What is a occurrence code on a claim?
Occurrence Codes identify a significant event relating to an institutional claim that may affect payer processing. These codes are claim-related occurrences that are related to a time period (span of dates).
What are occurrence codes on a ub04?
Event codes are two alpha- numeric digits, and dates are six numeric digits (MMDDYY). When occurrence codes 01-04 and 24 are entered, the provider must make sure the entry includes the appropriate value code in FLs 39-41, if there is another payer involved. Occurrence and occurrence span codes are mutually exclusive.
What is an occurrence code 24?
Accident/Medical Payment Coverage – Date of accident/injury for which there is medical payment coverage. Reported with VC 14 or VC 47. If filing for a Conditional Payment, report with Occurrence Code 24.
Are occurrence codes required?
If beneficiary receiving a combination of PT / OT / SLP only one 11 occurrence code is required. Code indicates the last day of therapy services (e.g., physical, occupational or speech therapy).
What is a 55 occurrence code?
occurrence code 55 is present when patient discharge. status code 20 (expired), 40 (expired at home), 41. (expired in a medical facility), or 42 (expired – place. unknown) is present.
What does condition code D2 mean?
Changes in revenue
D2 – Changes in revenue code/HCPC. D3 – Second or subsequent interim PPS bill. D4 – Change in Grouper input (DRG) D5 – Cancel only to correct a patient’s Medicare ID number or provider number.
What is a hospital accommodation code?
Definition: The code which identifies the type of accommodation utilized by the patient during the billing period.
What is an occurrence code 50?
Occurrence Code 50: Assessment Date is defined as “Code indicating an assessment date as defined by the assessment instrument applicable to this provider type (e.g. Minimum Data Set for skilled nursing). For IRFs, this is the date assessment data was transmitted to the CMS National Assessment Collection Database.”
What is condition code D3?
D3. Second or subsequent interim PPS bill.