/A

Definition:

The date of the patient's admission to the hospital for inpatient services or the facility for ambulatory surgical services or the Emergency Department for emergency services.

Codes and Values:

  1. CCYYMMDD = Century Year Month Day

  2. Must be a valid date in accordance with the Date Edit Validation Table in Appendix A.

Edit Applications:

  1. Must be on or before Statement Covers Period - Thru Date.

  2. Statement Covers Period - Thru Date minus Admission Date/Start of Care equals Length of Stay (LOS) plus Leave of Absence Days (if applicable).

  3. Must be on or before the SPARCS processing date.

  4. Must be on or after the opening date and on or before the closing date, of an Article 28 facility, a hospital-based ambulatory surgery service, or a free-standing ambulatory surgery center, as specified in the SPARCS Hospital Profile Reference File maintained by the SPARCS Administrative Unit.

  5. Emergency Department Only:
    The Admission/Start of Care Date can be within four (4) days from the Statement Covers Period - Thru Date.

    NOTE:  The four days takes into consideration the observation time that would be allowable for payment of an Emergency Department visit.

  6. Inpatient Only:
    a. If Statement Covers Period - Thru Date equals Admission Date/Start of Care, then Length of Stay (LOS) equals 1.

    b. If the Neonate Birth Weight is reported as less than 1500 grams, and the New York State Patient Status is reported as code "01" home, then the Length of Stay must be greater than 10 days.
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