Hospice Medicare Billing Codes Sheet

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Condition code (FL 18-28)H2Discharge for cause ( patient/staff safety)52Discharge for patient unavailability, inability to receive care, or out of service area85Delayed recertification of Hospice terminal illness (effective for claims received on or after 1/1/2017)CMS Pub. 100-04, Chapter 11, Section Change Reason code (CCRC) (FL 18-28) & Adjustment Reason code (ARC) (FISS only)DescriptionCCRCARC TOBChange in dates of serviceD0RF 8X7Change in chargesD1RG 8X7Change in revenue/HCPCS codeD2RH 8X7Cancel to correct provider #/ Medicare ID numberD5RI 8X8Cancel duplicate or OIG paymentD6RJ 8X8Any other/multiple change(s)D9RM 8X7Change in patient statusE0RN 8X7CMS Pub.

Reporting of Hospice Visits Hospice Medicare Billing Codes Sheet Discipline Level of Care Visit Provided Under Visit under Routine Home Care Visit under

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