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Source · Timing
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Home Health · Reference
HH HIPPS Decoder
Enter a 5-character PDGM HIPPS code to label each position — admission source & timing, clinical group, functional level, comorbidity, and the placeholder — then open it in the PDGM Calculator.
Decode a HIPPS code
5 characters–
Clinical group
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Functional
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Comorbidity
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Placeholder
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Structure: position 1 = source & timing (1–4), position 2 = clinical group (A–L), position 3 = functional level (A–C), position 4 = comorbidity (1–3), position 5 = placeholder (1).
Clinical groups (position 2)
| Letter | Clinical group |
|---|---|
| A | MMTA – Other |
| B | Neuro Rehabilitation |
| C | Wounds |
| D | Complex Nursing Interventions |
| E | Musculoskeletal Rehabilitation |
| F | Behavioral Health |
| G | MMTA – Surgical Aftercare |
| H | MMTA – Cardiac & Circulatory |
| I | MMTA – Endocrine |
| J | MMTA – GI / GU |
| K | MMTA – Infectious / Neoplasm / Blood |
| L | MMTA – Respiratory |
Other positions
Position 1 — source & timing
| 1 | Community · Early |
| 2 | Institutional · Early |
| 3 | Community · Late |
| 4 | Institutional · Late |
Position 3 — functional
| A | Low |
| B | Medium |
| C | High |
Position 4 — comorbidity
| 1 | None |
| 2 | Low |
| 3 | High |
Early = first 30-day period; Late = second or later. Institutional = acute/post-acute stay within 14 days prior.