01    Discharged to home care or self care (routine discharge)
Usage Note: Includes discharge to home; jail or law enforcement; home on oxygen if DMS only; any other DMS only; group home, foster care, and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state-designated.

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
Usage Note: Medicare-indicates that the patient is discharged/transferred to a Medicare certified nursing facility. For hospitals with an approved swing bed arrangement, use Code 61-Swing Bed. For reporting other discharges/transfers to nursing facilities, see 04 and 64.

04    Discharged/transferred to an intermediate care facility (ICF)
Usage Note: Typically defined at the state level for specifically designated intermediate care facilities. Also used to designate patients that are discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification and for discharges/transfers to state designated Assisted Living Facilities.

05    Discharged/transferred to a designated cancer center or children’s hospital
Usage Note: Transfers to non-designated cancer hospitals should use Code 02. A list of (National Cancer Institute) Designated Cancer Centes can be found at http://www3.cancer.gov/cancercenters/centerslist.html

06    Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care
Usage Note: Report this code when the patient is discharged/transferred to home with a written plan of care (tailored to the patient’s medical needs) for home care services.

07    Left against medical advice or discontinued care

20    Expired

43    Discharged/transferred to a federal health care facility
Usage Note: Discharges and transfers to a government operated health care facility such as a Department of Defense hospital, a Veteran’s Administration hospital or a Veteran’s Administration nursing facility. To be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not.

50    Hospice - home

51    Hospice - medical facility (certified) providing hospice level of care

61    Discharged/transferred to hospital-based Medicare approved swing bed
Usage Note: Medicare-used for reporting patients discharged/ transferred to a SNF level of care within the hospital's approved swing bed arrangement.

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)
Usage Note: For hospitals that meet the Medicare criteria for LTCH certification.

64    Discharged/transferred to a nursing facility certified under Medicaid 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)

70    Discharged/transferred to another type of health care institution not defined elsewhere in this code list (See Code 05)

THE JOINT COMMISSION NOTE:
If state assigned codes are used, it is the measurement system’s responsibility to crosswalk the code to one of the allowable values listed above for the purposes of ORYX®.

Note:
CMS and The Joint Commission are aware that there are additional UB-04 allowable values for this data element; however, they are not used for the national quality measures set at this time.