Source of admission to an Inpatient facility — for newborn admit is type of delivery code

SAS Name
SRC_IP_ADMSN_CD

The code indicating the source of the beneficiary's admission to an Inpatient facility or, for newborn admission, the type of delivery.

Comments

This field comes from the source Inpatient admission code that is present on the last claim record included in the stay.

Code Code value
0 ANOMALY: invalid value, if present, translate to '9'
1 Non-Health Care Facility Point of Origin (Physician Referral) — The patient was admitted to this facility upon an order of a physician.
2 Clinic referral — The patient was admitted upon the recommendation of this facility's clinic physician.
3 HMO referral — Reserved for national Prior to 3/08, HMO referral — The patient was admitted upon the recommendation of a health maintenance organization (HMO) physician.
4 Transfer from hospital (Different Facility) — The patient was admitted to this facility as a hospital transfer from an acute care facility where he or she was an inpatient.
5 Transfer from a skilled nursing facility (SNF) or Intermediate Care Facility (ICF) — The patient was admitted to this facility as a transfer from a SNF or ICF where he or she was a resident.
6 Transfer from another health care facility — The patient was admitted to this facility as a transfer from another type of health care facility not defined elsewhere in this code list where he or she was an inpatient.
7 Emergency room — The patient was admitted to this facility after receiving services in this facility's emergency room department (CMS discontinued this code 07/2010, although a small number of claims with this code appear after that time).
8 Court/law enforcement — The patient was admitted upon the direction of a court of law or upon the request of a law enforcement agency's representative.
9 Information not available — The means by which the patient was admitted is not known.
A Reserved for National Assignment. (eff. 3/08) Prior to 3/08 defined as: Transfer from a Critical Access Hospital — patient was admitted/referred to this facility as a transfer from a Critical Access Hospital.
B Transfer from Another Home Health Agency — The patient was admitted to this home health agency as a transfer from another home health agency. (Discontinued July 1, 2010 — Reference Condition Code 47)
C Readmission to Same Home Health Agency — The patient was readmitted to this home health agency within the same home health episode period. (Discontinued July 1, 2010)
D Transfer from hospital inpatient in the same facility resulting in a separate claim to the payer — The patient was admitted to this facility as a transfer from hospital inpatient within this facility resulting in a separate claim to the payer.
E Transfer from Ambulatory Surgical Center
F Transfer from hospice and is under a hospice plan of care or enrolled in hospice program
G Transfer from a Designated Disaster Alternate Care Site (Effective 7/1/20)
1 Normal delivery — A baby delivered without complications.
2 Premature delivery — A baby delivered with time and/or weight factors qualifying it for premature status.
3 Sick baby — A baby delivered with medical complications, other than those relating to premature status.
4 Extramural birth — A baby delivered in a nonsterile environment.
5 Reserved for national assignment.
6 Reserved for national assignment.
7 Reserved for national assignment.
8 Reserved for national assignment.
9 Information not available.