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Variable: CLM_SRC_IP_ADMSN_CD

Claim Source Inpatient Admission Code

Description

The code indicating the source of the referral for the admission or visit.

Comment

n/a

Values

This variable is coded, and will contain one of the following values.

Values for
Value Description
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 an 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- See 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 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.

Other Info

Some additional information on this variable:

  • Short Name: SRC_ADMS
  • Long Name: CLM_SRC_IP_ADMSN_CD
  • Type: CHAR
  • Length: 1
  • Source: NCH
  • Value Format:
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