UB04 Type of Bill Code 0181: Hospital Swing Bed - Admit through Discharge Claim

Introduction

Type of Bill Code 0181 represents a Hospital Swing Bed - Admit through Discharge Claim. This code is reported in Field 4: Type of Bill to identify a single billing statement that covers the entire duration of a patient's stay in a swing bed unit.

Usage

This code is used by small, rural hospitals that have Medicare approval to use their beds interchangeably for either acute care or post-hospital skilled nursing facility (SNF) care. It specifically applies when the patient has been admitted to the swing bed and is being discharged within the same billing period, signifying a complete stay rather than a continuous or interim bill.

Billing Impact

Using code 0181 triggers reimbursement based on the SNF prospective payment system (PPS) rather than the standard inpatient DRG, as it indicates the patient is receiving skilled nursing level care in a hospital setting.