Disposition Codes

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Disposition Codes
Anasazi Description
Examples
ID
B
Board & Care
C
Crisis Residence
D
E
Death/Expired
Left Without Being Seen
F
Moved
H
Home/Shelter/Self
I
IMD/MHRC
Institution for Mental
Disease/Mental Health
Rehabilitative Center
Licensed by DSS and
not a health care
facility.
Board and Care Homes
START programs,
Children’s CAC
Death
Walked out before
being seen
Moved from area, no
longer seeking services
in San Diego County
Includes: half-way
house, group home,
community care facility,
foster care, shelter,
homelessness, ILF,
residential care
facilities, any nonhealth facility
Facilities defined as
IMD by DHCS and not
licensed by the
California Dept of Public
Health as a SNF. Ex
includes Alpine
Treatment Center
Any jail, prison,
detention, Juvenile Hall
(Not necessarily Court
Ordered)
Any inpatient hospital.
NOT physical medicine
rehab facilities or rehab
that is a distinct part of
a hospital, or
psychiatric facilities, or
a Critical Access
Hospital
Includes: Home with
healthcare services or
written home health
plan, Foster Care with
organized home health
services, home with
J
(San Diego MHRC is Alpine
Treatment Center)
Jail
M
Medical Hospital
N
SNF with Medicare
Certification
(Nursing Home, SNF, ICF)
1
Disposition Codes
O
Other
P
Psychiatric Hospital
Q
Per Court Order
S
State Hospital
U
Unplanned, AMA, Unknown
V
Homeless
X
DoubleLetter
Reason
Codes
AA
Do Not Use/Auto Close
Intermediate Care Facility
oxygen therapy, home
with durable medical
equipment, home with
IV therapy or infusion
therapy, home with
rehabilitation or
physical therapy
(Medicare Part A),
home with home health
services ordered but
not related to condition
from the inpatient
hospital, home with
home health services
ordered but not started
within the postdischarge period,
outpatient chemical
dependence programs.
NOT for hospice
services
Anything not covered in
any other code
Transfer to a Critical
Care from EPU
Any jail, prison,
detention, Juvenile Hall
(per Court Order)
Metro, Napa State,
Atascadero, etc.
Client left hospital
during treatment, left
against medical advice,
did not return for
outpatient treatment
Client returned to
street, vs shelter or
other living facility
Never use
Please contact
QIMatters if any
questions about these
disposition codes.
Includes: Nursing
Facility with no
Medicare/Medi-Cal
certification, Assisted
2
Disposition Codes
AB
Federal Health Care
Facility/VA
AC
Inpatient Rehab Facility
AD
Medicare Long Term Care
Hospital
AE
Nursing Facility (Only
MediCal)
Living, Personal Home
Care, Medicare certified
SNF (but only receiving
non skilled services,
certified skilled bed but
not qualifying for skilled
level of care.
Includes: VA, Dept Of
Defense and Public
Health Service
Hospitals, Nursing
facility in VA,
Psychiatric Unit in VA
IMD not licensed by
California Dept of Public
Health as a SNF
IRFs are free standing
rehabilitation hospitals
and rehabilitation units
in acute care facilities
A long term care
hospital that proved
acute inpatient care
with an average length
of stay greater than 25
days or is Medicare
certified. NOT SNF
facilities certified by
Medicare or ICF facility
or SNF Facility certified
by MediCal.
Includes: SNF within the
hospital’s non Medi-Cal
Sub-acute Care
Program, Skilled
nursing bed for the
Medi-Cal Transitional
Care Program, Skilled
nursing bed in a
Congregate Living
Health Facility licensed
by California Dept. of
Public Health, Institute
for Mental Disease
(IMD), if licensed by
DPH as SNF’s. If not
licensed by DPH, this
3
Disposition Codes
AF
Another type Health Care
Facility
AG
Cancer Center/Children’s
Hospital
AH
Home/with Home Health
Service
can be reported as
federal health care
facility.
Includes: Hospitalbased ambulatory
surgery clinic, a
freestanding
ambulatory surgery
clinic/center, An Urgent
Care facility, An
Emergency
Department, Chemical
Dependency
A children’s hospital
that is not under
Medicare Prospective
Payment System, a
cancer hospital that is
designated by the
National Cancer
Institute. NOT nondesignated cancer
hospitals.
Home/Foster Home
with healthcare services
provided to patients at
their place of residence
at a level less intensive
(include nursing care,
respiratory/inhalation
therapy, electro
cardiology, physical
therapy, occupational
therapy, and
recreational therapy), a
written home health
plan of care for home
health care services,
includes oxygen
therapy, durable
medical equipment, IV
therapy or infusion
therapy, rehab or
physical therapy (all
under organized home
health services), Home
with home health
4
Disposition Codes
AI
Home with Hospice Care
AJ
Medical Facility with Hospice
Care
AK
Hospital based Medicare
swing bed
AL
Critical Access Hospital (CAH)
AM
Disaster Alternative Care Site
AN
ID B C H V w/plan inpt
readmit
services ordered, but
not related to condition
from the inpatient
hospital, home with
services ordered, but
not started within the
post-discharge period,
outpatient chemical
dependence programs,
NOT to home with
hospice services.
Includes Alternative
setting such as patient’s
home with hospice
care, designated
nursing home (as
continued residence)
with hospice care.
Transfer to any medical
facility for hospice care
only. Includes Hospice
Medical Facility and
Inpatient respite.
Pts discharged or
transferred to a SNF
level of care within the
hospital’s Medicare
approved swing
arrangement. Includes
Critical Access
hospital’s swing bed.
Includes a hospital
designated as a Critical
Access Hospital (See M
above)
Includes: hospital based
ambulatory surgery
clinic, freestanding
ambulatory surgery
clinic/center, Urgent
Care, Emergency Dept,
Chemical Dependency
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow National
5
Disposition Codes
AO
ID M w/plan inpt readmit
AP
ID N w/plan inpt readmit
AQ
Custodial w/plan inpt
readmit
AR
ID AG (plan for inpt readmit)
AS
ID AH (plan for inpt readmit)
AT
ID AH (plan for inpt readmit)
AU
ID J,O (plan for inpt readmit)
AV
ID I, AB (plan for inpt
readmit)
AW
ID AC (plan for inpt readmit)
Uniform Billing
Committee (NUBC)
reporting guidelines.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting
guidelines.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting
guidelines.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting
guidelines
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
6
Disposition Codes
AX
ID AD (plan for inpt readmit)
AY
ID AE (plan for inpt readmit)
AZ
ID P,S (plan for inpt readmit)
BA
ID AL (plan for inpt readmit)
BB
ID AF (plan for inpt readmit)
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
To be used only for
discharges with
planned acute care
inpatient readmission.
Follow NUBC reporting.
Use only for discharges
with planned acute care
inpatient readmission.
Follow NUBC reporting.
Use only for discharges
with planned acute care
inpatient readmission.
Follow NUBC reporting.
Use only for discharges
with planned acute care
inpatient readmission.
Follow NUBC reporting.
7
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