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Hospice Medicare Billing Codes Sheet

Condition Code (FL 18-28)H2 Discharge for cause ( patient/staff safety)52 Discharge for patient unavailability, inability to receive care, or out of service area85 Delayed 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 TOBC hange in dates of serviceD0RF 8X7 Change in chargesD1RG 8X7 Change in revenue/HCPCS codeD2RH 8X7 Cancel to correct provider #/ Medicare ID numberD5RI 8X8 Cancel duplicate or OIG paymentD6RJ 8X8 Any other/multiple change(s)D9RM 8X7 Change in patient statusE0RN 8X7 CMS Pub. 100-04, chapter 1, Section Codes (FL 31-34)27 Date of certification or recertification42 Date of revocation (ONLY)55 Date of death (when patient status = 40, 41 or 42)CMS Pub.

Condition Code (FL 18-28) H2 Discharge for cause (i.e. patient/staff safety) 52 Discharge for patient unavailability, inability to receive care, or out of service area 85 Delayed recertification of hospice terminal illness (effective for claims received on or after 1/1/2017) CMS Pub. 100-04, Chapter 11, Section 30.3 Claim Change Reason Code (CCRC) (FL 18-28) & Adjustment Reason Code (ARC ...

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