UB04 Type of Bill Code 0113: Hospital Inpatient (Including Medicare Part A) - Interim - Continuing Claim

Introduction

Type of Bill Code 0113 represents a Hospital Inpatient (Including Medicare Part A) - Interim - Continuing Claim. This code is reported in Field 4: Type of Bill to indicate that the patient is still receiving care at the facility and this is not the final bill for the stay.

Usage

This code is utilized by acute care hospitals for long-term inpatient stays where the facility submits claims in monthly or periodic increments to maintain cash flow. It specifically applies to the middle segments of a stay, following an initial interim claim and preceding the final discharge claim.

Billing Impact

The use of this code allows for partial reimbursement of services rendered to date, but it does not trigger the final DRG payment calculation until the discharge claim (Type of Bill 0111 or 0114) is processed.