Condition Code 44 definition
Condition Code 44 means a condition code placed on a Medicare claim indicating that the patient was admitted to inpatient status but subsequently determined to meet outpatient status criteria only. Condition Code 44 is used when an INTERQUAL or other Tenet approved clinical screening criteria review performed after an Inpatient admission subsequently determines that the patient did not meet Inpatient status and that the patient would have been registered as an Outpatient under ordinary circumstances, the Utilization Management Committee concurs, the ordering physician agrees, the patient is still in the hospital, and the claim has not been submitted. See Medicare Claims Processing Manual, Chapter 1, Section 50.3.