A2105: Discharge Status , Step-by-Step

Step-by-Step Coding Guide for A2105: Discharge Status

Instructions:

1. Review Discharge Documentation:

   • Begin by examining the medical record, including the discharge plan and discharge orders, to identify the resident's discharge location.

2. Coding the Discharge Status:

   • Utilize the appropriate two-digit code that matches the resident's discharge status. The codes range from 01 to 99, each representing different discharge destinations.

3. Selecting the Correct Code:

   • Code 01 (Home/Community): For residents discharged to a private home, apartment, or community residential setting.
   • Code 02 (Nursing Home): If discharged to a long-term care facility.
   • Code 03 (Skilled Nursing Facility): For discharges to a facility with skilled nursing and rehabilitative services.
   • Code 04 (Short-Term General Hospital): If the discharge is to a contracted Medicare hospital for acute inpatient care.
   • Code 05 (Long-Term Care Hospital): For discharges to a hospital focusing on long-term, critically ill patients.
   • Code 06 (Inpatient Rehabilitation Facility): If discharged to a hospital or unit providing intensive rehabilitation.
   • Code 07 (Inpatient Psychiatric Facility): For discharges to a facility offering psychiatric services under physician supervision.
   • Code 08 (Intermediate Care Facility for ID/DD): If discharged to a facility providing health and rehabilitative services for individuals with intellectual or developmental disabilities.
   • Code 09 (Hospice, home/non-institutional): For discharges to a community-based program for terminally ill persons.
   • Code 10 (Hospice, institutional facility): If discharged to an inpatient hospice program.
   • Code 11 (Critical Access Hospital): For discharges to a Medicare-participating rural hospital.
   • Code 12 (Home under care of organized home health service): If the resident is discharged home under the care of a home health agency.
   • Code 13 (Deceased): If the resident passed away.
   • Code 99 (Not listed): For discharges to destinations not specified in the list.

4. Documentation and Reporting:

   • Accurately document the chosen code in the resident’s MDS assessment. Ensure the discharge planning and MDS documentation align with the resident's actual discharge destination.

The Step-by-Step Coding Guide for item A2105in MDS 3.0 Section Ais based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.