lookup Detail

Topic IRF
Category Billing and/or Coding
Code IRF7E
Statement Documentation does not support that the patient was discharged from the Inpatient Rehabilitation Facility (IRF) within three days of admission when there were relevant changes in the patient’s status that deemed the patient to not be an appropriate candidate for IRF level of care. The Health Insurance Prospective Payment System (HIPPS) code was changed to A5001. Refer to Medicare Benefit Policy Manual Chapter 1, Section 110.1.2