UB04 Reference

UB04 Type of Bill Code 0121: Hospital Inpatient (Medicare Part B only) - Admit through Discharge Claim

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.

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FormJuicer 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)