What is the Type of bill?
TOB(Type of Bill) Code has 4 digits with alphanumeric code. TOB codes specify different segments of information on the UB-04 claim form/CMS-1450 claim form.
TOB description as per Digit format
| 1st Digit |
Leading zero. This is Ignored by CMS (Center of Medicare and Medicaid )
|
| 2nd Digit |
Type of the facility
|
| 3rd Digit | Type of the care |
| 4rth Digit |
Combination of the bill in this episode of care. Also called as “frequency” code
|
Adding to the note TOB is only Required for institutional(hospital) claims and Not for professional claims. Check the examples below.
| TOB Codes | Description |
| 111 | Hospital IP( Inpatient) admit through discharge(Includes Medicare A) |
| 112 | Hospital IP( Inpatient) interim (Includes Medicare A) |
| 113 | Hospital IP( Inpatient) interim (Includes Medicare A)- continuing claims |
| 114 | Hospital IP( Inpatient) interim (Includes Medicare A) – last claim |
| 115 | Hospital IP( Inpatient) late charge only(Includes Medicare A) |
| 117 | Hospital IP( Inpatient) replacement of prior claim (Includes Medicare A) |
| 118 | Hospital IP( Inpatient) void/cancel of a prior claim (Includes Medicare A) |
| 119 | Hospital IP( Inpatient) final claim for a home (Includes Medicare A) |
| 121 | Hospital IP( Inpatient) admit through discharge (Medicare B Only) |
| 122 | Hospital IP( Inpatient) interim (Medicare B Only) |
| 123 | Hospital IP( Inpatient) interim – continuing claims (Medicare B Only) |
| 124 | Hospital IP( Inpatient) interim – last claim (Medicare B Only) |
| 125 | Hospital IP( Inpatient) late charge only (Medicare B Only) |
| 127 | Hospital IP( Inpatient) replacement of prior claim (Medicare B Only) |
| 128 | Hospital IP( Inpatient) void/cancel of a prior claim (Medicare B Only) |
| 129 | Hospital IP( Inpatient) final claim for a home (Medicare B Only) |
| 131 | Hospital OP(Outpatient)admit through discharge |
| 132 | Hospital OP(Outpatient)interim – |
| 133 | Hospital OP(Outpatient)interim – continuing claims |
| 134 | Hospital OP(Outpatient)interim – last claim |
| 135 | Hospital OP(Outpatient)late charge only |
| 137 | Hospital OP(Outpatient)replacement of prior claim |
| 138 | Hospital OP(Outpatient)void/cancel of a prior claim |
| 139 | Hospital OP(Outpatient)final claim for a home |
| 141 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge
|
| 142 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim –
|
| 143 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims
|
| 144 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim
|
| 145 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only
|
| 147 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim
|
| 148 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim
|
| 149 |
Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home
|
| 151 | Hospital Nursing Facility Level I admit through discharge |
| 152 | Hospital Nursing Facility Level I interim – |
| 153 | Hospital Nursing Facility Level I interim – continuing claims |
| 154 | Hospital Nursing Facility Level I interim – last claim |
| 155 | Hospital Nursing Facility Level I late charge only |
| 157 | Hospital Nursing Facility Level I replacement of prior claim |
| 158 | Hospital Nursing Facility Level I void/cancel of a prior claim |
| 159 | Hospital Nursing Facility Level I final claim for a home |
| 161 | Hospital Nursing Facility Level II admit through discharge |
| 162 | Hospital Nursing Facility Level II interim – |
| 163 | Hospital Nursing Facility Level II interim – continuing claims |
| 164 | Hospital Nursing Facility Level II interim – last claim |
| 165 | Hospital Nursing Facility Level II late charge only |
| 167 | Hospital Nursing Facility Level II replacement of prior claim |
| 168 | Hospital Nursing Facility Level II void/cancel of a prior claim |
| 169 | Hospital Nursing Facility Level II final claim for a home |
| 171 |
Hospital Intermediate Care – Level III Nursing Facility admit through discharge
|
| 172 | Hospital Intermediate Care – Level III Nursing Facility interim – |
| 173 |
Hospital Intermediate Care – Level III Nursing Facility interim – continuing claims
|
| 174 | Hospital Intermediate Care – Level III Nursing Facility interim – last claim |
| 175 | Hospital Intermediate Care – Level III Nursing Facility late charge only |
| 177 |
Hospital Intermediate Care – Level III Nursing Facility replacement of prior claim
|
| 178 |
Hospital Intermediate Care – Level III Nursing Facility void/cancel of a prior claim
|
| 179 | Hospital Intermediate Care – Level III Nursing Facility final claim for a home |
| 181 | Hospital Swing Beds admit through discharge |
| 182 | Hospital Swing Beds interim – |
| 183 | Hospital Swing Beds interim – continuing claims |
| 184 | Hospital Swing Beds interim – last claim |
| 185 | Hospital Swing Beds late charge only |
| 187 | Hospital Swing Beds replacement of prior claim |
| 188 | Hospital Swing Beds void/cancel of a prior claim |
| 189 | Hospital Swing Beds final claim for a home |
| 211 | Skilled Nursing IP( Inpatient) admit through discharge (Includes Medicare A) |
| 212 | Skilled Nursing IP( Inpatient) interim – (Includes Medicare A) |
| 213 |
Skilled Nursing IP( Inpatient) interim – continuing claims (Includes Medicare A)
|
| 214 | Skilled Nursing IP( Inpatient) interim – last claim (Includes Medicare A) |
| 215 | Skilled Nursing IP( Inpatient) late charge only (Includes Medicare A) |
| 217 |
Skilled Nursing IP( Inpatient) replacement of prior claim (Includes Medicare A)
|
| 218 |
Skilled Nursing IP( Inpatient) void/cancel of a prior claim (Includes Medicare A)
|
| 219 | Skilled Nursing IP( Inpatient) final claim for a home (Includes Medicare A) |
| 221 | Skilled Nursing IP( Inpatient) admit through discharge (Medicare B Only) |
| 222 | Skilled Nursing IP( Inpatient) interim – (Medicare B Only) |
| 223 | Skilled Nursing IP( Inpatient) interim – continuing claims (Medicare B Only) |
| 224 | Skilled Nursing IP( Inpatient) interim – last claim (Medicare B Only) |
| 225 | Skilled Nursing IP( Inpatient) late charge only (Medicare B Only) |
| 227 | Skilled Nursing IP( Inpatient) (Medicare B Only) replacement of prior claim |
| 228 | Skilled Nursing IP( Inpatient) (Medicare B Only) void/cancel of a prior claim |
| 229 | Skilled Nursing IP( Inpatient) (Medicare B Only) final claim for a home |
| 231 | Skilled Nursing OP(Outpatient)admit through discharge |
| 232 | Skilled Nursing OP(Outpatient)interim – |
| 233 | Skilled Nursing OP(Outpatient)interim – continuing claims |
| 234 | Skilled Nursing OP(Outpatient)interim – last claim |
| 235 | Skilled Nursing OP(Outpatient)late charge only |
| 237 | Skilled Nursing OP(Outpatient)replacement of prior claim |
| 238 | Skilled Nursing OP(Outpatient)void/cancel of a prior claim |
| 239 | Skilled Nursing OP(Outpatient)final claim for a home |
| 241 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge
|
| 242 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim –
|
| 243 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims
|
| 244 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim
|
| 245 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only
|
| 247 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim
|
| 248 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim
|
| 249 |
Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home
|
| 251 | SNF(Skilled Nursing Facility) Level I admit through discharge |
| 252 | SNF(Skilled Nursing Facility) Level I interim – |
| 253 | SNF(Skilled Nursing Facility) Level I interim – continuing claims |
| 254 | SNF(Skilled Nursing Facility) Level I interim – last claim |
| 255 | SNF(Skilled Nursing Facility) Level I late charge only |
| 257 | SNF(Skilled Nursing Facility) Level I replacement of prior claim |
| 258 | SNF(Skilled Nursing Facility) Level I void/cancel of a prior claim |
| 259 | SNF(Skilled Nursing Facility) Level I final claim for a home |
| 261 | SNF(Skilled Nursing Facility) Level II admit through discharge |
| 262 | SNF(Skilled Nursing Facility) Level II interim – |
| 263 | SNF(Skilled Nursing Facility) Level II interim – continuing claims |
| 264 | SNF(Skilled Nursing Facility) Level II interim – last claim |
| 265 | SNF(Skilled Nursing Facility) Level II late charge only |
| 267 | SNF(Skilled Nursing Facility) Level II replacement of prior claim |
| 268 | SNF(Skilled Nursing Facility) Level II void/cancel of a prior claim |
| 269 | SNF(Skilled Nursing Facility) Level II final claim for a home |
| 271 |
Skilled Nursing Intermediate Care – Level III Nursing Facility admit through discharge
|
| 272 | Skilled Nursing Intermediate Care – Level III Nursing Facility interim – |
| 273 |
Skilled Nursing Intermediate Care – Level III Nursing Facility interim – continuing claims
|
| 274 |
Skilled Nursing Intermediate Care – Level III Nursing Facility interim – last claim
|
| 275 | Skilled Nursing Intermediate Care – Level III Nursing Facility late charge only |
| 277 |
Skilled Nursing Intermediate Care – Level III Nursing Facility replacement of prior claim
|
| 278 |
Skilled Nursing Intermediate Care – Level III Nursing Facility void/cancel of a prior claim
|
| 279 |
Skilled Nursing Intermediate Care – Level III Nursing Facility final claim for a home
|
| 281 | Skilled Nursing Swing Beds admit through discharge |
| 282 | Skilled Nursing Swing Beds interim – |
| 283 | Skilled Nursing Swing Beds interim – continuing claims |
| 284 | Skilled Nursing Swing Beds interim – last claim |
| 285 | Skilled Nursing Swing Beds late charge only |
| 287 | Skilled Nursing Swing Beds replacement of prior claim |
| 288 | Skilled Nursing Swing Beds void/cancel of a prior claim |
| 289 | Skilled Nursing Swing Beds final claim for a home |
| 311 | Home Health IP( Inpatient) (Includes Medicare A) admit through discharge |
| 312 | Home Health IP( Inpatient) (Includes Medicare A) interim – |
| 313 | Home Health IP( Inpatient) (Includes Medicare A) interim – continuing claims |
| 314 | Home Health IP( Inpatient) (Includes Medicare A) interim – last claim |
| 315 | Home Health IP( Inpatient) (Includes Medicare A) late charge only |
| 317 | Home Health IP( Inpatient) (Includes Medicare A) replacement of prior claim |
| 318 | Home Health IP( Inpatient) (Includes Medicare A) void/cancel of a prior claim |
| 319 | Home Health IP( Inpatient) (Includes Medicare A) final claim for a home |
| 321 | Home Health IP( Inpatient) (Medicare B Only) admit through discharge |
| 322 | Home Health IP( Inpatient) (Medicare B Only) interim – |
| 323 | Home Health IP( Inpatient) (Medicare B Only) interim – continuing claims |
| 324 | Home Health IP( Inpatient) (Medicare B Only) interim – last claim |
| 325 | Home Health IP( Inpatient) (Medicare B Only) late charge only |
| 327 | Home Health IP( Inpatient) (Medicare B Only) replacement of prior claim |
| 328 | Home Health IP( Inpatient) (Medicare B Only) void/cancel of a prior claim |
| 329 | Home Health IP( Inpatient) (Medicare B Only) final claim for a home |
| 331 | Home Health OP(Outpatient)admit through discharge |
| 332 | Home Health OP(Outpatient)interim – |
| 333 | Home Health OP(Outpatient)interim – continuing claims |
| 334 | Home Health OP(Outpatient)interim – last claim |
| 335 | Home Health OP(Outpatient)late charge only |
| 337 | Home Health OP(Outpatient)replacement of prior claim |
| 338 | Home Health OP(Outpatient)void/cancel of a prior claim |
| 339 | Home Health OP(Outpatient)final claim for a home |
| 341 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge
|
| 342 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim –
|
| 343 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims
|
| 344 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim
|
| 345 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only
|
| 347 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim
|
| 348 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim
|
| 349 |
Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home
|
| 351 | Home Health Nursing Facility Level I admit through discharge |
| 352 | Home Health Nursing Facility Level I interim – |
| 353 | Home Health Nursing Facility Level I interim – continuing claims |
| 354 | Home Health Nursing Facility Level I interim – last claim |
| 355 | Home Health Nursing Facility Level I late charge only |
| 357 | Home Health Nursing Facility Level I replacement of prior claim |
| 358 | Home Health Nursing Facility Level I void/cancel of a prior claim |
| 359 | Home Health Nursing Facility Level I final claim for a home |
| 361 | Home Health Nursing Facility Level II admit through discharge |
| 362 | Home Health Nursing Facility Level II interim – |
| 363 | Home Health Nursing Facility Level II interim – continuing claims |
| 364 | Home Health Nursing Facility Level II interim – last claim |
| 365 | Home Health Nursing Facility Level II late charge only |
| 367 | Home Health Nursing Facility Level II replacement of prior claim |
| 368 | Home Health Nursing Facility Level II void/cancel of a prior claim |
| 369 | Home Health Nursing Facility Level II final claim for a home |
| 371 |
Home Health Intermediate Care – Level III Nursing Facility admit through discharge
|
| 372 | Home Health Intermediate Care – Level III Nursing Facility interim – |
| 373 |
Home Health Intermediate Care – Level III Nursing Facility interim – continuing claims
|
| 374 | Home Health Intermediate Care – Level III Nursing Facility interim – last claim |
| 375 | Home Health Intermediate Care – Level III Nursing Facility late charge only |
| 377 |
Home Health Intermediate Care – Level III Nursing Facility replacement of prior claim
|
| 378 |
Home Health Intermediate Care – Level III Nursing Facility void/cancel of a prior claim
|
| 379 |
Home Health Intermediate Care – Level III Nursing Facility final claim for a home
|
| 381 | Home Health Swing Beds admit through discharge |
| 382 | Home Health Swing Beds interim – |
| 383 | Home Health Swing Beds interim – continuing claims |
| 384 | Home Health Swing Beds interim – last claim |
| 385 | Home Health Swing Beds late charge only |
| 387 | Home Health Swing Beds replacement of prior claim |
| 388 | Home Health Swing Beds void/cancel of a prior claim |
| 389 | Home Health Swing Beds final claim for a home |
| 411 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) admit through discharge
|
| 412 | Christian Science Hospital IP( Inpatient) (Includes Medicare A) interim – |
| 413 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) interim – continuing claims
|
| 414 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) interim – last claim
|
| 415 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) late charge only
|
| 417 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) replacement of prior claim
|
| 418 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) void/cancel of a prior claim
|
| 419 |
Christian Science Hospital IP( Inpatient) (Includes Medicare A) final claim for a home
|
| 421 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) admit through discharge
|
| 422 | Christian Science Hospital IP( Inpatient) (Medicare B Only) interim – |
| 423 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) interim – continuing claims
|
| 424 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) interim – last claim
|
| 425 | Christian Science Hospital IP( Inpatient) (Medicare B Only) late charge only |
| 427 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) replacement of prior claim
|
| 428 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) void/cancel of a prior claim
|
| 429 |
Christian Science Hospital IP( Inpatient) (Medicare B Only) final claim for a home
|
| 431 | Christian Science Hospital OP(Outpatient)admit through discharge |
| 432 | Christian Science Hospital OP(Outpatient)interim – |
| 433 | Christian Science Hospital OP(Outpatient)interim – continuing claims |
| 434 | Christian Science Hospital OP(Outpatient)interim – last claim |
| 435 | Christian Science Hospital OP(Outpatient)late charge only |
| 437 | Christian Science Hospital OP(Outpatient)replacement of prior claim |
| 438 | Christian Science Hospital OP(Outpatient)void/cancel of a prior claim |
| 439 | Christian Science Hospital OP(Outpatient)final claim for a home |
| 441 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge
|
| 442 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim –
|
| 443 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims
|
| 444 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim
|
| 445 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only
|
| 447 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim
|
| 448 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim
|
| 449 |
Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home
|
| 451 | Christian Science Hospital Nursing Facility Level I admit through discharge |
| 452 | Christian Science Hospital Nursing Facility Level I interim – |
| 453 | Christian Science Hospital Nursing Facility Level I interim – continuing claims |
| 454 | Christian Science Hospital Nursing Facility Level I interim – last claim |
| 455 | Christian Science Hospital Nursing Facility Level I late charge only |
| 457 | Christian Science Hospital Nursing Facility Level I replacement of prior claim |
| 458 | Christian Science Hospital Nursing Facility Level I void/cancel of a prior claim |
| 459 | Christian Science Hospital Nursing Facility Level I final claim for a home |
| 461 | Christian Science Hospital Nursing Facility Level II admit through discharge |
| 462 | Christian Science Hospital Nursing Facility Level II interim – |
| 463 | Christian Science Hospital Nursing Facility Level II interim – continuing claims |
| 464 | Christian Science Hospital Nursing Facility Level II interim – last claim |
| 465 | Christian Science Hospital Nursing Facility Level II late charge only |
| 467 | Christian Science Hospital Nursing Facility Level II replacement of prior claim |
| 468 | Christian Science Hospital Nursing Facility Level II void/cancel of a prior claim |
| 469 | Christian Science Hospital Nursing Facility Level II final claim for a home |
| 471 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility admit through discharge
|
| 472 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility interim –
|
| 473 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility interim – continuing claims
|
| 474 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility interim – last claim
|
| 475 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility late charge only
|
| 477 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility replacement of prior claim
|
| 478 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility void/cancel of a prior claim
|
| 479 |
Christian Science Hospital Intermediate Care – Level III Nursing Facility final claim for a home
|
| 481 | Christian Science Hospital Swing Beds admit through discharge |
| 482 | Christian Science Hospital Swing Beds interim – |
| 483 | Christian Science Hospital Swing Beds interim – continuing claims |
| 484 | Christian Science Hospital Swing Beds interim – last claim |
| 485 | Christian Science Hospital Swing Beds late charge only |
| 487 | Christian Science Hospital Swing Beds replacement of prior claim |
| 488 | Christian Science Hospital Swing Beds void/cancel of a prior claim |
| 489 | Christian Science Hospital Swing Beds final claim for a home |
| 511 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) admit through discharge
|
| 512 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) interim –
|
| 513 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) interim – continuing claims
|
| 514 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) interim – last claim
|
| 515 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) late charge only
|
| 517 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) replacement of prior claim
|
| 518 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) void/cancel of a prior claim
|
| 519 |
Christian Science Extended Care IP( Inpatient) (Includes Medicare A) final claim for a home
|
| 521 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) admit through discharge
|
| 522 | Christian Science Extended Care IP( Inpatient) (Medicare B Only) interim – |
| 523 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) interim – continuing claims
|
| 524 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) interim – last claim
|
| 525 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) late charge only
|
| 527 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) replacement of prior claim
|
| 528 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) void/cancel of a prior claim
|
| 529 |
Christian Science Extended Care IP( Inpatient) (Medicare B Only) final claim for a home
|
| 531 | Christian Science Extended Care OP(Outpatient)admit through discharge |
| 532 | Christian Science Extended Care OP(Outpatient)interim – |
| 533 | Christian Science Extended Care OP(Outpatient)interim – continuing claims |
| 534 | Christian Science Extended Care OP(Outpatient)interim – last claim |
| 535 | Christian Science Extended Care OP(Outpatient)late charge only |
| 537 | Christian Science Extended Care OP(Outpatient)replacement of prior claim |
| 538 | Christian Science Extended Care OP(Outpatient)void/cancel of a prior claim |
| 539 | Christian Science Extended Care OP(Outpatient)final claim for a home |
| 541 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge
|
| 542 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim –
|
| 543 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims
|
| 544 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim
|
| 545 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only
|
| 547 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim
|
| 548 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim
|
| 549 |
Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home
|
| 551 |
Christian Science Extended Care Nursing Facility Level I admit through discharge
|
| 552 | Christian Science Extended Care Nursing Facility Level I interim – |
| 553 |
Christian Science Extended Care Nursing Facility Level I interim – continuing claims
|
| 554 | Christian Science Extended Care Nursing Facility Level I interim – last claim |
| 555 | Christian Science Extended Care Nursing Facility Level I late charge only |
| 557 |
Christian Science Extended Care Nursing Facility Level I replacement of prior claim
|
| 558 |
Christian Science Extended Care Nursing Facility Level I void/cancel of a prior claim
|
| 559 |
Christian Science Extended Care Nursing Facility Level I final claim for a home
|
| 561 |
Christian Science Extended Care Nursing Facility Level II admit through discharge
|
| 562 | Christian Science Extended Care Nursing Facility Level II interim – |
| 563 |
Christian Science Extended Care Nursing Facility Level II interim – continuing claims
|
| 564 | Christian Science Extended Care Nursing Facility Level II interim – last claim |
| 565 | Christian Science Extended Care Nursing Facility Level II late charge only |
| 567 |
Christian Science Extended Care Nursing Facility Level II replacement of prior claim
|
| 568 |
Christian Science Extended Care Nursing Facility Level II void/cancel of a prior claim
|
| 569 |
Christian Science Extended Care Nursing Facility Level II final claim for a home
|
| 571 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility admit through discharge
|
| 572 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim –
|
| 573 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim – continuing claims
|
| 574 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim – last claim
|
| 575 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility late charge only
|
| 577 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility replacement of a prior claim
|
| 578 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility void/cancel of a prior claim
|
| 579 |
Christian Science Extended Care Intermediate Care – Level III Nursing Facility final claim for a home
|
| 581 | Christian Science Extended Care Swing Beds admit through discharge |
| 582 | Christian Science Extended Care Swing Beds interim – |
| 583 | Christian Science Extended Care Swing Beds interim – continuing claims |
| 584 | Christian Science Extended Care Swing Beds interim – last claim |
| 585 | Christian Science Extended Care Swing Beds late charge only |
| 587 | Christian Science Extended Care Swing Beds replacement of a prior claim |
| 588 | Christian Science Extended Care Swing Beds void/cancel of a prior claim |
| 589 | Christian Science Extended Care Swing Beds final claim for a home |
