UB04 Type of Bill Code 0821: Specialty Facility - Hospice (Hospital Based) - Admit through Discharge Claim

Introduction

Type of Bill Code 0821 represents a Specialty Facility for Hospice services provided in a hospital-based setting for an Admit through Discharge Claim. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by hospital-based hospice providers to submit a single claim that covers the entire duration of a patient's stay, from the date of admission to the date of discharge. It specifically identifies that the hospice care is being administered within a specialty facility framework rather than a standalone hospice center.

Billing Impact

Using this code ensures the payer processes the encounter as a complete episode of care, preventing the need for interim billing and ensuring the reimbursement aligns with hospital-based hospice fee schedules.