IPPS-Excluded

Published

April 1, 2026

Units of Hospitals That Are Excluded From the Inpatient Prospective Payment System (IPPS)

and Hospitals and CAHs with Swing-Bed Approval

An alpha character in the third position of the CCN identifies either hospitals with swing- bed approval, or rehabilitation units, or psychiatric units excluded from PPS payment.

The first 2 digits identify the State in which the provider is located. The third position (which is alpha) identifies the type of unit or swing-bed designation. The last 3 digits must be exactly the same as the last 3 digits of the parent provider.

EXAMPLE
21-0101 - ABC Hospital
21-T101 - ABC Hospital Rehabilitation Unit

The RO assigns the following alpha-characters in the third position as indicated:

M = Psychiatric Unit in Critical Access Hospital
R = Rehabilitation Unit in Critical Access Hospital
S = Psychiatric Unit
T = Rehabilitation Unit
U = Swing-Bed Hospital Designation for Short-Term Hospitals
W = Swing-Bed Hospital Designation for Long Term Care Hospitals
Y = Swing-Bed Hospital Designation for Rehabilitation Hospitals
Z = Swing-Bed Designation for Critical Access Hospitals

---
output: html_document
editor_options: 
  chunk_output_type: console
---

# IPPS-Excluded

<br>

Units of Hospitals That Are Excluded From the Inpatient Prospective Payment System (IPPS) 

and Hospitals and CAHs with Swing-Bed Approval

An alpha character in the third position of the CCN identifies either hospitals with swing-
bed approval, or rehabilitation units, or psychiatric units excluded from PPS payment.

The first 2 digits identify the State in which the provider is located. The third position
(which is alpha) identifies the type of unit or swing-bed designation. The last 3 digits
must be exactly the same as the last 3 digits of the parent provider.


```{r setup}
#| message: false
#| warning: false
#| echo: false
#| cache: false
#| comment: ""
library(ccn)
source("code/gt_theme.R")
```

| EXAMPLE
|    21-0101 - ABC Hospital
|    21-T101 - ABC Hospital Rehabilitation Unit
|


<br>

The RO assigns the following alpha-characters in the third position as indicated:

   - M = Psychiatric Unit in Critical Access Hospital
   - R = Rehabilitation Unit in Critical Access Hospital
   - S = Psychiatric Unit
   - T = Rehabilitation Unit
   - U = Swing-Bed Hospital Designation for Short-Term Hospitals
   - W = Swing-Bed Hospital Designation for Long Term Care Hospitals
   - Y = Swing-Bed Hospital Designation for Rehabilitation Hospitals
   - Z = Swing-Bed Designation for Critical Access Hospitals