UB04 Type of Bill Code 0211: Skilled Nursing - Inpatient (Medicare Part A) - Admit through Discharge Claim

Introduction

Type of Bill Code 0211 represents a Skilled Nursing Inpatient claim for Medicare Part A covering the full stay from admission through discharge. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by Skilled Nursing Facilities (SNFs) when submitting a single claim that encompasses the entire duration of a patient's inpatient stay. It specifically applies to Medicare Part A beneficiaries where the facility is billing for a complete episode of care rather than a monthly interim bill.

Billing Impact

Using this code indicates a final claim, triggering the final payment reconciliation for the stay and closing the associated benefit period in the Medicare system.