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 — 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 — Refer to Condition Code 47)
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
Null/missing = unknown

For Newborn Type of Admission

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.