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APPENDIX 2




                                                     DISCIPLINE CODES
            RN = Registered Nurse                                        SN = Skilled Nurse (RN or LPN)
            PDR = Pediatric Registered Nurse                             PNR = Perinatal
            PT = Physical Therapist                                      PTA = Physical Therapy Assistant
            OT = Occupational Therapist                                  COTA = COTA
            ST = Speech Therapist                                        MS = Medical Social Worker
            HHA = Home Health Aide                                       BH = Behavioral Health
            IV = Infusion                                                TI/TH – Telehealth Install/Telehealth Daily


                                      Service Codes  Description                                      CODE
            Billable Admission with OASIS Data Collection                                               00
            Billable Evaluation for “Add-on” Discipline                                                 01
            Recert with Skill                                                                           02
            Recert without Skill                                                                        03
            Transition Recert – Only used for first 60 days on HCHB system                              04
            ROC/Recert (ROC within the 5 day EOE window)                                                05
            Therapy Recert Add on Evaluation                                                            06
            Routine Visit + Supervisory                                                                 10
            Routine Visit                                                                               11
            Metro-Plus Patients                                                                         12
            Resumption of Care (ROC)                                                                    15
            Significant Change in Condition / Follow Up (SCIC)                                          17
            DC Visit + OASIS Collection (from agency)                                                   18
            DC Visit without OASIS collection (from discipline only)                                    19
            Therapy Reassessment Visit                                                                  33
            Transfer to Inpatient Facility – Data Collection Only                                       44
            Discharge – Data Collection Only (No visit made)                                            66
            Death At Home                                                                               88
            Transfer to Inpatient Facility                                                              99
            On Call                                                                                    OC
            PRN Routine Visit                                                                          PRN
            X codes denote No OASIS                                                                     X
            I codes denote Initiation visit (first professional visit)                                   I
            N codes denote Non Billable                                                                 N
            HRA Homecare Services Program                                                             M72R


























               December 2012                                                                       Page 1 of 2
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