UB04 Reference

UB04 Type of Bill Code 0751: Clinic - Comprehensive Outpatient Rehabilitation Facility (CORF)

Introduction

Type of Bill Code 0751 identifies a claim submitted by a Comprehensive Outpatient Rehabilitation Facility (CORF). This code is reported in Field 4: Type of Bill.

Usage

This code is used when a patient receives coordinated outpatient diagnostic, therapeutic, and restorative services, such as physical therapy or occupational therapy, under a physician's plan of care. The '075' prefix designates the clinic category, while the final digit '1' indicates an admit-through-discharge claim for the billing period.

Billing Impact

Correct use of this code ensures the claim is processed under the Medicare Part B benefit rather than Part A, preventing denials related to improper facility classification.

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