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Edit / Error Knowledge Base > Select Edit Range > 00801 to 00900 >

Edit 00801

Discharge Status Code indicates patient discharged but Discharge Date and Hour missing.

HIPAA Claim Adjustment Reason Code: 16
Remark Code: N50
HIPAA Healthcare Claim Status Code: 190
Entity Identifier Code: N/A

Potential Causes:
The Patient Status Code is a discharge status and the Discharge Date and/or Hour were left off of the claim. If the Patient Status Code is discharged/transferred or deceased, then a Discharge Date and Hour are required.

Solution:
Check the Discharge Status Code to ensure it was entered correctly. Enter the Discharge date and Hour if the Discharge Status is Discharged/Transferred or Deceased. Enter the data in the loop and the segment provided, and resubmit.
Please note: Most Patient Status codes will be reported in Loop 2300, segment CL1, Institutional Claim Code. There are a few Patient Status codes that will be reported as Revenue Codes (Loop 2400, segment SV2, Institutional Service Line), or Occurrence Span Codes (Loop 2300, segment HI, Occurrence Span Information). In addition, there are several NYS Medicaid codes that have no direct map to the HIPAA values and will no longer be necessary. Please refer to the 837 Institutional Supplemental Guide located on this website (www.nyhipaadesk.com).
Discharge Date: Please use Loop 2300, HI segment (Occurrence Information), using value 42 – Discharge Date. Use this code to report the discharge date. The discharge date has been reported as a stand-alone field in past formats. This is only required when billing for Inpatient hospital stays. For further information please refer to the 837 Institutional Supplemental Companion Guide on this site (www.nyhipaadesk.com).

837 Institutional

Loop 2300 DTP (Discharge Hour)
DTP01 = 096 (Discharge)
DTP02 = TM (Time expressed in Format HHMM)
DTP03 = Discharge Hour
And
Loop 2300 CL1 (Institutional Claim Code)
CL103 = Patient Status Code
And
Loop 2300 HI (Occurrence Span Codes)
HI01-1 = BI (Occurrence Span)
HI01-2 = Occurrence Span Code (If applicable for Patient Status Code)
And
Loop 2300 HI (Occurrence Information)
HI01-1 = BH (Occurrence)
HI01-2 = 42 (Discharge Date)
And
Loop 2400, SV2 (Institutional Service Line)
SV201 = Service Line Revenue Code (If applicable for Patient Status code)

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