Claim Inpatient Admission Type Code (Encounter)

This variable is contained in the following files:

SAS Name

CLM_IP_ADMSN_TYPE_CD

The code indicating the type and priority of an inpatient admission associated with the service on an intermediary submitted claim.

Comments

Source: Medicare Advantage Organizations (MAOs)

Code	Code value
1	Emergency — The patient required immediate medical intervention as a result of severe, life threatening, or potentially disabling conditions. Generally, the patient was admitted through the emergency room.
2	Urgent — The patient required immediate attention for the care and treatment of a physical or mental disorder. Generally, the patient was admitted to the first available and suitable accommodation.
3	Elective — The patient's condition permitted adequate time to schedule the availability of suitable accommodations.
4	Newborn — Necessitates the use of special source of admission codes.
5	Trauma Center — visits to a trauma center/hospital as licensed or designated by the State or local government authority authorized to do so, or as verified by the American College of Surgeons and involving a trauma activation.
9	Unknown — Information not available.