Cal. Code Regs. tit. 22 § 97231

Current through Register 2024 Notice Reg. No. 49, December 6, 2024

Section 97231 - Definition of Data Element for Inpatients - Disposition of Patient

(a) Effective with discharges occurring on or after January 1, 2023, the patient's disposition, defined as the consequent arrangement or event ending a patient's stay in the reporting facility, shall be reported using the code for one of the following:

*Code*	*Patient Disposition*
01	Discharged to home or self care (routine discharge)
02	Discharged/transferred to a short term general hospital for inpatient care
03	Discharged/transferred to skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care
04	Discharged/transferred to a facility that provides custodial or supportive care (includes Intermediate Care Facility)
05	Discharged/transferred to a designated cancer center or children's hospital
06	Discharged/transferred to home under care of an organized home health service organization in anticipation of covered skilled care
07	Left against medical advice or discontinued care
20	Expired
21	Discharged/transferred to court/law enforcement
43	Discharged/transferred to a federal health care facility
50	Hospice -- Home
51	Hospice -- Medical facility (certified) providing hospice level of care
61	Discharged/transferred to a hospital-based Medicare approved swing bed
62	Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital
63	Discharged/transferred to a Medicare certified long term care hospital (LTCH)
64	Discharged/transferred to a nursing facility certified under Medicaid (Medi-Cal), but not certified under Medicare
65	Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital
66	Discharged/transferred to a Critical Access Hospital (CAH)
69	Discharged/transferred to a Designated Disaster Alternate Care Site
70	Discharged/transferred to another type of health care institution not defined elsewhere in this code list
81	Discharged to home or self care with a planned acute care hospital inpatient readmission
82	Discharged/transferred to a short term general hospital for inpatient care with a planned acute care hospital inpatient readmission
83	Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission
84	Discharged/transferred to a facility that provides custodial or supportive care (includes Intermediate Care Facility) with a planned acute care hospital inpatient readmission
85	Discharged/transferred to a designated cancer center or children's hospital with a planned acute care hospital inpatient readmission
86	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
87	Discharged/Transferred to court/law enforcement with a planned acute care hospital inpatient readmission
88	Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission
89	Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission
90	Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission
91	Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission
92	Discharged/transferred to a nursing facility certified under Medicaid (Medi-Cal) but not certified under Medicare with a planned acute care hospital inpatient readmission
93	Discharged/transferred to a psychiatric hospital or a psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission
94	Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission
95	Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission
00	Other

Cal. Code Regs. Tit. 22, § 97231

Note: Authority cited: Section 128810, Health and Safety Code. Reference: Section 128735, Health and Safety Code.

1. New section filed 10-14-93; operative 11-15-93 (Register 93, No. 42).
2. Amendment of subsection (b), new subsections (c)-(c)(13) and amendment of Note filed 7-15-96; operative 8-14-96 (Register 96, No. 29).
3. Amendment filed 7-23-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 30).
4. Repealer of subsections (a)-(a)(13), subsection relettering, and amendment of remainder of section filed 9-21-98; operative 10-21-98 (Register 98, No. 39).
5. Amendment of section heading filed 5-5-2005; operative 5-5-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 18).
6. Amendment of subsections (a), (g) and (m) filed 12-31-2009; operative 12-31-2009 pursuant to Government Code section 11343.4(Register 2010, No. 1).
1. New section filed 10-14-93; operative 11-15-93 (Register 93, No. 42).
2. Amendment of subsection (b), new subsections (c)-(c)(13) and amendment of Note filed 7-15-96; operative 8-14-96 (Register 96, No. 29).
3. Amendment filed 7-23-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 30).
4. Repealer of subsections (a)-(a)(13), subsection relettering, and amendment of remainder of section filed 9-21-98; operative 10-21-98 (Register 98, No. 39).
5. Amendment of section heading filed 5-5-2005; operative 5-5-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 18).
6. Amendment of subsections (a), (g) and (m) filed 12-31-2009; operative 12-31-2009 pursuant to Government Code section 11343.4 (Register 2010, No. 1).
7. Redesignation and amendment of first paragraph as subsection (1) and new subsection (2) filed 9-4-2014; operative 10/1/2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 36).
8. Change without regulatory effect repealing subsections (1)-(1)(m) and renumbering subsections filed 7-20-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 30).
9. Redesignation and amendment of former subsection (1) as new subsection (a) and new subsection (b) filed 7-18-2022; operative 7/18/2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 29).
10. Change without regulatory effect repealing subsection (a) and relettering subsection filed 12-14-2023 pursuant to section 100, title 1, California Code of Regulations (Register 2023, No. 50).