Transfer DRG and Coding


My facility sends and receives patients from other acute care hospitals.  Often, we "take back" patients that we have sent to a tertiary facility for specialty care.  When that need is stabilized, and the patient  returns to us,  do we code the  original issues or  just what the we face when the patient returns. 

Thank you,

Stacy Vincent

Manager CDI


  • The short answer is you code what is documented and clinically supported for each separate encounter.

    If the patient ‘had’ ATN at your site and is sent to a tertiary site where the ATN resolves, and is now accepted back at your site, coding ATN would not be appropriate upon readmission to your site.

    P. Evans, RHIA, CCDS

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