UB04 Box 17 - How to add a patient's discharge status to an institutional claim

DrChrono makes it simple to add the patient's discharge status to their institutional claim which will be printed in box 17 on the UB04 institutional claim form and transmitted on the EDI file.

  • Navigate to Billing > Live Claims Feed > Inside the patient's encounter > Right side of the screen > Info tab

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Options included in the drop-down are:

01 - Discharge to home or self-care (routine discharge)

02 - Discharge to another short-term general hospital

03 - Discharge to SNF

04 - Discharge to ICF

05 - Discharge to a designated cancer center or children's hospital

06 - Discharge to home under the care of a home health service organization

07 - Left against medical advice or discontinued care

09 - Admitted as an inpatient (after outpatient services)

20 - Expired

30 - Still patient or expected to return for outpatient services

40 - Expired at home (hospice claims only)

41 - Expired in a medical facility (hospice claims only)

44 - Expired, place unknown (hospice claims only)

50 - Hospice - home

51 - Hospice - medical facility

70 - Discharge to another type of healthcare institution not defined elsewhere in this code list