For discharges/transfers to state designated Assisted Living Facilities. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). This code should be used when transferring a patient to a LTCH. United HealthCare Community Plan requires Patient Discharge Status codes for: ** Hospital Inpatient Claims (TOBs 11X and 12X); To sign up for updates or to access your subscriber preferences, please enter your contact information below. 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. 0000011314 00000 n
2021 CODE:307.2.1.1 Condensate discharge. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Discharged to home under a home health agency with durable medical equipment (DME). 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. 0000092597 00000 n
09. Inpatient Respite Patient discharge status code 51: Hospice medical facility should be used if the patient went to a facility that is qualified and the patient is receiving hospice inpatient respite level of care. CDT is a trademark of the ADA. 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. 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 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 This may occur when a hospital discharges the patient to home (Patient Discharge Status Code 01), the patient goes to a doctors appointment the same day and is then admitted to another hospital. 0000009067 00000 n
These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 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. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. 43 Discharged/Transferred to a Federal Hospital If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. 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. 0000003479 00000 n
CMS Updates Medicare Discharge Codes. Discharged/transferred to home with a written plan of care for home care services (tailored to the patients medical needs) whether home attendant, nursing aides, certified attendants, etc. ** Outpatient Hospital Claims (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and ~``P(p#mC??``dR/6d`` = _=
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PC-06.2 Newborns with moderate complications. According to the NUBC, discontinued services may include: For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. ). These patient discharge status codes are reserved for national assignment. 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 hospital should submit an adjustment bill to correct the discharge status code following Medicares Heres how you know. This is the current published version. The use of the information system establishes user's consent to any and all monitoring and recording of their activities. In this case, see Patient discharge status Code 43. Return to the Patient List view and click the minutes ago button to refresh your patient list 3. Users must adhere to CMS Information Security Policies, Standards, and Procedures. 20: Expired -used only when the patient dies: 21: Discharges or transfers to court/law This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The .gov means its official. %PDF-1.6
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10-19 Reserved for National Assignment Issued by: Centers for Medicare & Medicaid Services (CMS). on the guidance repository, except to establish historical facts. 2023 Alora Healthcare Systems, LLC. Discharged but then readmitted the same day to another IPPS hospital (unless the readmission is unrelated to the initial discharge). or transfers to court/law enforcement. 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; CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. Assigning the correct patient discharge status code is just as important as any other coding used when filing a claim. Web0 = Unknown Value (but present in data) 01 = Discharged to home/self-care (routine charge). The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This code should not be used for home health services provided by a: CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). This code applies to discharges and transfers to a government operated health care facility including: startxref
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. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. It can be used for both inpatient or outpatient claims. 0000093113 00000 n
No fee schedules, basic unit, relative values or related listings are included in CPT. 2730 0 obj
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05. Toll Free Call Center: 1-877-696-6775. 06. CDT 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. 4. 0000004341 00000 n
As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. 0000003474 00000 n
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. 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. 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 CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. 0000002464 00000 n
Discharged/transferred to a designated cancer center or children's hospital. This license will terminate upon notice to you if you violate the terms of this license. 03 = Discharged/transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of covered skilled care (For hospitals with an approved swing The same processes should be applied for patient discharge status codes as with any other coding. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. 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. The fourth digit is commonly referred to as the frequency code. Cancer hospitals excluded from Medicare Prospective Payment System (PPS) and childrens hospitals are examples of such other types of health care institutions. These patient discharge status codes are reserved for national assignment. Veterans Administration nursing facilities. These patient discharge status codes are reserved for national assignment. The important thing to remember about this patient discharge status code is that it is to be used when a patient leaves against medical advice or the care is discontinued. xbbbf`b```%F8w4F|Qb4Ga ! %%EOF
Whether the bed is Medicare certified or not. 0000002967 00000 n
Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. NUBC clarified the following Hospice Levels of Care: 0
31-39 Reserved for National Assignment There is no FY 2023 GEMs file. 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. Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, Last Updated Tue, 18 Jan 2022 20:55:43 +0000. Applying the correct code will help assure that the providers receive prompt and correct payment. Please reach out and we would do the investigation and remove the article. This system is provided for Government authorized use only. Designed by Elegant Themes | Powered by WordPress. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. Patient has WC and Medicare insurance? 0000000016 00000 n
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. + |
For non-emergency services & during normal business hours, please submit a ticket online by clicking here: ** The third digit classifies the type of care being billed. If you choose not to accept the agreement, you will return to the Noridian Medicare home page. Sign up to get the latest information about your choice of CMS topics. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) End Users do not act for or on behalf of the CMS. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically 0000109996 00000 n
Overall: 78 percent of patients discharged to hospice care in 2021 were placed in home hospice compared to facility hospice. Please click here to see all U.S. Government Rights Provisions. 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. Service Desk. endstream
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06. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. Web04. X XMCE 5764.2 FISS shall map patient discharge status code 70 to IPPS Pricer review code 00 (as is All the articles are getting from various resources. The Centers for Medicare and Medicaid Services (CMS) issued two Medlearn Matters articles under the heading of Clarification of Patient Discharge Status Codes and Hospital Transfer Policies and numbered SE0801 and SE1411. 0000003110 00000 n
Discharge status code list. When a patient is transferred to a nursing facility that has no Medicare certified beds, this code should be used. This code is used only when the patient dies. 0000046532 00000 n
Still others elect not to certify any of their beds under Medicare. CMS DISCLAIMER. Home IV provider for home IV services. hmo0^P?]&
V5hTED WebThey are generally infections that occur more than 48 to 72 hours after _____ and within 10 days after hospital discharge. Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. Federal government websites often end in .gov or .mil. In an effort to better enable the collection of health-related social needs (HRSNs), defined as individual-level, adverse social conditions that negatively impact a persons health or healthcare, are significant risk factors associated with worse health outcomes as well as increased healthcare utilization, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 42 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting effective April 1, 2023. This includes transfers to incarceration facilities such as jail, prison, or other detention facility. ** The first digit is a leading zero. Hospitals transferred inpatients to certain post-acute care settings but coded the patient discharge status as a discharge to home. Note: This code should not be used when a patient is transferred to an inpatient psychiatric unit of a federal hospital (e.g., Veterans Administration Hospitals). hb```b``fa`2lx$e6~-Ud_I*ee^#}R hVc`@Yf,|@A4rDuD8*6cuPC>C[30 i) w=X`` 0000009829 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. 50 and 51 Discharged/Transferred to a Hospice A discharge occurs when a Medicare patient: An acute care transfer occurs when a Medicare patient in an IPPS hospital (with any MSDRG) is: click here to see all U.S. Government Rights Provisions, CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 1, CMS Medicare Claims Processing Manual (Pub. 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. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Patients who move without notice, and the home health agency is unable to complete the plan of care. 812 0 obj
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Additionally, a type of bill reflective of a discharge or final claim should be reported with a Patient Discharge Status that identifies where the patient is at the conclusion of a health care facility encounter, or at the end of a billing cycle (the through date of a claim). WebMLN Matters article SE0801 is provided to assist providers in determining the right discharge status code to use with their claims. The definitions of discharges and transfers under the inpatient prospective payment system (IPPS) are in 42 CFR 412.4(a) and (b). 0000007758 00000 n
Additional Guidance on Use of Patient discharge status Code 50 or 51. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. xb```b``ud`e`` @1V@ olvqZ304/aPhxDdA b~hQ[{6~()`vA'O%j_ "hl6J *A
Bs@(P4G@{ - var url = document.URL; 0000014517 00000 n
This patient discharge status code should be used when the patient is discharged or transferred to a short-term acute care hospital. 01 Discharged to home or self care (routine discharge) 02 Discharged/transferred to a short-term general hospital for inpatient care. Washington, D.C. 20201 Response 2 - Patient discharged from agency (with formal assistive services) is used when, upon Race/Ethnicity: In 2021, 30,161 White patients were discharged to hospice, more than for other Race/Ethnicity groups. incorporated into a contract. 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. 0000002858 00000 n
if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} You may also contact AHA at ub04@healthforum.com. ( 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. 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). 0000001731 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". 0000007325 00000 n
05 Discharged/Transferred to Another Type of Health Care Institution Not Defined Elsewhere in This Code List 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. If you find anything not as per policy. We made the GEMs files available for FY 2016, FY 2017 and FY 2018. 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. Web 482.43 Condition of participation: Discharge planning. var pathArray = url.split( '/' ); 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. All Rights Reserved. Patient discharge status Code 66 is used to identify a transfer to a critical access hospital (CAH) for inpatient care. These patient discharge status codes are reserved for national assignment. Department of Defense hospitals; 0000002491 00000 n
0
End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). 62 Discharged/Transferred to an Inpatient Rehabilitation Facility Including Distinct Part Units of a Hospital Overall: 78 percent of patients discharged to hospice care in 2021 were placed in home hospice compared to facility hospice. DME supplier or intermediate care facilities. 2750 0 obj
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A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement. Transferred to a hospital or hospital unit that hasnt been officially determined as being excluded from IPPS such as: An acute care hospital that would otherwise be eligible to be paid under the IPPS, but doesnt have an agreement to participate in the Medicare Program (Patient Discharge Status Code 02 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 82), A Critical Access Hospital (Patient Discharge Status Code 66 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 94). This Agreement will terminate upon notice to you if you violate the terms of this Agreement. 20 Expired 0000002063 00000 n
Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 0000047974 00000 n
LTCHs are facilities that provide acute inpatient care with an average length of stay of 25 days or greater. FOURTH EDITION. 0000007040 00000 n
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This code should be used regardless of whether or not the patient has skilled benefit days and regardless of whether the transferring hospital anticipates that this SNF stay will be covered by Medicare. 1. CDT is a trademark of the ADA. Print |
o 70 Discharged/transferred to another type of health-care institution not defined elsewhere in the patient discharge status code table 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. 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. Email |
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. Reproduced with permission. The AMA is a third party beneficiary to this Agreement. Secure .gov websites use HTTPSA https:// a.
In the past, HCAI adjusted the grouper and applied it to records based on a calendar year. 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. 0000048794 00000 n
44-49 Reserved for National Assignment No fee schedules, basic unit, relative values or related listings are included in CPT. , November 23, 2016 - Revised March 18, 2021, Patient discharge status codes identify where a patient is at the conclusion of a health care facility encounter or at the end of a billing cycle. 0000001199 00000 n
0000011969 00000 n
End users do not act for or on behalf of the CMS. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. 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 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 October 1, 2022 through September 30, 2023. trailer
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 07 Left Against Medical Advice or Discontinued Care Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8827, 13 British American Blvd Suite 2
This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. 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). The .gov means its official. website belongs to an official government organization in the United States. Before sharing sensitive information, make sure youre on a federal government site. You can decide how often to receive updates. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically Before sharing sensitive information, make sure youre on a federal government site. Omitting a code or submitting a claim with an incorrect code is a claim billing error and could result in the providers claim being rejected or their claim being cancelled and payment being taken back. U.S. Department of Health & Human Services The AMA is a third party beneficiary to this license. Issued by: Centers for Medicare & Medicaid Services (CMS). An official website of the United States government 8AM - 4:30PM. The site is secure. The ADA is a third-party beneficiary to this Agreement. DISCLAIMER: The contents of this database lack the force and effect of law, except as 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).