01    Discharged to home care or self care (routine discharge)
Usage Note: Includes discharge to home; home on oxygen if DMS only; any other DMS only; group home, foster care, independent living and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs.

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 covered 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 a facility that provides custodial or supportive care
Usage Note: Includes intermediate care facility (ICF) if specifically designated at a state level. 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 Asisted 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 Centers 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

21    Discharged/transferred to court/law enforcement
Usage Note: Includes transfers to incarceration facilities such as jail, prison or other detention facilities.

30    Still Patient (Used for HBIPS measures only. Not valid for any other Joint Commission measures both aligned and non-aligned.)

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)

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