What bill type code on ub04 home health claim?

Answer 1

Home Health UB-4 Type of Bill is: 341

UB-04/CMS-1450 Reference Material

Type of Bill Codes (Field 4)

This is a three-digit code; each digit is defined below.

1st Digit - Type of Facility Code

Hospital

1

Skilled Nursing Facility

2

Home Health

3

Christian Science (Hospital)

4

Christian Science (Extended Care)

5

Intermediate Care

6

Clinic

7 2nd Digit - Bill Classifications (Excluding Clinics & Special Facilities) Code

Inpatient

1

Outpatient

3

Other (For Hospital Referenced Diagnostic Services, or Home Health Not Under a Plan of Treatment)

4

Intermediate Care, Level I

5

Intermediate Care, Level II

6

Intermediate Care, Level III

7

Swing Beds

8 2nd Digit - Bill Classifications (Clinics Only) Code

Rural Health

1

Hospital Based or Independent Renal Dialysis Center

2

Free Standing

3

Other Rehabilitation Facility (ORF)

4

Other

9 2nd Digit - Bill Classifications (Special Facility Only) Code

Hospice (Non-Hospital Based)

1

Hospice (Hospital Based)

2

Ambulatory Surgery Center (ASC)

3

Freestanding Birthing Center

4 3rd Digit - Frequency Code

Admit through Discharge Claim

1

Interim - First Claim

2

Interim - Continuing Claims

3

Interim - Last Claim

4

Late Charge only

5

Adjustment of Prior Claim

6

Replacement of Prior Claim

7

Void/Cancel of Prior Claim

8