| FORMAT CODE DESCRIPTION |
Source of admission:
9 - Information not available
A - Transfer from a critical access hospital
B - Transfer from another home health agency
C - Readmission to same home health agency
D - Transfer from hospital inpatient in the same facility,
resulting in a separate claim to the payer
Codes for Newborn admission type:
1 - Normal delivery
2 - Premature delivery
3 - Sick baby
1 - Physician referral
4 - Extramural birth
5-9 - Reserved
2 - Clinic referral
3 - HMO referral
4 - Transfer from a hospital
5 - Transfer from a skilled nursing facility
6 - Transfer from another health care facility
7 - Emergency room
8 - Court / Law enforcement
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