Variable: CLM_BILL_FREQ_CD
Claim Bill Frequency Code
Description:
It indicates the sequence of the claim in the beneficiary's current episode of care (e.g., interim or voided).
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| 110 | HOSPITAL, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 111 | HOSPITAL, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 112 | HOSPITAL, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 113 | HOSPITAL, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 114 | HOSPITAL, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 115 | HOSPITAL, INPATIENT (PART A), LATE CHARGE ONLY |
| 117 | HOSPITAL, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 118 | HOSPITAL, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 119 | HOSPITAL, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 11A | HOSPITAL, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 11B | HOSPITAL, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 11C | HOSPITAL, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 11D | HOSPITAL, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 11E | HOSPITAL, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 11F | HOSPITAL, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 11G | HOSPITAL, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 11H | HOSPITAL, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 11I | HOSPITAL, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 11J | HOSPITAL, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 11K | HOSPITAL, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 11M | HOSPITAL, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 11O | HOSPITAL INPATIENT (INCLUDING MEDICARE PART A), NONPAYMENT/ZERO CLAIMS |
| 11P | HOSPITAL, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 11Q | HOSPITAL INPATIENT (INCLUDING MEDICARE PART A), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 11X | HOSPITAL INPATIENT (PART A) |
| 11Y | HOSPITAL INPATIENT (INCLUDING MEDICARE PART A), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 11Z | HOSPITAL INPATIENT (INCLUDING MEDICARE PART A), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 120 | HOSPITAL, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 121 | HOSPITAL, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 122 | HOSPITAL, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 123 | HOSPITAL, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 124 | HOSPITAL, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 125 | HOSPITAL, INPATIENT (PART B), LATE CHARGE ONLY |
| 127 | HOSPITAL, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 128 | HOSPITAL, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 129 | HOSPITAL, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 12A | HOSPITAL, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 12B | HOSPITAL, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 12C | HOSPITAL, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 12D | HOSPITAL, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 12E | HOSPITAL, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 12F | HOSPITAL, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 12G | HOSPITAL, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 12H | HOSPITAL, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 12I | HOSPITAL, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 12J | HOSPITAL, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 12K | HOSPITAL, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 12M | HOSPITAL, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 12O | HOSPITAL INPATIENT (MEDICARE PART B ONLY), NONPAYMENT/ZERO CLAIMS |
| 12P | HOSPITAL, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 12Q | HOSPITAL INPATIENT (MEDICARE PART B ONLY), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 12X | HOSPITAL INPATIENT PART B |
| 12Y | HOSPITAL INPATIENT (MEDICARE PART B ONLY), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 12Z | HOSPITAL INPATIENT (MEDICARE PART B ONLY), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 130 | HOSPITAL, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 131 | HOSPITAL, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 132 | HOSPITAL, OUTPATIENT, INTERIM-FIRST CLAIM |
| 133 | HOSPITAL, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 134 | HOSPITAL, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 135 | HOSPITAL, OUTPATIENT, LATE CHARGE ONLY |
| 137 | HOSPITAL, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 138 | HOSPITAL, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 139 | HOSPITAL, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 13A | HOSPITAL, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 13B | HOSPITAL, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 13C | HOSPITAL, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 13D | HOSPITAL, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 13E | HOSPITAL, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 13F | HOSPITAL, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 13G | HOSPITAL, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 13H | HOSPITAL, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 13I | HOSPITAL, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 13J | HOSPITAL, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 13K | HOSPITAL, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 13M | HOSPITAL, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 13O | HOSPITAL OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 13P | HOSPITAL, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 13Q | HOSPITAL OUTPATIENT, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 13X | HOSPITAL OUTPATIENT |
| 13Y | HOSPITAL OUTPATIENT, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 13Z | HOSPITAL OUTPATIENT, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 140 | HOSPITAL, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 141 | HOSPITAL, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 142 | HOSPITAL, OTHER (PART B), INTERIM-FIRST CLAIM |
| 143 | HOSPITAL, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 144 | HOSPITAL, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 145 | HOSPITAL, OTHER (PART B), LATE CHARGE ONLY |
| 147 | HOSPITAL, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 148 | HOSPITAL, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 149 | HOSPITAL, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 14A | HOSPITAL, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 14B | HOSPITAL, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 14C | HOSPITAL, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 14D | HOSPITAL, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 14E | HOSPITAL, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 14F | HOSPITAL, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 14G | HOSPITAL, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 14H | HOSPITAL, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 14I | HOSPITAL, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 14J | HOSPITAL, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 14K | HOSPITAL, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 14M | HOSPITAL, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 14O | HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS, NONPAYMENT/ZERO CLAIMS |
| 14P | HOSPITAL, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 14Q | HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 14X | HOSPITAL OTHER PART B |
| 14Y | HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 14Z | HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 150 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 151 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 152 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 153 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 154 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 155 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 157 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 158 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 159 | HOSPITAL, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 15A | HOSPITAL, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 15B | HOSPITAL, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 15C | HOSPITAL, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 15D | HOSPITAL, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 15E | HOSPITAL, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 15F | HOSPITAL, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 15G | HOSPITAL, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 15H | HOSPITAL, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 15I | HOSPITAL, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 15J | HOSPITAL, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 15K | HOSPITAL, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 15M | HOSPITAL, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 15P | HOSPITAL, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 160 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 161 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 162 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 163 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 164 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 165 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 167 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 168 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 169 | HOSPITAL, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 16A | HOSPITAL, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 16B | HOSPITAL, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 16C | HOSPITAL, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 16D | HOSPITAL, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 16E | HOSPITAL, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 16F | HOSPITAL, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 16G | HOSPITAL, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 16H | HOSPITAL, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 16I | HOSPITAL, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 16J | HOSPITAL, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 16K | HOSPITAL, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 16M | HOSPITAL, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 16P | HOSPITAL, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 170 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 171 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 172 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 173 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 174 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 175 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 177 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 178 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 179 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 17A | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 17B | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 17C | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 17D | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 17E | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 17F | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 17G | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 17H | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 17I | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 17J | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 17K | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 17M | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 17P | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 180 | HOSPITAL, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 181 | HOSPITAL, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 182 | HOSPITAL, SWING BED, INTERIM-FIRST CLAIM |
| 183 | HOSPITAL, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 184 | HOSPITAL, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 185 | HOSPITAL, SWING BED, LATE CHARGE ONLY |
| 187 | HOSPITAL, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 188 | HOSPITAL, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 189 | HOSPITAL, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 18A | HOSPITAL, SWING BED, ADMISSION/ELECTION NOTICE |
| 18B | HOSPITAL, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 18C | HOSPITAL, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 18D | HOSPITAL, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 18E | HOSPITAL, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 18F | HOSPITAL, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 18G | HOSPITAL, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 18H | HOSPITAL, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 18I | HOSPITAL, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 18J | HOSPITAL, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 18K | HOSPITAL, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 18M | HOSPITAL, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 18O | HOSPITAL - SWING BEDS, NONPAYMENT/ZERO CLAIMS |
| 18P | HOSPITAL, SWING BED, QIO ADJUSTMENT CLAIM |
| 18Q | HOSPITAL - SWING BEDS, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 18X | HOSPITAL SWING BED |
| 18Y | HOSPITAL - SWING BEDS, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 18Z | HOSPITAL - SWING BEDS, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 190 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 191 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 192 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 193 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 194 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 195 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 197 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 198 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 199 | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 19A | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 19B | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 19C | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 19D | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 19E | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 19F | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 19G | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 19H | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 19I | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 19J | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 19K | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 19M | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 19P | HOSPITAL, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 210 | SKILLED NURSING, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 211 | SKILLED NURSING, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 212 | SKILLED NURSING, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 213 | SKILLED NURSING, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 214 | SKILLED NURSING, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 215 | SKILLED NURSING, INPATIENT (PART A), LATE CHARGE ONLY |
| 217 | SKILLED NURSING, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 218 | SKILLED NURSING, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 219 | SKILLED NURSING, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 21A | SKILLED NURSING, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 21B | SKILLED NURSING, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 21C | SKILLED NURSING, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 21D | SKILLED NURSING, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 21E | SKILLED NURSING, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 21F | SKILLED NURSING, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 21G | SKILLED NURSING, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 21H | SKILLED NURSING, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 21I | SKILLED NURSING, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 21J | SKILLED NURSING, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 21K | SKILLED NURSING, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 21M | SKILLED NURSING, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 21O | SKILLED NURSING - INPATIENT (INCLUDING MEDICARE PART A), NONPAYMENT/ZERO CLAIMS |
| 21P | SKILLED NURSING, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 21Q | SKILLED NURSING - INPATIENT (INCLUDING MEDICARE PART A), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 21X | SNF INPATIENT |
| 21Y | SKILLED NURSING - INPATIENT (INCLUDING MEDICARE PART A), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 21Z | SKILLED NURSING - INPATIENT (INCLUDING MEDICARE PART A), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 220 | SKILLED NURSING, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 221 | SKILLED NURSING, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 222 | SKILLED NURSING, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 223 | SKILLED NURSING, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 224 | SKILLED NURSING, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 225 | SKILLED NURSING, INPATIENT (PART B), LATE CHARGE ONLY |
| 227 | SKILLED NURSING, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 228 | SKILLED NURSING, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 229 | SKILLED NURSING, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 22A | SKILLED NURSING, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 22B | SKILLED NURSING, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 22C | SKILLED NURSING, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 22D | SKILLED NURSING, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 22E | SKILLED NURSING, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 22F | SKILLED NURSING, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 22G | SKILLED NURSING, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 22H | SKILLED NURSING, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 22I | SKILLED NURSING, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 22J | SKILLED NURSING, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 22K | SKILLED NURSING, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 22M | SKILLED NURSING, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 22O | SKILLED NURSING - INPATIENT (MEDICARE PART B ONLY), NONPAYMENT/ZERO CLAIMS |
| 22P | SKILLED NURSING, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 22Q | SKILLED NURSING - INPATIENT (MEDICARE PART B ONLY), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 22X | SNF INPATIENT PART B |
| 22Y | SKILLED NURSING - INPATIENT (MEDICARE PART B ONLY), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 22Z | SKILLED NURSING - INPATIENT (MEDICARE PART B ONLY), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 230 | SKILLED NURSING, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 231 | SKILLED NURSING, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 232 | SKILLED NURSING, OUTPATIENT, INTERIM-FIRST CLAIM |
| 233 | SKILLED NURSING, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 234 | SKILLED NURSING, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 235 | SKILLED NURSING, OUTPATIENT, LATE CHARGE ONLY |
| 237 | SKILLED NURSING, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 238 | SKILLED NURSING, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 239 | SKILLED NURSING, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 23A | SKILLED NURSING, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 23B | SKILLED NURSING, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 23C | SKILLED NURSING, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 23D | SKILLED NURSING, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 23E | SKILLED NURSING, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 23F | SKILLED NURSING, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 23G | SKILLED NURSING, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 23H | SKILLED NURSING, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 23I | SKILLED NURSING, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 23J | SKILLED NURSING, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 23K | SKILLED NURSING, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 23M | SKILLED NURSING, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 23O | SKILLED NURSING - OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 23P | SKILLED NURSING, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 23Q | SKILLED NURSING - OUTPATIENT, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 23X | SNF OUTPATIENT |
| 23Y | SKILLED NURSING - OUTPATIENT, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 23Z | SKILLED NURSING - OUTPATIENT, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 240 | SKILLED NURSING, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 241 | SKILLED NURSING, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 242 | SKILLED NURSING, OTHER (PART B), INTERIM-FIRST CLAIM |
| 243 | SKILLED NURSING, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 244 | SKILLED NURSING, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 245 | SKILLED NURSING, OTHER (PART B), LATE CHARGE ONLY |
| 247 | SKILLED NURSING, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 248 | SKILLED NURSING, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 249 | SKILLED NURSING, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 24A | SKILLED NURSING, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 24B | SKILLED NURSING, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 24C | SKILLED NURSING, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 24D | SKILLED NURSING, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 24E | SKILLED NURSING, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 24F | SKILLED NURSING, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 24G | SKILLED NURSING, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 24H | SKILLED NURSING, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 24I | SKILLED NURSING, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 24J | SKILLED NURSING, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 24K | SKILLED NURSING, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 24M | SKILLED NURSING, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 24P | SKILLED NURSING, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 250 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 251 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 252 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 253 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 254 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 255 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 257 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 258 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 259 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 25A | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 25B | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 25C | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 25D | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 25E | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 25F | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 25G | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 25H | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 25I | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 25J | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 25K | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 25M | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 25P | SKILLED NURSING, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 260 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 261 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 262 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 263 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 264 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 265 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 267 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 268 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 269 | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 26A | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 26B | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 26C | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 26D | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 26E | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 26F | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 26G | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 26H | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 26I | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 26J | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 26K | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 26M | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 26P | SKILLED NURSING, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 270 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 271 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 272 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 273 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 274 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 275 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 277 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 278 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 279 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 27A | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 27B | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 27C | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 27D | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 27E | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 27F | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 27G | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 27H | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 27I | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 27J | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 27K | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 27M | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 27P | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 280 | SKILLED NURSING, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 281 | SKILLED NURSING, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 282 | SKILLED NURSING, SWING BED, INTERIM-FIRST CLAIM |
| 283 | SKILLED NURSING, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 284 | SKILLED NURSING, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 285 | SKILLED NURSING, SWING BED, LATE CHARGE ONLY |
| 287 | SKILLED NURSING, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 288 | SKILLED NURSING, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 289 | SKILLED NURSING, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 28A | SKILLED NURSING, SWING BED, ADMISSION/ELECTION NOTICE |
| 28B | SKILLED NURSING, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 28C | SKILLED NURSING, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 28D | SKILLED NURSING, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 28E | SKILLED NURSING, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 28F | SKILLED NURSING, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 28G | SKILLED NURSING, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 28H | SKILLED NURSING, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 28I | SKILLED NURSING, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 28J | SKILLED NURSING, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 28K | SKILLED NURSING, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 28M | SKILLED NURSING, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 28O | SKILLED NURSING - SWING BEDS, NONPAYMENT/ZERO CLAIMS |
| 28P | SKILLED NURSING, SWING BED, QIO ADJUSTMENT CLAIM |
| 28Q | SKILLED NURSING - SWING BEDS, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 28X | SNF SWING BED |
| 28Y | SKILLED NURSING - SWING BEDS, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 28Z | SKILLED NURSING - SWING BEDS, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 290 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 291 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 292 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 293 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 294 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 295 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 297 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 298 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 299 | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 29A | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 29B | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 29C | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 29D | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 29E | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 29F | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 29G | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 29H | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 29I | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 29J | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 29K | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 29M | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 29P | SKILLED NURSING, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 310 | HOME HEALTH, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 311 | HOME HEALTH, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 312 | HOME HEALTH, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 313 | HOME HEALTH, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 314 | HOME HEALTH, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 315 | HOME HEALTH, INPATIENT (PART A), LATE CHARGE ONLY |
| 317 | HOME HEALTH, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 318 | HOME HEALTH, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 319 | HOME HEALTH, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 31A | HOME HEALTH, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 31B | HOME HEALTH, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 31C | HOME HEALTH, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 31D | HOME HEALTH, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 31E | HOME HEALTH, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 31F | HOME HEALTH, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 31G | HOME HEALTH, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 31H | HOME HEALTH, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 31I | HOME HEALTH, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 31J | HOME HEALTH, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 31K | HOME HEALTH, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 31M | HOME HEALTH, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 31P | HOME HEALTH, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 320 | HOME HEALTH, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 321 | HOME HEALTH, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 322 | HOME HEALTH, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 323 | HOME HEALTH, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 324 | HOME HEALTH, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 325 | HOME HEALTH, INPATIENT (PART B), LATE CHARGE ONLY |
| 327 | HOME HEALTH, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 328 | HOME HEALTH, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 329 | HOME HEALTH, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 32A | HOME HEALTH, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 32B | HOME HEALTH, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 32C | HOME HEALTH, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 32D | HOME HEALTH, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 32E | HOME HEALTH, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 32F | HOME HEALTH, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 32G | HOME HEALTH, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 32H | HOME HEALTH, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 32I | HOME HEALTH, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 32J | HOME HEALTH, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 32K | HOME HEALTH, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 32M | HOME HEALTH, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 32O | HOME HEALTH SERVICES UNDER A PLAN OF TREATMENT (EFFECTIVE ON 10/1/13), NONPAYMENT/ZERO CLAIMS |
| 32P | HOME HEALTH, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 32Q | HOME HEALTH SERVICES UNDER A PLAN OF TREATMENT (EFFECTIVE ON 10/1/13), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 32X | HOME HEALTH |
| 32Y | HOME HEALTH SERVICES UNDER A PLAN OF TREATMENT (EFFECTIVE ON 10/1/13), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 32Z | HOME HEALTH SERVICES UNDER A PLAN OF TREATMENT (EFFECTIVE ON 10/1/13), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 330 | HOME HEALTH, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 331 | HOME HEALTH, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 332 | HOME HEALTH, OUTPATIENT, INTERIM-FIRST CLAIM |
| 333 | HOME HEALTH, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 334 | HOME HEALTH, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 335 | HOME HEALTH, OUTPATIENT, LATE CHARGE ONLY |
| 337 | HOME HEALTH, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 338 | HOME HEALTH, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 339 | HOME HEALTH, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 33A | HOME HEALTH, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 33B | HOME HEALTH, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 33C | HOME HEALTH, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 33D | HOME HEALTH, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 33E | HOME HEALTH, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 33F | HOME HEALTH, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 33G | HOME HEALTH, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 33H | HOME HEALTH, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 33I | HOME HEALTH, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 33J | HOME HEALTH, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 33K | HOME HEALTH, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 33M | HOME HEALTH, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 33P | HOME HEALTH, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 33X | HOME HEALTH |
| 340 | HOME HEALTH, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 341 | HOME HEALTH, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 342 | HOME HEALTH, OTHER (PART B), INTERIM-FIRST CLAIM |
| 343 | HOME HEALTH, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 344 | HOME HEALTH, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 345 | HOME HEALTH, OTHER (PART B), LATE CHARGE ONLY |
| 347 | HOME HEALTH, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 348 | HOME HEALTH, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 349 | HOME HEALTH, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 34A | HOME HEALTH, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 34B | HOME HEALTH, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 34C | HOME HEALTH, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 34D | HOME HEALTH, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 34E | HOME HEALTH, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 34F | HOME HEALTH, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 34G | HOME HEALTH, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 34H | HOME HEALTH, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 34I | HOME HEALTH, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 34J | HOME HEALTH, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 34K | HOME HEALTH, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 34M | HOME HEALTH, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 34O | HOME HEALTH SERVICES NOT UNDER A PLAN OF TREATMENT (EFFECTIVE 10/1/13), NONPAYMENT/ZERO CLAIMS |
| 34P | HOME HEALTH, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 34Q | HOME HEALTH SERVICES NOT UNDER A PLAN OF TREATMENT (EFFECTIVE 10/1/13), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 34X | HOME HEALTH (PART B ONLY) |
| 34Y | HOME HEALTH SERVICES NOT UNDER A PLAN OF TREATMENT (EFFECTIVE 10/1/13), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 34Z | HOME HEALTH SERVICES NOT UNDER A PLAN OF TREATMENT (EFFECTIVE 10/1/13), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 350 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 351 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 352 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 353 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 354 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 355 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 357 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 358 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 359 | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 35A | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 35B | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 35C | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 35D | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 35E | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 35F | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 35G | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 35H | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 35I | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 35J | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 35K | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 35M | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 35P | HOME HEALTH, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 360 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 361 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 362 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 363 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 364 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 365 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 367 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 368 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 369 | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 36A | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 36B | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 36C | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 36D | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 36E | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 36F | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 36G | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 36H | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 36I | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 36J | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 36K | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 36M | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 36P | HOME HEALTH, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 370 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 371 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 372 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 373 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 374 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 375 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 377 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 378 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 379 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 37A | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 37B | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 37C | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 37D | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 37E | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 37F | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 37G | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 37H | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 37I | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 37J | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 37K | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 37M | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 37P | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 380 | HOME HEALTH, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 381 | HOME HEALTH, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 382 | HOME HEALTH, SWING BED, INTERIM-FIRST CLAIM |
| 383 | HOME HEALTH, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 384 | HOME HEALTH, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 385 | HOME HEALTH, SWING BED, LATE CHARGE ONLY |
| 387 | HOME HEALTH, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 388 | HOME HEALTH, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 389 | HOME HEALTH, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 38A | HOME HEALTH, SWING BED, ADMISSION/ELECTION NOTICE |
| 38B | HOME HEALTH, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 38C | HOME HEALTH, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 38D | HOME HEALTH, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 38E | HOME HEALTH, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 38F | HOME HEALTH, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 38G | HOME HEALTH, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 38H | HOME HEALTH, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 38I | HOME HEALTH, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 38J | HOME HEALTH, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 38K | HOME HEALTH, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 38M | HOME HEALTH, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 38P | HOME HEALTH, SWING BED, QIO ADJUSTMENT CLAIM |
| 390 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 391 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 392 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 393 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 394 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 395 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 397 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 398 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 399 | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 39A | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 39B | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 39C | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 39D | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 39E | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 39F | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 39G | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 39H | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 39I | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 39J | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 39K | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 39M | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 39P | HOME HEALTH, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 410 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 411 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 412 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 413 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 414 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 415 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), LATE CHARGE ONLY |
| 417 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 418 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 419 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 41A | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 41B | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 41C | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 41D | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 41E | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 41F | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 41G | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 41H | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 41I | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 41J | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 41K | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 41M | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 41O | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - INPATIENT, NONPAYMENT/ZERO CLAIMS |
| 41P | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 41Q | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - INPATIENT, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 41X | RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS |
| 41Y | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - INPATIENT, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 41Z | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - INPATIENT, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 420 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 421 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 422 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 423 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 424 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 425 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), LATE CHARGE ONLY |
| 427 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 428 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 429 | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 42A | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 42B | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 42C | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 42D | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 42E | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 42F | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 42G | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 42H | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 42I | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 42J | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 42K | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 42M | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 42P | RELIGIOUS NONMEDICAL (HOSPITAL), INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 430 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 431 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 432 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, INTERIM-FIRST CLAIM |
| 433 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 434 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 435 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, LATE CHARGE ONLY |
| 437 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 438 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 439 | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 43A | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 43B | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 43C | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 43D | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 43E | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 43F | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 43G | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 43H | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 43I | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 43J | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 43K | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 43M | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 43O | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES, NONPAYMENT/ZERO CLAIMS |
| 43P | RELIGIOUS NONMEDICAL (HOSPITAL), OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 43Q | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 43X | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 43Y | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 43Z | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 440 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 441 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 442 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), INTERIM-FIRST CLAIM |
| 443 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 444 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 445 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), LATE CHARGE ONLY |
| 447 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 448 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 449 | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 44A | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 44B | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 44C | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 44D | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 44E | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 44F | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 44G | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 44H | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 44I | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 44J | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 44K | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 44M | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 44P | RELIGIOUS NONMEDICAL (HOSPITAL), OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 450 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 451 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 452 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 453 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 454 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 455 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 457 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 458 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 459 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 45A | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 45B | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 45C | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 45D | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 45E | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 45F | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 45G | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 45H | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 45I | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 45J | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 45K | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 45M | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 45P | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 460 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 461 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 462 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 463 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 464 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 465 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 467 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 468 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 469 | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 46A | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 46B | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 46C | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 46D | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 46E | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 46F | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 46G | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 46H | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 46I | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 46J | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 46K | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 46M | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 46P | RELIGIOUS NONMEDICAL (HOSPITAL), INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 470 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 471 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 472 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 473 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 474 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 475 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 477 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 478 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 479 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 47A | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 47B | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 47C | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 47D | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 47E | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 47F | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 47G | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 47H | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 47I | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 47J | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 47K | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 47M | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 47P | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 480 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, NONPAYMENT/ZERO CLAIMS |
| 481 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 482 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, INTERIM-FIRST CLAIM |
| 483 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 484 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 485 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, LATE CHARGE ONLY |
| 487 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 488 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 489 | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 48A | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, ADMISSION/ELECTION NOTICE |
| 48B | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 48C | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 48D | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 48E | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 48F | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 48G | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 48H | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 48I | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 48J | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 48K | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 48M | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 48P | RELIGIOUS NONMEDICAL (HOSPITAL), SWING BED, QIO ADJUSTMENT CLAIM |
| 490 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 491 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 492 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 493 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 494 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 495 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 497 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 498 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 499 | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 49A | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 49B | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 49C | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 49D | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 49E | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 49F | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 49G | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 49H | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 49I | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 49J | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 49K | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 49M | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 49P | RELIGIOUS NONMEDICAL (HOSPITAL), RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 510 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 511 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 512 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 513 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 514 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 515 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), LATE CHARGE ONLY |
| 517 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 518 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 519 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 51A | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 51B | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 51C | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 51D | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 51E | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 51F | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 51G | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 51H | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 51I | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 51J | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 51K | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 51M | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 51P | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 520 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 521 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 522 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 523 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 524 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 525 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), LATE CHARGE ONLY |
| 527 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 528 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 529 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 52A | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 52B | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 52C | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 52D | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 52E | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 52F | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 52G | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 52H | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 52I | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 52J | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 52K | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 52M | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 52P | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 530 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 531 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 532 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-FIRST CLAIM |
| 533 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 534 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 535 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, LATE CHARGE ONLY |
| 537 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 538 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 539 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 53A | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 53B | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 53C | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 53D | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 53E | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 53F | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 53G | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 53H | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 53I | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 53J | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 53K | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 53M | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 53P | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 540 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 541 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 542 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-FIRST CLAIM |
| 543 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 544 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 545 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), LATE CHARGE ONLY |
| 547 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 548 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 549 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 54A | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 54B | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 54C | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 54D | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 54E | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 54F | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 54G | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 54H | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 54I | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 54J | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 54K | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 54M | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 54P | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 550 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 551 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 552 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 553 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 554 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 555 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 557 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 558 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 559 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 55A | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 55B | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 55C | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 55D | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 55E | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 55F | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 55G | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 55H | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 55I | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 55J | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 55K | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 55M | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 55P | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 560 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 561 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 562 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 563 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 564 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 565 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 567 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 568 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 569 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 56A | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 56B | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 56C | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 56D | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 56E | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 56F | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 56G | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 56H | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 56I | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 56J | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 56K | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 56M | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 56P | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 570 | RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 571 | RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 572 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 573 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 574 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 575 | RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 577 | RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 578 | RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 579 | RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 57A | RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 57B | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 57C | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 57D | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 57E | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 57F | RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 57G | RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 57H | RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 57I | RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 57J | RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 57K | RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 57M | RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 57P | RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 580 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 581 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 582 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-FIRST CLAIM |
| 583 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 584 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 585 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, LATE CHARGE ONLY |
| 587 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 588 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 589 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 58A | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, ADMISSION/ELECTION NOTICE |
| 58B | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 58C | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 58D | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 58E | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 58F | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 58G | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 58H | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 58I | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 58J | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 58K | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 58M | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 58P | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, QIO ADJUSTMENT CLAIM |
| 590 | RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 591 | RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 592 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 593 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 594 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 595 | RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 597 | RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 598 | RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 599 | RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 59A | RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 59B | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 59C | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 59D | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 59E | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 59F | RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 59G | RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 59H | RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 59I | RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 59J | RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 59K | RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 59M | RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 59P | RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 610 | INTERMEDIATE CARE, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 611 | INTERMEDIATE CARE, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 612 | INTERMEDIATE CARE, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 613 | INTERMEDIATE CARE, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 614 | INTERMEDIATE CARE, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 615 | INTERMEDIATE CARE, INPATIENT (PART A), LATE CHARGE ONLY |
| 617 | INTERMEDIATE CARE, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 618 | INTERMEDIATE CARE, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 619 | INTERMEDIATE CARE, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 61A | INTERMEDIATE CARE, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 61B | INTERMEDIATE CARE, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 61C | INTERMEDIATE CARE, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 61D | INTERMEDIATE CARE, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 61E | INTERMEDIATE CARE, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 61F | INTERMEDIATE CARE, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 61G | INTERMEDIATE CARE, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 61H | INTERMEDIATE CARE, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 61I | INTERMEDIATE CARE, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 61J | INTERMEDIATE CARE, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 61K | INTERMEDIATE CARE, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 61M | INTERMEDIATE CARE, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 61P | INTERMEDIATE CARE, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 620 | INTERMEDIATE CARE, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 621 | INTERMEDIATE CARE, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 622 | INTERMEDIATE CARE, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 623 | INTERMEDIATE CARE, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 624 | INTERMEDIATE CARE, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 625 | INTERMEDIATE CARE, INPATIENT (PART B), LATE CHARGE ONLY |
| 627 | INTERMEDIATE CARE, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 628 | INTERMEDIATE CARE, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 629 | INTERMEDIATE CARE, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 62A | INTERMEDIATE CARE, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 62B | INTERMEDIATE CARE, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 62C | INTERMEDIATE CARE, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 62D | INTERMEDIATE CARE, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 62E | INTERMEDIATE CARE, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 62F | INTERMEDIATE CARE, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 62G | INTERMEDIATE CARE, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 62H | INTERMEDIATE CARE, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 62I | INTERMEDIATE CARE, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 62J | INTERMEDIATE CARE, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 62K | INTERMEDIATE CARE, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 62M | INTERMEDIATE CARE, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 62P | INTERMEDIATE CARE, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 630 | INTERMEDIATE CARE, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 631 | INTERMEDIATE CARE, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 632 | INTERMEDIATE CARE, OUTPATIENT, INTERIM-FIRST CLAIM |
| 633 | INTERMEDIATE CARE, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 634 | INTERMEDIATE CARE, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 635 | INTERMEDIATE CARE, OUTPATIENT, LATE CHARGE ONLY |
| 637 | INTERMEDIATE CARE, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 638 | INTERMEDIATE CARE, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 639 | INTERMEDIATE CARE, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 63A | INTERMEDIATE CARE, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 63B | INTERMEDIATE CARE, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 63C | INTERMEDIATE CARE, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 63D | INTERMEDIATE CARE, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 63E | INTERMEDIATE CARE, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 63F | INTERMEDIATE CARE, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 63G | INTERMEDIATE CARE, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 63H | INTERMEDIATE CARE, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 63I | INTERMEDIATE CARE, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 63J | INTERMEDIATE CARE, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 63K | INTERMEDIATE CARE, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 63M | INTERMEDIATE CARE, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 63P | INTERMEDIATE CARE, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 640 | INTERMEDIATE CARE, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 641 | INTERMEDIATE CARE, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 642 | INTERMEDIATE CARE, OTHER (PART B), INTERIM-FIRST CLAIM |
| 643 | INTERMEDIATE CARE, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 644 | INTERMEDIATE CARE, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 645 | INTERMEDIATE CARE, OTHER (PART B), LATE CHARGE ONLY |
| 647 | INTERMEDIATE CARE, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 648 | INTERMEDIATE CARE, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 649 | INTERMEDIATE CARE, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 64A | INTERMEDIATE CARE, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 64B | INTERMEDIATE CARE, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 64C | INTERMEDIATE CARE, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 64D | INTERMEDIATE CARE, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 64E | INTERMEDIATE CARE, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 64F | INTERMEDIATE CARE, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 64G | INTERMEDIATE CARE, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 64H | INTERMEDIATE CARE, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 64I | INTERMEDIATE CARE, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 64J | INTERMEDIATE CARE, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 64K | INTERMEDIATE CARE, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 64M | INTERMEDIATE CARE, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 64P | INTERMEDIATE CARE, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 650 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 651 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 652 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 653 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 654 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 655 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 657 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 658 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 659 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 65A | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 65B | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 65C | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 65D | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 65E | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 65F | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 65G | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 65H | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 65I | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 65J | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 65K | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 65M | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 65O | INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 65P | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 65Q | INTERMEDIATE CARE - LEVEL I, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 65X | INTERMEDIATE CARE - LEVEL I, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 65Y | INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 65Z | INTERMEDIATE CARE - LEVEL I, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 660 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 661 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 662 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 663 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 664 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 665 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 667 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 668 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 669 | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 66A | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 66B | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 66C | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 66D | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 66E | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 66F | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 66G | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 66H | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 66I | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 66J | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 66K | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 66M | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 66O | INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 66P | INTERMEDIATE CARE, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 66Q | INTERMEDIATE CARE - LEVEL II, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 66X | INTERMEDIATE CARE - LEVEL II, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 66Y | INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 66Z | INTERMEDIATE CARE - LEVEL II, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 670 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 671 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 672 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 673 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 674 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 675 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 677 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 678 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 679 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 67A | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 67B | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 67C | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 67D | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 67E | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 67F | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 67G | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 67H | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 67I | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 67J | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 67K | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 67M | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 67P | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 680 | INTERMEDIATE CARE, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 681 | INTERMEDIATE CARE, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 682 | INTERMEDIATE CARE, SWING BED, INTERIM-FIRST CLAIM |
| 683 | INTERMEDIATE CARE, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 684 | INTERMEDIATE CARE, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 685 | INTERMEDIATE CARE, SWING BED, LATE CHARGE ONLY |
| 687 | INTERMEDIATE CARE, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 688 | INTERMEDIATE CARE, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 689 | INTERMEDIATE CARE, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 68A | INTERMEDIATE CARE, SWING BED, ADMISSION/ELECTION NOTICE |
| 68B | INTERMEDIATE CARE, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 68C | INTERMEDIATE CARE, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 68D | INTERMEDIATE CARE, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 68E | INTERMEDIATE CARE, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 68F | INTERMEDIATE CARE, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 68G | INTERMEDIATE CARE, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 68H | INTERMEDIATE CARE, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 68I | INTERMEDIATE CARE, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 68J | INTERMEDIATE CARE, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 68K | INTERMEDIATE CARE, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 68M | INTERMEDIATE CARE, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 68P | INTERMEDIATE CARE, SWING BED, QIO ADJUSTMENT CLAIM |
| 690 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 691 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 692 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 693 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 694 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 695 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 697 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 698 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 699 | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 69A | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 69B | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 69C | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 69D | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 69E | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 69F | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 69G | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 69H | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 69I | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 69J | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 69K | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 69M | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 69P | INTERMEDIATE CARE, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 710 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), NONPAYMENT/ZERO CLAIMS |
| 711 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), ADMIT THROUGH DISCHARGE CLAIM |
| 712 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), INTERIM-FIRST CLAIM |
| 713 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 714 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 715 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), LATE CHARGE ONLY |
| 717 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), REPLACEMENT OF PRIOR CLAIM |
| 718 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), VOID/CANCEL OF A PRIOR CLAIM |
| 719 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 71A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), ADMISSION/ELECTION NOTICE |
| 71B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 71C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), HOSPICE CHANGE OF PROVIDER NOTICE |
| 71D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 71E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), HOSPICE CHANGE OF OWNERSHIP |
| 71F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 71G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), CWF INITIATED ADJUSTMENT CLAIM |
| 71H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), CMS INITIATED ADJUSTMENT CLAIM |
| 71I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 71J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), INITIATED ADJUSTMENT CLAIM-OTHER |
| 71K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), OIG INITIATED ADJUSTMENT CLAIM |
| 71M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), MSP INITIATED ADJUSTMENT CLAIM |
| 71O | CLINIC - RURAL HEALTH, NONPAYMENT/ZERO CLAIMS |
| 71P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RURAL HEALTH CLINIC (RHC), QIO ADJUSTMENT CLAIM |
| 71Q | CLINIC - RURAL HEALTH, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 71X | CLINICAL RURAL HEALTH |
| 71Y | CLINIC - RURAL HEALTH, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 71Z | CLINIC - RURAL HEALTH, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 720 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, NONPAYMENT/ZERO CLAIMS |
| 721 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, ADMIT THROUGH DISCHARGE CLAIM |
| 722 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, INTERIM-FIRST CLAIM |
| 723 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 724 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 725 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, LATE CHARGE ONLY |
| 727 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, REPLACEMENT OF PRIOR CLAIM |
| 728 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, VOID/CANCEL OF A PRIOR CLAIM |
| 729 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 72A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, ADMISSION/ELECTION NOTICE |
| 72B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 72C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, HOSPICE CHANGE OF PROVIDER NOTICE |
| 72D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 72E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, HOSPICE CHANGE OF OWNERSHIP |
| 72F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 72G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, CWF INITIATED ADJUSTMENT CLAIM |
| 72H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, CMS INITIATED ADJUSTMENT CLAIM |
| 72I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 72J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, INITIATED ADJUSTMENT CLAIM-OTHER |
| 72K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, OIG INITIATED ADJUSTMENT CLAIM |
| 72M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, MSP INITIATED ADJUSTMENT CLAIM |
| 72O | CLINIC - HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS CENTER, NONPAYMENT/ZERO CLAIMS |
| 72P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS FACILITY, QIO ADJUSTMENT CLAIM |
| 72Q | CLINIC - HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS CENTER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 72X | CLINIC ESRD |
| 72Y | CLINIC - HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS CENTER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 72Z | CLINIC - HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS CENTER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 730 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NONPAYMENT/ZERO CLAIMS |
| 731 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ADMIT THROUGH DISCHARGE CLAIM |
| 732 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), INTERIM-FIRST CLAIM |
| 733 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 734 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 735 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), LATE CHARGE ONLY |
| 737 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), REPLACEMENT OF PRIOR CLAIM |
| 738 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), VOID/CANCEL OF A PRIOR CLAIM |
| 739 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 73A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ADMISSION/ELECTION NOTICE |
| 73B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NO |
| 73C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HOSPICE CHANGE OF PROVIDER NOTICE |
| 73D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 73E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HOSPICE CHANGE OF OWNERSHIP |
| 73F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 73G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CWF INITIATED ADJUSTMENT CLAIM |
| 73H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CMS INITIATED ADJUSTMENT CLAIM |
| 73I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 73J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), INITIATED ADJUSTMENT CLAIM-OTHER |
| 73K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), OIG INITIATED ADJUSTMENT CLAIM |
| 73M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), MSP INITIATED ADJUSTMENT CLAIM |
| 73O | CLINIC - FREESTANDING, NONPAYMENT/ZERO CLAIMS |
| 73P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, FREE STANDING PROVIDER-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC), QIO ADJUSTMENT CLAIM |
| 73Q | CLINIC - FREESTANDING, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 73X | FEDERALLY QUALIFIED HEALTH CENTERS |
| 73Y | CLINIC - FREESTANDING, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 73Z | CLINIC - FREESTANDING, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 740 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), NONPAYMENT/ZERO CLAIMS |
| 741 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), ADMIT THROUGH DISCHARGE CLAIM |
| 742 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), INTERIM-FIRST CLAIM |
| 743 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 744 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 745 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), LATE CHARGE ONLY |
| 747 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), REPLACEMENT OF PRIOR CLAIM |
| 748 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), VOID/CANCEL OF A PRIOR CLAIM |
| 749 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 74A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), ADMISSION/ELECTION NOTICE |
| 74B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 74C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), HOSPICE CHANGE OF PROVIDER NOTICE |
| 74D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 74E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), HOSPICE CHANGE OF OWNERSHIP |
| 74F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 74G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), CWF INITIATED ADJUSTMENT CLAIM |
| 74H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), CMS INITIATED ADJUSTMENT CLAIM |
| 74I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 74J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), INITIATED ADJUSTMENT CLAIM-OTHER |
| 74K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), OIG INITIATED ADJUSTMENT CLAIM |
| 74M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), MSP INITIATED ADJUSTMENT CLAIM |
| 74O | CLINIC - OUTPATIENT REHABILITATION FACILITY (ORF), NONPAYMENT/ZERO CLAIMS |
| 74P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, REHABILITATION FACILITY (ORF), QIO ADJUSTMENT CLAIM |
| 74Q | CLINIC - OUTPATIENT REHABILITATION FACILITY (ORF), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 74X | CLINIC OPT |
| 74Y | CLINIC - OUTPATIENT REHABILITATION FACILITY (ORF), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 74Z | CLINIC - OUTPATIENT REHABILITATION FACILITY (ORF), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 750 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), NONPAYMENT/ZERO CLAIMS |
| 751 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), ADMIT THROUGH DISCHARGE CLAIM |
| 752 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), INTERIM-FIRST CLAIM |
| 753 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 754 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 755 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), LATE CHARGE ONLY |
| 757 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), REPLACEMENT OF PRIOR CLAIM |
| 758 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), VOID/CANCEL OF A PRIOR CLAIM |
| 759 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 75A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), ADMISSION/ELECTION NOTICE |
| 75B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 75C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), HOSPICE CHANGE OF PROVIDER NOTICE |
| 75D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 75E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), HOSPICE CHANGE OF OWNERSHIP |
| 75F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 75G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), CWF INITIATED ADJUSTMENT CLAIM |
| 75H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), CMS INITIATED ADJUSTMENT CLAIM |
| 75I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 75J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), INITIATED ADJUSTMENT CLAIM-OTHER |
| 75K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), OIG INITIATED ADJUSTMENT CLAIM |
| 75M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), MSP INITIATED ADJUSTMENT CLAIM |
| 75O | CLINIC - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), NONPAYMENT/ZERO CLAIMS |
| 75P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), QIO ADJUSTMENT CLAIM |
| 75Q | CLINIC - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 75X | CLINIC CORF |
| 75Y | CLINIC - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 75Z | CLINIC - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 760 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), NONPAYMENT/ZERO CLAIMS |
| 761 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), ADMIT THROUGH DISCHARGE CLAIM |
| 762 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), INTERIM-FIRST CLAIM |
| 763 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 764 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 765 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), LATE CHARGE ONLY |
| 767 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), REPLACEMENT OF PRIOR CLAIM |
| 768 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), VOID/CANCEL OF A PRIOR CLAIM |
| 769 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 76A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), ADMISSION/ELECTION NOTICE |
| 76B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 76C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), HOSPICE CHANGE OF PROVIDER NOTICE |
| 76D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 76E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), HOSPICE CHANGE OF OWNERSHIP |
| 76F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 76G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), CWF INITIATED ADJUSTMENT CLAIM |
| 76H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), CMS INITIATED ADJUSTMENT CLAIM |
| 76I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 76J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), INITIATED ADJUSTMENT CLAIM-OTHER |
| 76K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), OIG INITIATED ADJUSTMENT CLAIM |
| 76M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), MSP INITIATED ADJUSTMENT CLAIM |
| 76O | CLINIC - COMMUNITY MENTAL HEALTH CENTER, NONPAYMENT/ZERO CLAIMS |
| 76P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, COMMUNITY MENTAL HEALTH CENTER (CMHC), QIO ADJUSTMENT CLAIM |
| 76Q | CLINIC - COMMUNITY MENTAL HEALTH CENTER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 76X | COMMUNITY MENTAL HEALTH CENTERS |
| 76Y | CLINIC - COMMUNITY MENTAL HEALTH CENTER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 76Z | CLINIC - COMMUNITY MENTAL HEALTH CENTER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 770 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 771 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 772 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 773 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 774 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 775 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 777 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 778 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 779 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 77A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 77B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 77C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 77D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 77E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 77F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 77G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 77H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 77I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 77J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 77K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 77M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 77O | CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NONPAYMENT/ZERO CLAIMS |
| 77P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 77Q | CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 77X | CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC), VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 77Y | CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 77Z | CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 780 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 781 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 782 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 783 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 784 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 785 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 787 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 788 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 789 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 78A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 78B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 78C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 78D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 78E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 78F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 78G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 78H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 78I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 78J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 78K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 78M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 78O | LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12), NONPAYMENT/ZERO CLAIMS |
| 78P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 78Q | LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 78X | LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12), VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 78Y | LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 78Z | LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 790 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, NONPAYMENT/ZERO CLAIMS |
| 791 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, ADMIT THROUGH DISCHARGE CLAIM |
| 792 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, INTERIM-FIRST CLAIM |
| 793 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 794 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 795 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, LATE CHARGE ONLY |
| 797 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, REPLACEMENT OF PRIOR CLAIM |
| 798 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, VOID/CANCEL OF A PRIOR CLAIM |
| 799 | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 79A | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, ADMISSION/ELECTION NOTICE |
| 79B | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 79C | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, HOSPICE CHANGE OF PROVIDER NOTICE |
| 79D | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 79E | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, HOSPICE CHANGE OF OWNERSHIP |
| 79F | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 79G | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, CWF INITIATED ADJUSTMENT CLAIM |
| 79H | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, CMS INITIATED ADJUSTMENT CLAIM |
| 79I | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 79J | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, INITIATED ADJUSTMENT CLAIM-OTHER |
| 79K | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, OIG INITIATED ADJUSTMENT CLAIM |
| 79M | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, MSP INITIATED ADJUSTMENT CLAIM |
| 79O | CLINIC - OTHER, NONPAYMENT/ZERO CLAIMS |
| 79P | CLINIC OR HOSPITAL BASED RENAL DIALYSIS FACILITY, OTHER, QIO ADJUSTMENT CLAIM |
| 79Q | CLINIC - OTHER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 79X | CLINIC - OTHER, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 79Y | CLINIC - OTHER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 79Z | CLINIC - OTHER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 810 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), NONPAYMENT/ZERO CLAIMS |
| 811 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), ADMIT THROUGH DISCHARGE CLAIM |
| 812 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), INTERIM-FIRST CLAIM |
| 813 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 814 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 815 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), LATE CHARGE ONLY |
| 817 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), REPLACEMENT OF PRIOR CLAIM |
| 818 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), VOID/CANCEL OF A PRIOR CLAIM |
| 819 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 81A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), ADMISSION/ELECTION NOTICE |
| 81B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 81C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), HOSPICE CHANGE OF PROVIDER NOTICE |
| 81D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 81E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), HOSPICE CHANGE OF OWNERSHIP |
| 81F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 81G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), CWF INITIATED ADJUSTMENT CLAIM |
| 81H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), CMS INITIATED ADJUSTMENT CLAIM |
| 81I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 81J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), INITIATED ADJUSTMENT CLAIM-OTHER |
| 81K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), OIG INITIATED ADJUSTMENT CLAIM |
| 81M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), MSP INITIATED ADJUSTMENT CLAIM |
| 81O | HOSPICE (NON-HOSPITAL BASED), NONPAYMENT/ZERO CLAIMS |
| 81P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (NONHOSPITAL BASED), QIO ADJUSTMENT CLAIM |
| 81Q | HOSPICE (NON-HOSPITAL BASED), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 81X | NONHOSPITAL BASED HOSPICE |
| 81Y | HOSPICE (NON-HOSPITAL BASED), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 81Z | HOSPICE (NON-HOSPITAL BASED), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 820 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), NONPAYMENT/ZERO CLAIMS |
| 821 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), ADMIT THROUGH DISCHARGE CLAIM |
| 822 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), INTERIM-FIRST CLAIM |
| 823 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 824 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 825 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), LATE CHARGE ONLY |
| 827 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), REPLACEMENT OF PRIOR CLAIM |
| 828 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), VOID/CANCEL OF A PRIOR CLAIM |
| 829 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 82A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), ADMISSION/ELECTION NOTICE |
| 82B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 82C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), HOSPICE CHANGE OF PROVIDER NOTICE |
| 82D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 82E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), HOSPICE CHANGE OF OWNERSHIP |
| 82F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 82G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), CWF INITIATED ADJUSTMENT CLAIM |
| 82H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), CMS INITIATED ADJUSTMENT CLAIM |
| 82I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 82J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), INITIATED ADJUSTMENT CLAIM-OTHER |
| 82K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), OIG INITIATED ADJUSTMENT CLAIM |
| 82M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), MSP INITIATED ADJUSTMENT CLAIM |
| 82O | HOSPICE (HOSPITAL BASED), NONPAYMENT/ZERO CLAIMS |
| 82P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, HOSPICE (HOSPITAL BASED), QIO ADJUSTMENT CLAIM |
| 82Q | HOSPICE (HOSPITAL BASED), CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 82X | HOSPITAL BASED HOSPICE |
| 82Y | HOSPICE (HOSPITAL BASED), REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 82Z | HOSPICE (HOSPITAL BASED), NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 830 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, NONPAYMENT/ZERO CLAIMS |
| 831 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, ADMIT THROUGH DISCHARGE CLAIM |
| 832 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, INTERIM-FIRST CLAIM |
| 833 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 834 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 835 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, LATE CHARGE ONLY |
| 837 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, REPLACEMENT OF PRIOR CLAIM |
| 838 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, VOID/CANCEL OF A PRIOR CLAIM |
| 839 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 83A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, ADMISSION/ELECTION NOTICE |
| 83B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 83C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, HOSPICE CHANGE OF PROVIDER NOTICE |
| 83D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 83E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, HOSPICE CHANGE OF OWNERSHIP |
| 83F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 83G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, CWF INITIATED ADJUSTMENT CLAIM |
| 83H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, CMS INITIATED ADJUSTMENT CLAIM |
| 83I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 83J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, INITIATED ADJUSTMENT CLAIM-OTHER |
| 83K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, OIG INITIATED ADJUSTMENT CLAIM |
| 83M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, MSP INITIATED ADJUSTMENT CLAIM |
| 83O | AMBULATORY SURGERY CENTER, NONPAYMENT/ZERO CLAIMS |
| 83P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, AMBULATORY SURGICAL CENTER SERVICES TO HOSPITAL OUTPATIENTS, QIO ADJUSTMENT CLAIM |
| 83Q | AMBULATORY SURGERY CENTER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 83X | HOSPITAL OUTPATIENT (ASC) |
| 83Y | AMBULATORY SURGERY CENTER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 83Z | AMBULATORY SURGERY CENTER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 840 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, NONPAYMENT/ZERO CLAIMS |
| 841 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, ADMIT THROUGH DISCHARGE CLAIM |
| 842 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, INTERIM-FIRST CLAIM |
| 843 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 844 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 845 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, LATE CHARGE ONLY |
| 847 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, REPLACEMENT OF PRIOR CLAIM |
| 848 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, VOID/CANCEL OF A PRIOR CLAIM |
| 849 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 84A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, ADMISSION/ELECTION NOTICE |
| 84B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 84C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, HOSPICE CHANGE OF PROVIDER NOTICE |
| 84D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 84E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, HOSPICE CHANGE OF OWNERSHIP |
| 84F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 84G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, CWF INITIATED ADJUSTMENT CLAIM |
| 84H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, CMS INITIATED ADJUSTMENT CLAIM |
| 84I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 84J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, INITIATED ADJUSTMENT CLAIM-OTHER |
| 84K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, OIG INITIATED ADJUSTMENT CLAIM |
| 84M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, MSP INITIATED ADJUSTMENT CLAIM |
| 84O | FREE STANDING BIRTHING CENTER, NONPAYMENT/ZERO CLAIMS |
| 84P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREE STANDING BIRTHING CENTER, QIO ADJUSTMENT CLAIM |
| 84Q | FREE STANDING BIRTHING CENTER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 84X | FREE STANDING BIRTHING CENTER, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 84Y | FREE STANDING BIRTHING CENTER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 84Z | FREE STANDING BIRTHING CENTER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 850 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, NONPAYMENT/ZERO CLAIMS |
| 851 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, ADMIT THROUGH DISCHARGE CLAIM |
| 852 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, INTERIM-FIRST CLAIM |
| 853 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 854 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 855 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, LATE CHARGE ONLY |
| 857 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, REPLACEMENT OF PRIOR CLAIM |
| 858 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, VOID/CANCEL OF A PRIOR CLAIM |
| 859 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 85A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, ADMISSION/ELECTION NOTICE |
| 85B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 85C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, HOSPICE CHANGE OF PROVIDER NOTICE |
| 85D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 85E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, HOSPICE CHANGE OF OWNERSHIP |
| 85F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 85G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, CWF INITIATED ADJUSTMENT CLAIM |
| 85H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, CMS INITIATED ADJUSTMENT CLAIM |
| 85I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 85J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, INITIATED ADJUSTMENT CLAIM-OTHER |
| 85K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, OIG INITIATED ADJUSTMENT CLAIM |
| 85M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, MSP INITIATED ADJUSTMENT CLAIM |
| 85O | CRITICAL ACCESS HOSPITAL, NONPAYMENT/ZERO CLAIMS |
| 85P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, CRITICAL ACCESS HOSPITAL, QIO ADJUSTMENT CLAIM |
| 85Q | CRITICAL ACCESS HOSPITAL, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 85X | CRITICAL ACCESS HOSPITAL |
| 85Y | CRITICAL ACCESS HOSPITAL, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 85Z | CRITICAL ACCESS HOSPITAL, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 860 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 861 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 862 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 863 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 864 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 865 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 867 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 868 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 869 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 86A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 86B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 86C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 86D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 86E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 86F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 86G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 86H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 86I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 86J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 86K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 86M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 86O | RESIDENTIAL FACILITY, NONPAYMENT/ZERO CLAIMS |
| 86P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 86Q | RESIDENTIAL FACILITY, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 86X | RESIDENTIAL FACILITY, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 86Y | RESIDENTIAL FACILITY, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 86Z | RESIDENTIAL FACILITY, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 870 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), NONPAYMENT/ZERO CLAIMS |
| 871 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), ADMIT THROUGH DISCHARGE CLAIM |
| 872 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), INTERIM-FIRST CLAIM |
| 873 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 874 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 875 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), LATE CHARGE ONLY |
| 877 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), REPLACEMENT OF PRIOR CLAIM |
| 878 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), VOID/CANCEL OF A PRIOR CLAIM |
| 879 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 87A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), ADMISSION/ELECTION NOTICE |
| 87B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 87C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), HOSPICE CHANGE OF PROVIDER NOTICE |
| 87D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 87E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), HOSPICE CHANGE OF OWNERSHIP |
| 87F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 87G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), CWF INITIATED ADJUSTMENT CLAIM |
| 87H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), CMS INITIATED ADJUSTMENT CLAIM |
| 87I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 87J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), INITIATED ADJUSTMENT CLAIM-OTHER |
| 87K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), OIG INITIATED ADJUSTMENT CLAIM |
| 87M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), MSP INITIATED ADJUSTMENT CLAIM |
| 87P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21), QIO ADJUSTMENT CLAIM |
| 880 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 881 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 882 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 883 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 884 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 885 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 887 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 888 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 889 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 88A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 88B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 88C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 88D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 88E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 88F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 88G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 88H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 88I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 88J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 88K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 88M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 88P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 890 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, NONPAYMENT/ZERO CLAIMS |
| 891 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, ADMIT THROUGH DISCHARGE CLAIM |
| 892 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, INTERIM-FIRST CLAIM |
| 893 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 894 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 895 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, LATE CHARGE ONLY |
| 897 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, REPLACEMENT OF PRIOR CLAIM |
| 898 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, VOID/CANCEL OF A PRIOR CLAIM |
| 899 | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 89A | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, ADMISSION/ELECTION NOTICE |
| 89B | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 89C | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, HOSPICE CHANGE OF PROVIDER NOTICE |
| 89D | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 89E | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, HOSPICE CHANGE OF OWNERSHIP |
| 89F | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 89G | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, CWF INITIATED ADJUSTMENT CLAIM |
| 89H | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, CMS INITIATED ADJUSTMENT CLAIM |
| 89I | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 89J | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, INITIATED ADJUSTMENT CLAIM-OTHER |
| 89K | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, OIG INITIATED ADJUSTMENT CLAIM |
| 89M | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, MSP INITIATED ADJUSTMENT CLAIM |
| 89O | SPECIAL FACILITY - OTHER, NONPAYMENT/ZERO CLAIMS |
| 89P | SPECIAL FACILITY OR HOSPITAL ASC SURGERY, OTHER, QIO ADJUSTMENT CLAIM |
| 89Q | SPECIAL FACILITY - OTHER, CLAIM SUBMITTED FOR RECONSIDERATION/REOPENING OUTSIDE OF TIMELY LIMITS |
| 89X | SPECIAL FACILITY - OTHER, VOID/CANCEL A PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 89Y | SPECIAL FACILITY - OTHER, REPLACEMENT OF PRIOR ABBREVIATED ENCOUNTER SUBMISSION |
| 89Z | SPECIAL FACILITY - OTHER, NEW ABBREVIATED ENCOUNTER SUBMISSION |
| 910 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), NONPAYMENT/ZERO CLAIMS |
| 911 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), ADMIT THROUGH DISCHARGE CLAIM |
| 912 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-FIRST CLAIM |
| 913 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 914 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 915 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), LATE CHARGE ONLY |
| 917 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), REPLACEMENT OF PRIOR CLAIM |
| 918 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), VOID/CANCEL OF A PRIOR CLAIM |
| 919 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 91A | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), ADMISSION/ELECTION NOTICE |
| 91B | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 91C | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE CHANGE OF PROVIDER NOTICE |
| 91D | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 91E | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), HOSPICE CHANGE OF OWNERSHIP |
| 91F | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 91G | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), CWF INITIATED ADJUSTMENT CLAIM |
| 91H | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), CMS INITIATED ADJUSTMENT CLAIM |
| 91I | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 91J | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), INITIATED ADJUSTMENT CLAIM-OTHER |
| 91K | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), OIG INITIATED ADJUSTMENT CLAIM |
| 91M | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), MSP INITIATED ADJUSTMENT CLAIM |
| 91P | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART A), QIO ADJUSTMENT CLAIM |
| 920 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), NONPAYMENT/ZERO CLAIMS |
| 921 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 922 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-FIRST CLAIM |
| 923 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 924 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 925 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), LATE CHARGE ONLY |
| 927 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), REPLACEMENT OF PRIOR CLAIM |
| 928 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 929 | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 92A | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), ADMISSION/ELECTION NOTICE |
| 92B | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 92C | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 92D | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 92E | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 92F | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 92G | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 92H | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 92I | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 92J | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 92K | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 92M | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 92P | RESERVED FOR NATIONAL ASSIGNMENT, INPATIENT (PART B), QIO ADJUSTMENT CLAIM |
| 930 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, NONPAYMENT/ZERO CLAIMS |
| 931 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, ADMIT THROUGH DISCHARGE CLAIM |
| 932 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-FIRST CLAIM |
| 933 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 934 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 935 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, LATE CHARGE ONLY |
| 937 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, REPLACEMENT OF PRIOR CLAIM |
| 938 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, VOID/CANCEL OF A PRIOR CLAIM |
| 939 | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 93A | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, ADMISSION/ELECTION NOTICE |
| 93B | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 93C | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 93D | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 93E | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, HOSPICE CHANGE OF OWNERSHIP |
| 93F | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 93G | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, CWF INITIATED ADJUSTMENT CLAIM |
| 93H | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, CMS INITIATED ADJUSTMENT CLAIM |
| 93I | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 93J | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 93K | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, OIG INITIATED ADJUSTMENT CLAIM |
| 93M | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, MSP INITIATED ADJUSTMENT CLAIM |
| 93P | RESERVED FOR NATIONAL ASSIGNMENT, OUTPATIENT, QIO ADJUSTMENT CLAIM |
| 940 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), NONPAYMENT/ZERO CLAIMS |
| 941 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), ADMIT THROUGH DISCHARGE CLAIM |
| 942 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-FIRST CLAIM |
| 943 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 944 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 945 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), LATE CHARGE ONLY |
| 947 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), REPLACEMENT OF PRIOR CLAIM |
| 948 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), VOID/CANCEL OF A PRIOR CLAIM |
| 949 | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 94A | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), ADMISSION/ELECTION NOTICE |
| 94B | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 94C | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE CHANGE OF PROVIDER NOTICE |
| 94D | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 94E | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), HOSPICE CHANGE OF OWNERSHIP |
| 94F | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 94G | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), CWF INITIATED ADJUSTMENT CLAIM |
| 94H | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), CMS INITIATED ADJUSTMENT CLAIM |
| 94I | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 94J | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), INITIATED ADJUSTMENT CLAIM-OTHER |
| 94K | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), OIG INITIATED ADJUSTMENT CLAIM |
| 94M | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), MSP INITIATED ADJUSTMENT CLAIM |
| 94P | RESERVED FOR NATIONAL ASSIGNMENT, OTHER (PART B), QIO ADJUSTMENT CLAIM |
| 950 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, NONPAYMENT/ZERO CLAIMS |
| 951 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, ADMIT THROUGH DISCHARGE CLAIM |
| 952 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-FIRST CLAIM |
| 953 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 954 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 955 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, LATE CHARGE ONLY |
| 957 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, REPLACEMENT OF PRIOR CLAIM |
| 958 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, VOID/CANCEL OF A PRIOR CLAIM |
| 959 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 95A | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, ADMISSION/ELECTION NOTICE |
| 95B | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 95C | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF PROVIDER NOTICE |
| 95D | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 95E | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, HOSPICE CHANGE OF OWNERSHIP |
| 95F | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 95G | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, CWF INITIATED ADJUSTMENT CLAIM |
| 95H | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, CMS INITIATED ADJUSTMENT CLAIM |
| 95I | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 95J | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, INITIATED ADJUSTMENT CLAIM-OTHER |
| 95K | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, OIG INITIATED ADJUSTMENT CLAIM |
| 95M | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, MSP INITIATED ADJUSTMENT CLAIM |
| 95P | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL I, QIO ADJUSTMENT CLAIM |
| 960 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, NONPAYMENT/ZERO CLAIMS |
| 961 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, ADMIT THROUGH DISCHARGE CLAIM |
| 962 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-FIRST CLAIM |
| 963 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 964 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 965 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, LATE CHARGE ONLY |
| 967 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, REPLACEMENT OF PRIOR CLAIM |
| 968 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, VOID/CANCEL OF A PRIOR CLAIM |
| 969 | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 96A | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, ADMISSION/ELECTION NOTICE |
| 96B | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 96C | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF PROVIDER NOTICE |
| 96D | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 96E | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, HOSPICE CHANGE OF OWNERSHIP |
| 96F | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 96G | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, CWF INITIATED ADJUSTMENT CLAIM |
| 96H | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, CMS INITIATED ADJUSTMENT CLAIM |
| 96I | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 96J | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, INITIATED ADJUSTMENT CLAIM-OTHER |
| 96K | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, OIG INITIATED ADJUSTMENT CLAIM |
| 96M | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, MSP INITIATED ADJUSTMENT CLAIM |
| 96P | RESERVED FOR NATIONAL ASSIGNMENT, INTERMEDIATE CARE - LEVEL II, QIO ADJUSTMENT CLAIM |
| 970 | RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 971 | RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 972 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 973 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 974 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 975 | RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 977 | RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 978 | RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 979 | RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 97A | RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 97B | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 97C | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 97D | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 97E | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 97F | RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 97G | RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 97H | RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 97I | RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 97J | RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 97K | RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 97M | RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 97P | RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| 980 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, NONPAYMENT/ZERO CLAIMS |
| 981 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, ADMIT THROUGH DISCHARGE CLAIM |
| 982 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-FIRST CLAIM |
| 983 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 984 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 985 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, LATE CHARGE ONLY |
| 987 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, REPLACEMENT OF PRIOR CLAIM |
| 988 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, VOID/CANCEL OF A PRIOR CLAIM |
| 989 | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 98A | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, ADMISSION/ELECTION NOTICE |
| 98B | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 98C | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE CHANGE OF PROVIDER NOTICE |
| 98D | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 98E | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, HOSPICE CHANGE OF OWNERSHIP |
| 98F | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 98G | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, CWF INITIATED ADJUSTMENT CLAIM |
| 98H | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, CMS INITIATED ADJUSTMENT CLAIM |
| 98I | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 98J | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, INITIATED ADJUSTMENT CLAIM-OTHER |
| 98K | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, OIG INITIATED ADJUSTMENT CLAIM |
| 98M | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, MSP INITIATED ADJUSTMENT CLAIM |
| 98P | RESERVED FOR NATIONAL ASSIGNMENT, SWING BED, QIO ADJUSTMENT CLAIM |
| 990 | RESERVED FOR NATIONAL ASSIGNMENT, NONPAYMENT/ZERO CLAIMS |
| 991 | RESERVED FOR NATIONAL ASSIGNMENT, ADMIT THROUGH DISCHARGE CLAIM |
| 992 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-FIRST CLAIM |
| 993 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-CONTINUING CLAIMS (NOT VALID FOR PPS BILLS) |
| 994 | RESERVED FOR NATIONAL ASSIGNMENT, INTERIM-LAST CLAIM (NOT VALID FOR PPS BILLS) |
| 995 | RESERVED FOR NATIONAL ASSIGNMENT, LATE CHARGE ONLY |
| 997 | RESERVED FOR NATIONAL ASSIGNMENT, REPLACEMENT OF PRIOR CLAIM |
| 998 | RESERVED FOR NATIONAL ASSIGNMENT, VOID/CANCEL OF A PRIOR CLAIM |
| 999 | RESERVED FOR NATIONAL ASSIGNMENT, FINAL CLAIM FOR A HOME HEALTH PPS EPISODE |
| 99A | RESERVED FOR NATIONAL ASSIGNMENT, ADMISSION/ELECTION NOTICE |
| 99B | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION TERMINATION/REVOCATION NOTICE |
| 99C | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF PROVIDER NOTICE |
| 99D | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE/MEDICARE COORDINATED CARE DEMONSTRATION/RELIGIOUS |
| 99E | RESERVED FOR NATIONAL ASSIGNMENT, HOSPICE CHANGE OF OWNERSHIP |
| 99F | RESERVED FOR NATIONAL ASSIGNMENT, BENEFICIARY INITIATED ADJUSTMENT CLAIM |
| 99G | RESERVED FOR NATIONAL ASSIGNMENT, CWF INITIATED ADJUSTMENT CLAIM |
| 99H | RESERVED FOR NATIONAL ASSIGNMENT, CMS INITIATED ADJUSTMENT CLAIM |
| 99I | RESERVED FOR NATIONAL ASSIGNMENT, FI ADJUSTMENT CLAIM (OTHER THAN QIO OR PROVIDER) |
| 99J | RESERVED FOR NATIONAL ASSIGNMENT, INITIATED ADJUSTMENT CLAIM-OTHER |
| 99K | RESERVED FOR NATIONAL ASSIGNMENT, OIG INITIATED ADJUSTMENT CLAIM |
| 99M | RESERVED FOR NATIONAL ASSIGNMENT, MSP INITIATED ADJUSTMENT CLAIM |
| 99P | RESERVED FOR NATIONAL ASSIGNMENT, QIO ADJUSTMENT CLAIM |
| ~~~ | NO DESCRIPTION AVAILABLE |