LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Official URL: http://linuxforhealth.org/fhir/cdm/ValueSet/ub04-admit-bill-type | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: Ub04AdmitBillTypeValueSet | |||
Value set for the UB04 admission billing type
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type
This value set contains 540 concepts
Expansion based on UB04 Admit Bill Type Code System v8.0.0 (CodeSystem)
| Code | System | Display |
| 0110 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0111 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0112 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0113 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0114 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0115 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Late Charge Only |
| 0117 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0118 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0119 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0120 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0121 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0122 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0123 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0124 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0125 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Late Charge Only |
| 0127 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0128 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0129 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0130 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Nonpayment or Zero Claims |
| 0131 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Admit Through Discharge Claim |
| 0132 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Interim (First Claim) |
| 0133 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Interim (Continuing Claims) |
| 0134 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Interim (Last Claim) |
| 0135 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Late Charge Only |
| 0137 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0138 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Void or Cancel of a Prior Claim |
| 0139 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Outpatient / Final Claim for a Home Health PPS Episode |
| 0140 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0141 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0142 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Interim (First Claim) |
| 0143 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0144 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Interim (Last Claim) |
| 0145 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Late Charge Only |
| 0147 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0148 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0149 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0150 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0151 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Admit Through Discharge Claim |
| 0152 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Interim (First Claim) |
| 0153 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Interim (Continuing Claims) |
| 0154 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Interim (Last Claim) |
| 0155 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Late Charge Only |
| 0157 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0158 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0159 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0160 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0161 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Admit Through Discharge Claim |
| 0162 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Interim (First Claim) |
| 0163 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Interim (Continuing Claims) |
| 0164 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Interim (Last Claim) |
| 0165 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Late Charge Only |
| 0167 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0168 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0169 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0170 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0171 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0172 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0173 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0174 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0175 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0177 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected Claim |
| 0178 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0179 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0180 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Nonpayment or Zero Claims |
| 0181 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Admit Through Discharge Claim |
| 0182 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Interim (First Claim) |
| 0183 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Interim (Continuing Claims) |
| 0184 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Interim (Last Claim) |
| 0185 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Late Charge Only |
| 0187 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0188 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Void or Cancel of a Prior Claim |
| 0189 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Hospital / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0210 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0211 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0212 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0213 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0214 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0215 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Late Charge Only |
| 0217 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0218 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0219 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0220 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0221 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0222 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0223 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0224 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0225 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Late Charge Only |
| 0227 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0228 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0229 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0230 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Nonpayment or Zero Claims |
| 0231 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Admit Through Discharge Claim |
| 0232 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Interim (First Claim) |
| 0233 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Interim (Continuing Claims) |
| 0234 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Interim (Last Claim) |
| 0235 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Late Charge Only |
| 0237 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0238 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Void or Cancel of a Prior Claim |
| 0239 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Outpatient / Final Claim for a Home Health PPS Episode |
| 0240 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0241 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0242 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Interim (First Claim) |
| 0243 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0244 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Interim (Last Claim) |
| 0245 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Late Charge Only |
| 0247 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0248 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0249 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0250 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0251 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Admit Through Discharge Claim |
| 0252 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Interim (First Claim) |
| 0253 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Interim (Continuing Claims) |
| 0254 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Interim (Last Claim) |
| 0255 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Late Charge Only |
| 0257 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0258 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0259 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0260 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0261 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Admit Through Discharge Claim |
| 0262 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Interim (First Claim) |
| 0263 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Interim (Continuing Claims) |
| 0264 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Interim (Last Claim) |
| 0265 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Late Charge Only |
| 0267 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0268 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0269 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0270 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0271 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0272 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0273 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0274 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0275 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0277 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected claim |
| 0278 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0279 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0280 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Nonpayment or Zero Claims |
| 0281 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Admit Through Discharge Claim |
| 0282 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Interim (First Claim) |
| 0283 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Interim (Continuing Claims) |
| 0284 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Interim (Last Claim) |
| 0285 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Late Charge Only |
| 0287 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0288 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Void or Cancel of a Prior Claim |
| 0289 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Skilled Nursing Facility / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0310 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0311 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0312 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0313 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0314 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0315 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Late Charge Only |
| 0317 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0318 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0319 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0320 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0321 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0322 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0323 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0324 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0325 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Late Charge Only |
| 0327 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0328 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0329 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0330 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Nonpayment or Zero Claims |
| 0331 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Admit Through Discharge Claim |
| 0332 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Interim (First Claim) |
| 0333 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Interim (Continuing Claims) |
| 0334 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Interim (Last Claim) |
| 0335 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Late Charge Only |
| 0337 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0338 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Void or Cancel of a Prior Claim |
| 0339 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Outpatient / Final Claim for a Home Health PPS Episode |
| 0340 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0341 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0342 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Interim (First Claim) |
| 0343 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0344 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Interim (Last Claim) |
| 0345 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Late Charge Only |
| 0347 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0348 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0349 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0350 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | HomeHealth / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0351 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | HomeHealth / Level I Intermediate Care / Admit Through Discharge Claim |
| 0352 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | HomeHealth / Level I Intermediate Care / Interim (First Claim) |
| 0353 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | HomeHealth / Level I Intermediate Care / Interim (Continuing Claims) |
| 0354 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | HomeHealth / Level I Intermediate Care / Interim (Last Claim) |
| 0355 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level I Intermediate Care / Late Charge Only |
| 0357 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0358 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0359 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0360 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0361 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Admit Through Discharge Claim |
| 0362 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Interim (First Claim) |
| 0363 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Interim (Continuing Claims) |
| 0364 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Interim (Last Claim) |
| 0365 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Late Charge Only |
| 0367 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0368 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0369 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0370 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0371 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0372 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0373 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0374 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0375 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0377 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected Claim |
| 0378 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0379 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0380 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Nonpayment or Zero Claims |
| 0381 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Admit Through Discharge Claim |
| 0382 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Interim (First Claim) |
| 0383 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Interim (Continuing Claims) |
| 0384 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Interim (Last Claim) |
| 0385 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Late Charge Only |
| 0387 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0388 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Void or Cancel of a Prior Claim |
| 0389 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Home Health / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0410 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0411 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0412 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0413 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0414 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0415 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Late Charge Only |
| 0417 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0418 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0419 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0420 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0421 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0422 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0423 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0424 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0425 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Late Charge Only |
| 0427 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0428 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0429 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0430 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Nonpayment or Zero Claims |
| 0431 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Admit Through Discharge Claim |
| 0432 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Interim (First Claim) |
| 0433 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Interim (Continuing Claims) |
| 0434 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Interim (Last Claim) |
| 0435 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Late Charge Only |
| 0437 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0438 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Void or Cancel of a Prior Claim |
| 0439 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Outpatient / Final Claim for a Home Health PPS Episode |
| 0440 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0441 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0442 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Interim (First Claim) |
| 0443 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0444 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Interim (Last Claim) |
| 0445 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Late Charge Only |
| 0447 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0448 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0449 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0450 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0451 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Admit Through Discharge Claim |
| 0452 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Interim (First Claim) |
| 0453 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Interim (Continuing Claims) |
| 0454 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Interim (Last Claim) |
| 0455 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Late Charge Only |
| 0457 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0458 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0459 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0460 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0461 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Admit Through Discharge Claim |
| 0462 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Interim (First Claim) |
| 0463 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Interim (Continuing Claims) |
| 0464 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Interim (Last Claim) |
| 0465 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Late Charge Only |
| 0467 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0468 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0469 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0470 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0471 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0472 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0473 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0474 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0475 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0477 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected Claim |
| 0478 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0479 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0480 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Nonpayment or Zero Claims |
| 0481 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Admit Through Discharge Claim |
| 0482 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Interim (First Claim) |
| 0483 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Interim (Continuing Claims) |
| 0484 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Interim (Last Claim) |
| 0485 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Late Charge Only |
| 0487 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0488 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Void or Cancel of a Prior Claim |
| 0489 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Hospital) / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0510 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0511 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0512 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0513 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0514 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0515 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Late Charge Only |
| 0517 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0518 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0519 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0520 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0521 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0522 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0523 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0524 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0525 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Late Charge Only |
| 0527 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0528 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0529 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0530 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Nonpayment or Zero Claims |
| 0531 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Admit Through Discharge Claim |
| 0532 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Interim (First Claim) |
| 0533 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Interim (Continuing Claims) |
| 0534 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Interim (Last Claim) |
| 0535 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Late Charge Only |
| 0537 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0538 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Void or Cancel of a Prior Claim |
| 0539 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Outpatient / Final Claim for a Home Health PPS Episode |
| 0540 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0541 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0542 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Interim (First Claim) |
| 0543 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0544 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Interim (Last Claim) |
| 0545 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Late Charge Only |
| 0547 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0548 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0549 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0550 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0551 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Admit Through Discharge Claim |
| 0552 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Interim (First Claim) |
| 0553 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Interim (Continuing Claims) |
| 0554 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Interim (Last Claim) |
| 0555 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Late Charge Only |
| 0557 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0558 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0559 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0560 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0561 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Admit Through Discharge Claim |
| 0562 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Interim (First Claim) |
| 0563 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Interim (Continuing Claims) |
| 0564 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Interim (Last Claim) |
| 0565 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Late Charge Only |
| 0567 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0568 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0569 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0570 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0571 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0572 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0573 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0574 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0575 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0577 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected Claim |
| 0578 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0579 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0580 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Nonpayment or Zero Claims |
| 0581 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Admit Through Discharge Claim |
| 0582 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Interim (First Claim) |
| 0583 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Interim (Continuing Claims) |
| 0584 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Interim (Last Claim) |
| 0585 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Late Charge Only |
| 0587 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0588 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Void or Cancel of a Prior Claim |
| 0589 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Religious Nonmedical (Extended Care) discontinued 10/1/2005 / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0610 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Nonpayment or Zero Claims |
| 0611 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Admit Through Discharge Claim |
| 0612 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Interim (First Claim) |
| 0613 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Interim (Continuing Claims) |
| 0614 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Interim (Last Claim) |
| 0615 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Late Charge Only |
| 0617 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Replacement of Prior Claim or Corrected Claim |
| 0618 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Void or Cancel of a Prior Claim |
| 0619 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part A) / Final Claim for a Home Health PPS Episode |
| 0620 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Nonpayment or Zero Claims |
| 0621 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Admit Through Discharge Claim |
| 0622 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Interim (First Claim) |
| 0623 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Interim (Continuing Claims) |
| 0624 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Interim (Last Claim) |
| 0625 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Late Charge Only |
| 0627 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0628 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0629 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Inpatient (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0630 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Nonpayment or Zero Claims |
| 0631 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Admit Through Discharge Claim |
| 0632 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Interim (First Claim) |
| 0633 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Interim (Continuing Claims) |
| 0634 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Interim (Last Claim) |
| 0635 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Late Charge Only |
| 0637 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Replacement of Prior Claim or Corrected Claim |
| 0638 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Void or Cancel of a Prior Claim |
| 0639 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Outpatient / Final Claim for a Home Health PPS Episode |
| 0640 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Nonpayment or Zero Claims |
| 0641 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Admit Through Discharge Claim |
| 0642 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Interim (First Claim) |
| 0643 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Interim (Continuing Claims) |
| 0644 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Interim (Last Claim) |
| 0645 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Late Charge Only |
| 0647 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Replacement of Prior Claim or Corrected Claim |
| 0648 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Void or Cancel of a Prior Claim |
| 0649 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Other (Medicare Part B) / Final Claim for a Home Health PPS Episode |
| 0650 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Nonpayment or Zero Claims |
| 0651 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Admit Through Discharge Claim |
| 0652 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Interim (First Claim) |
| 0653 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Interim (Continuing Claims) |
| 0654 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Interim (Last Claim) |
| 0655 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Late Charge Only |
| 0657 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0658 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Void or Cancel of a Prior Claim |
| 0659 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level I Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0660 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Nonpayment or Zero Claims |
| 0661 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Admit Through Discharge Claim |
| 0662 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Interim (First Claim) |
| 0663 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Interim (Continuing Claims) |
| 0664 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Interim (Last Claim) |
| 0665 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Late Charge Only |
| 0667 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Replacement of Prior Claim or Corrected Claim |
| 0668 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Void or Cancel of a Prior Claim |
| 0669 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Level II Intermediate Care / Final Claim for a Home Health PPS Episode |
| 0670 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Nonpayment or Zero Claims |
| 0671 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Admit Through Discharge Claim |
| 0672 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Interim (First Claim) |
| 0673 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Continuing Claims) |
| 0674 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Interim (Last Claim) |
| 0675 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Late Charge Only |
| 0677 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Replacement of Prior Claim or Corrected Claim |
| 0678 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Void or Cancel of a Prior Claim |
| 0679 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Subacute Inpatient (for use with Revenue Code 019X) / Final Claim for a Home Health PPS Episode |
| 0680 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Nonpayment or Zero Claims |
| 0681 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Admit Through Discharge Claim |
| 0682 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Interim (First Claim) |
| 0683 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Interim (Continuing Claims) |
| 0684 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Interim (Last Claim) |
| 0685 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Late Charge Only |
| 0687 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Replacement of Prior Claim or Corrected Claim |
| 0688 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Void or Cancel of a Prior Claim |
| 0689 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Intermediate Care / Swing Bed / Final Claim for a Home Health PPS Episode |
| 0710 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Nonpayment or Zero Claims |
| 0711 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Admit Through Discharge Claim |
| 0712 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Interim (First Claim) |
| 0713 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Interim (Continuing Claims) |
| 0714 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Interim (Last Claim) |
| 0715 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Late Charge Only |
| 0717 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Replacement of Prior Claim or Corrected Claim |
| 0718 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Void or Cancel of a Prior Claim |
| 0719 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Rural Health Clinic / Final Claim for a Home Health PPS Episode |
| 0720 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Nonpayment or Zero Claims |
| 0721 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Admit Through Discharge Claim |
| 0722 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Interim (First Claim) |
| 0723 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Interim (Continuing Claims) |
| 0724 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Interim (Last Claim) |
| 0725 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Late Charge Only |
| 0727 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Replacement of Prior Claim or Corrected Claim |
| 0728 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Void or Cancel of a Prior Claim |
| 0729 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Hospital Based or Independent Renal Dialysis Facility / Final Claim for a Home Health PPS Episode |
| 0730 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Nonpayment or Zero Claims |
| 0731 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Admit Through Discharge Claim |
| 0732 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Interim (First Claim) |
| 0733 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Interim (Continuing Claims) |
| 0734 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Interim (Last Claim) |
| 0735 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Late Charge Only |
| 0737 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Replacement of Prior Claim or Corrected Claim |
| 0738 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Void or Cancel of a Prior Claim |
| 0739 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Federally Qualified Health Center (FQHC), Free Standing Provider-Based / Final Claim for a Home Health PPS Episode |
| 0740 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Nonpayment or Zero Claims |
| 0741 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Admit Through Discharge Claim |
| 0742 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Interim (First Claim) |
| 0743 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Interim (Continuing Claims) |
| 0744 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Interim (Last Claim) |
| 0745 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Late Charge Only |
| 0747 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Replacement of Prior Claim or Corrected Claim |
| 0748 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Void or Cancel of a Prior Claim |
| 0749 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Other Rehabilitation Facility (ORF) / Final Claim for a Home Health PPS Episode |
| 0750 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Nonpayment or Zero Claims |
| 0751 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Admit Through Discharge Claim |
| 0752 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (First Claim) |
| 0753 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (Continuing Claims) |
| 0754 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (Last Claim) |
| 0755 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Late Charge Only |
| 0757 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Replacement of Prior Claim or Corrected Claim |
| 0758 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Void or Cancel of a Prior Claim |
| 0759 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Comprehensive Outpatient Rehabilitation Facility (CORF) / Final Claim for a Home Health PPS Episode |
| 0760 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Nonpayment or Zero Claims |
| 0761 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Admit Through Discharge Claim |
| 0762 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Interim (First Claim) |
| 0763 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Interim (Continuing Claims) |
| 0764 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Interim (Last Claim) |
| 0765 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Late Charge Only |
| 0767 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Replacement of Prior Claim or Corrected Claim |
| 0768 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Void or Cancel of a Prior Claim |
| 0769 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Clinic or Hospital based End Stage Renal Disease (ESRD) facility / Community Mental Health Center (CMHC) / Final Claim for a Home Health PPS Episode |
| 0810 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Nonpayment or Zero Claims |
| 0811 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Admit Through Discharge Claim |
| 0812 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Interim (First Claim) |
| 0813 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Interim (Continuing Claims) |
| 0814 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Interim (Last Claim) |
| 0815 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Late Charge Only |
| 0817 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Replacement of Prior Claim or Corrected Claim |
| 0818 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Void or Cancel of a Prior Claim |
| 0819 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Nonhospital Based Hospice / Final Claim for a Home Health PPS Episode |
| 0820 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Nonpayment or Zero Claims |
| 0821 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Admit Through Discharge Claim |
| 0822 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Interim (First Claim) |
| 0823 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Interim (Continuing Claims) |
| 0824 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Interim (Last Claim) |
| 0825 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Late Charge Only |
| 0827 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Replacement of Prior Claim or Corrected Claim |
| 0828 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Void or Cancel of a Prior Claim |
| 0829 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Hospital Based Hospice / Final Claim for a Home Health PPS Episode |
| 0830 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Nonpayment or Zero Claims |
| 0831 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Admit Through Discharge Claim |
| 0832 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Interim (First Claim) |
| 0833 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Interim (Continuing Claims) |
| 0834 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Interim (Last Claim) |
| 0835 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Late Charge Only |
| 0837 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Replacement of Prior Claim or Corrected Claim |
| 0838 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Void or Cancel of a Prior Claim |
| 0839 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Ambulatory Surgical Center Services to Hospital Patients / Final Claim for a Home Health PPS Episode |
| 0840 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Nonpayment or Zero Claims |
| 0841 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Admit Through Discharge Claim |
| 0842 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Interim (First Claim) |
| 0843 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Interim (Continuing Claims) |
| 0844 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Interim (Last Claim) |
| 0845 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Late Charge Only |
| 0847 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Replacement of Prior Claim or Corrected Claim |
| 0848 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Void or Cancel of a Prior Claim |
| 0849 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Other Rehabilitation Facility (ORF) / Final Claim for a Home Health PPS Episode |
| 0850 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Nonpayment or Zero Claims |
| 0851 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Admit Through Discharge Claim |
| 0852 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (First Claim) |
| 0853 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (Continuing Claims) |
| 0854 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Interim (Last Claim) |
| 0855 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Late Charge Only |
| 0857 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Replacement of Prior Claim or Corrected Claim |
| 0858 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Void or Cancel of a Prior Claim |
| 0859 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Comprehensive Outpatient Rehabilitation Facility (CORF) / Final Claim for a Home Health PPS Episode |
| 0860 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Nonpayment or Zero Claims |
| 0861 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Admit Through Discharge Claim |
| 0862 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Interim (First Claim) |
| 0863 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Interim (Continuing Claims) |
| 0864 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Interim (Last Claim) |
| 0865 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Late Charge Only |
| 0867 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Replacement of Prior Claim or Corrected Claim |
| 0868 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Void or Cancel of a Prior Claim |
| 0869 | http://linuxforhealth.org/fhir/cdm/CodeSystem/ub04-admit-bill-type | Special facility or hospital (Critical Access Hospital (CAH)) (Ambulatory Surgical Center (ASC)) surgery (requires special second digit) / Community Mental Health Center (CMHC) / Final Claim for a Home Health PPS Episode |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |