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Patient Location (5.1) to Patient Residence (D.0) Mapping

 

Under NCPDP 5.1, "Patient Location" (307-C7) was indicated in the Patient Record in the "Cardholder" field using the token "L:" followed by the location code number (01-15).  For example, if a patient was under hospice care, then "L:11" would be placed in the patient's Cardholder field.

Under NCPDP D.0, "Residence" codes (384-4X) are used in place of 'Patient Location" codes.

These codes are not necessarily equivalent.  Below is a table that may help you "map" the 5.1 codes to the new D.0 codes.  The arrows (→) under "Non-direct map" indicate the selections that use different code numbers.:

Patient Location (5.1) to Patient Residence (D.0) Mapping

NCPDP 5.1

Patient Location (307-C7)

Non-

direct map

NCPDP D.0

Pat. Residence (384-4X)

Additional Description

0 - Not Specified   0 - Not Specified Other patient residence not identified below.
1 - Home   1 - Home Location, other than a hospital or other facility, where the patient receives drugs or services in a private residence.
2 - Inter Care   2 - Skilled Nursing Facility A facility which primarily provides inpatient skilled nursing care and related services to patients who require medical, nursing, or rehabilitative service but does not provide the level of care or treatment available in a hospital. For Medicare Part B use only.
3 - Nursing Home   3 - Nursing Home A facility which primarily provides to residents skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than mentally retarded individuals.
4 - LTC/Extended Care

3 - Nursing Home See above #3
5 - Rest Home 4 - Assisted Living Facility Congregate residential facility with self-contained living units providing assessment of each residentís needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.
6 - Boarding Home   6 - Group Home Congregate residential foster care setting for children and adolescents in state custody that provides some social, health care, and educational support services and that promotes rehabilitation and reintegration of residents into the community.
7 - Skilled Care Facility 2 - Skilled Nursing Facility See above #2
8 - Sub-Acute Care Facility 2 - Skilled Nursing Facility See above #2
9 - Acute Care Facility 2 - Skilled Nursing Facility See above #2
11 - Hospice   11 - Hospice A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families are provided.
    5 - Custodial Care Facility A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component. For Medicare Part B use only.
    9 - ICF/Mentally Retarted Facility A facility which primarily provides health-related care and services above the level of custodial care to mentally retarded individuals but does not provide the level of care or treatment available in a hospital or SNF.
    15 - Correctional Institution A facility that provides treatment and rehabilitation of offenders through a program of penal custody.