UB04 Type of Bill Code 0721: Clinic - ESRD - Admit through Discharge Claim

Introduction

Type of Bill Code 0721 represents a specific billing sequence for outpatient facilities providing End-Stage Renal Disease (ESRD) services. This code is reported in Field 4: Type of Bill to identify the claim as an Admit through Discharge submission.

Usage

This code is used by independent or hospital-based renal dialysis clinics to submit a single claim for a complete monthly billing cycle or a specific course of treatment. It signifies that the patient was admitted to the clinic's care and discharged within the same billing period, covering all dialysis sessions and related supplies provided during that timeframe.

Billing Impact

Using the 0721 designation ensures the claim is processed under the ESRD Prospective Payment System (PPS) and prevents payment delays by indicating that no further incremental claims are expected for this specific service period.