UB04 Type of Bill Code 0221: Skilled Nursing - Inpatient (Medicare Part B only) - Admit through Discharge Claim

Introduction

Type of Bill Code 0221 represents a Skilled Nursing Inpatient claim specifically for Medicare Part B services during an admit-through-discharge period. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by Skilled Nursing Facilities (SNFs) when a patient is receiving inpatient care but does not meet the requirements for a Medicare Part A stay, or their Part A benefits have been exhausted. It signifies a single bill covering the entire duration of the stay for ancillary services covered under Part B.

Billing Impact

Using this code ensures that the payer processes the claim for outpatient-style services provided in an inpatient setting, preventing erroneous denials related to Part A eligibility.