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SAS Name
CLM_SRC_IP_ADMSN_CD

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

Comments

Source: Medicare Advantage Organizations (MAOs)

CodeCode value
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 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)
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
CodeCode value
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.