UB04 Type of Bill Code 0231: Skilled Nursing - Outpatient - Admit through Discharge Claim

Introduction

Type of Bill Code 0231 represents a Skilled Nursing Facility (SNF) outpatient claim for a single encounter that covers the entire period from admission through discharge. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by Skilled Nursing Facilities when providing outpatient services, such as physical therapy or diagnostic tests, to patients who are not currently residents of the facility. It is specifically used for 'one-time' or 'short-term' encounters where the billing cycle is completed in a single claim rather than through interim billing.

Billing Impact

Using the 0231 code ensures that the payer processes the claim as a final bill, preventing the system from waiting for subsequent interim claims and facilitating faster reimbursement for the facility.