UB04 Type of Bill Code 0111: Hospital Inpatient (Including Medicare Part A) - Admit through Discharge Claim

Introduction

Type of Bill Code 0111 represents a Hospital Inpatient (Including Medicare Part A) Admit through Discharge Claim. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by acute care hospitals to submit a single, comprehensive claim for a patient's entire inpatient stay, from the date of admission to the date of discharge. It is specifically used when the billing period covers the full duration of the hospitalization rather than a partial or interim timeframe.

Billing Impact

The use of code 0111 triggers the calculation of a full Diagnosis-Related Group (DRG) payment for the stay and indicates to the payer that no further claims for this specific admission will be submitted.