Introduction
Type of Bill Code 0121 represents a Hospital Inpatient (Medicare Part B only) - Admit through Discharge Claim. This code is reported in Field 4: Type of Bill.
Usage
This code is utilized when a patient is an inpatient in a hospital setting but is either not entitled to Medicare Part A benefits or has exhausted their Part A coverage. It signifies a claim for ancillary services covered under Medicare Part B for the entire duration of the stay, from admission through discharge.
Billing Impact
Using this code ensures that the facility is reimbursed for specific Part B services rather than the standard Part A DRG payment, preventing claim denials for exhausted benefits.
Need to extract UB04 data?
Upload your UB04 PDFs and get structured data in seconds.
Start ExtractingFormJuicer Data Insights
This guide was developed by the FormJuicer Billing Research Team using official CMS and NUBC guidelines, combined with patterns observed from processing thousands of real UB-04 documents through our system.
Last Updated: April 30, 2026
Sources: CMS Pub. 100-04 Chapter 25, NUBC Official UB-04 Manual, Medicare Contractor Bulletins (Noridian, Palmetto, CGS)