Transcription of Hospice Medicare Billing Codes Sheet
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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. 100-04, Chapter 11, Section Span Codes (FL 35-36)77 Noncovered days due to untimely recertification OR Untimely NOEM2 Multiple respite stays, From/To dates of each stayCMS Pub.
the patient revokes hospice. OC 55 is required to report the patient’s date of death. 3 OSC 77 is required when the NOE or recertification was untimely. OSC M2 is required when multiple respite stays in billing period. • CC 85 (Delayed recertification of hospice terminal illness) is also required for claims received on or after
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