Code | Description | Version |
... | See NUBC codes | added v2.5.1 |
01 | Most common semi-private rate | added v2.3.1, removed after v2.4 |
02 | Hospital has no semi-private rooms | added v2.3.1, removed after v2.4 |
04 | Inpatient professional component charges which are combined billed | added v2.3.1, removed after v2.4 |
05 | Professional component included in charges and also billed separate to carrier | added v2.3.1, removed after v2.4 |
06 | Medicare blood deductible | added v2.3.1, removed after v2.4 |
08 | Medicare life time reserve amount in the first calendar year | added v2.3.1, removed after v2.4 |
09 | Medicare co-insurance amount in the first calendar year | added v2.3.1, removed after v2.4 |
10 | Lifetime reserve amount in the second calendar year | added v2.3.1, removed after v2.4 |
11 | Co-insurance amount in the second calendar year | added v2.3.1, removed after v2.4 |
12 | Working aged beneficiary/spouse with employer group health plan | added v2.3.1, removed after v2.4 |
13 | ESRD beneficiary in a Medicare coordination period with an employer group health plan | added v2.3.1, removed after v2.4 |
14 | No Fault including auto/other | added v2.3.1, removed after v2.4 |
15 | Worker's Compensation | added v2.3.1, removed after v2.4 |
16 | PHS, or other federal agency | added v2.3.1, removed after v2.4 |
17 | Payer code | added v2.3.1, removed after v2.4 |
21 | Catastrophic | added v2.3.1, removed after v2.4 |
22 | Surplus | added v2.3.1, removed after v2.4 |
23 | Recurring monthly incode | added v2.3.1, removed after v2.4 |
24 | Medicaid rate code | added v2.3.1, removed after v2.4 |
30 | Pre-admission testing | added v2.3.1, removed after v2.4 |
31 | Patient liability amount | added v2.3.1, removed after v2.4 |
37 | Pints of blood furnished | added v2.3.1, removed after v2.4 |
38 | Blood deductible pints | added v2.3.1, removed after v2.4 |
39 | Pints of blood replaced | added v2.3.1, removed after v2.4 |
40 | New coverage not implemented by HMO (for inpatient service only) | added v2.3.1, removed after v2.4 |
41 | Black lung | added v2.3.1, removed after v2.4 |
42 | VA | added v2.3.1, removed after v2.4 |
43 | Disabled beneficiary under age 64 with LGHP | added v2.3.1, removed after v2.4 |
44 | Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due | added v2.3.1, removed after v2.4 |
45 | Accident hour | added v2.3.1, removed after v2.4 |
46 | Number of grace days | added v2.3.1, removed after v2.4 |
47 | Any liability insurance | added v2.3.1, removed after v2.4 |
48 | Hemoglobin reading | added v2.3.1, removed after v2.4 |
49 | Hematocrit reading | added v2.3.1, removed after v2.4 |
50 | Physical therapy visits | added v2.3.1, removed after v2.4 |
51 | Occupational therapy visits | added v2.3.1, removed after v2.4 |
52 | Speech therapy visits | added v2.3.1, removed after v2.4 |
53 | Cardiac rehab visits | added v2.3.1, removed after v2.4 |
56 | Skilled nurse - home visit hours | added v2.3.1, removed after v2.4 |
57 | Home health aide - home visit hours | added v2.3.1, removed after v2.4 |
58 | Arterial blood gas | added v2.3.1, removed after v2.4 |
59 | Oxygen saturation | added v2.3.1, removed after v2.4 |
60 | HHA branch MSA | added v2.3.1, removed after v2.4 |
67 | Peritoneal dialysis | added v2.3.1, removed after v2.4 |
68 | EPO-drug | added v2.3.1, removed after v2.4 |
70 | Payer codes | added v2.3.1, removed after v2.4 |
70 ... 72 | Payer codes | added v2.3.1, removed after v2.4 |
71 | Payer codes | added v2.3.1, removed after v2.4 |
72 | Payer codes | added v2.3.1, removed after v2.4 |
75 | Payer codes | added v2.3.1, removed after v2.4 |
75 ... 79 | Payer codes | added v2.3.1, removed after v2.4 |
76 | Payer codes | added v2.3.1, removed after v2.4 |
77 | Payer codes | added v2.3.1, removed after v2.4 |
78 | Payer codes | added v2.3.1, removed after v2.4 |
79 | Payer codes | added v2.3.1, removed after v2.4 |
80 | Psychiatric visits | added v2.3.1, removed after v2.4 |
81 | Visits subject to co-payment | added v2.3.1, removed after v2.4 |
A1 | Deductible payer A | added v2.3.1, removed after v2.4 |
A2 | Coinsurance payer A | added v2.3.1, removed after v2.4 |
A3 | Estimated responsibility payer A | added v2.3.1, removed after v2.4 |
X0 | Service excluded on primary policy | added v2.3.1, removed after v2.4 |
X4 | Supplemental coverage | added v2.3.1, removed after v2.4 |
… | See NUBC codes | added v2.7.1, removed after v2.7.1 |