UB04 Reference

UB04 Admission Hour Code 11: 11:00 AM - 11:59 AM

Introduction

Admission Hour Code 11 represents the specific sixty-minute window during which a patient was formally admitted to the facility for care. This code is reported in Field 13: Admission Hour to document that the admission process occurred between 11:00 AM and 11:59 AM.

Usage

This code is utilized by institutional providers, such as acute care hospitals and skilled nursing facilities, to track the timing of inpatient or outpatient arrivals. It applies to all patients regardless of the clinical department, provided the official admission time falls within the late morning hour.

Billing Impact

While the admission hour does not directly determine the DRG payment, accurate reporting is essential for claim validation and helps auditors verify the medical necessity of the first day of room and board charges.

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