Codes 106

**For Inpatient/SNF Claims:**

 0 = ANOMALY: invalid value, if present, translate to '9'

1 = Physician referral - The patient was admitted upon the recommendation of a personal 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 an health maintenance organization (HMO) physician.

4 = Transfer from hospital - The patient was admitted as an inpatient transfer from an acute care facility.

5 = Transfer from a skilled nursing facility (SNF) - The patient was admitted as an inpatient transfer from a SNF.

6 = Transfer from another health care facility - The patient was admitted as a transfer from a health care facility other than an acute care facility or SNF.

7 = Emergency room - The patient was admitted upon the recommendation of this facility's emergency room physician.

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 = SNF admission - Qualifying stay dates are from a rural primary care hospital (RPCH)

 

**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.

5-8 = Reserved for national assignment.

9 = Information not available.

 

Home | About BHS | What's New | Products | Compliance | Beacon Healthcare SolutionsServices |Healthcare Reference Information | Additional Resources

Copyright © 2000-2003, Beacon Healthcare Solutions, LLC
Technical problems? Please contact our web development team.