What does occurrence code 01 mean?
Asked by: Theodore Kutch | Last update: April 2, 2025Score: 4.9/5 (15 votes)
What is occurrence code 01?
CLM_RLT_OCRNC_CD Claim Related Occurrence Code Char 2 **OTHER** Miscoded 01 Auto accident - The date of an auto accident. 04 Accident/employment related - The date of an accident relating to the patient's employment. 05 Other accident - The date of an accident not described by the codes 01 thru 04.
What is condition code 01 in medical billing?
FL 18-28 - Condition Codes. 01 Military service related. 02 Condition is employment related. 03 Patient covered by insurance not reflected here. 04 Information only bill.
What is value code 01 on UB04?
FL 39-41 - Value Codes. 01 Most commom semi-private rate. 02 Hospital has no semi-private rooms. 04 Professional component charges, combined billed. 05 Professional component included, billed to carrier.
What is an occurrence code on a medical claim?
Definition. A code to describe specific event(s) relating to this billing period covered by the claim. (These are From Locators 31, 32, 33, 34, 35, and 36 - Occurrence Codes on the UB04.)
OCCURRENCE CODES IN MEDICAL BILLING #UB04 #rcmservices #RCMl #insurance #providers #patient
What does occurrence code 02 mean?
Code indicating accident-related injury for which there is medical payment coverage. Provide the date of accident/injury. 02. No Fault Insurance Involved - Including Auto Accident/Other.
What is occurrence in coding?
Code Occurrence - It is evaluated how many documents contain two codes. The position of the two codes is irrelevant; they must both have been assigned at least once in the document.
What is UB patient status code 01?
01 (Discharged to home or self care [routine discharge])
What are value codes on a claim?
The code indicating a monetary condition which was used on an institutional claim. Source: Medicare Advantage Organizations (MAOs)
What does occurrence code 05 mean?
05 Other Accident Code indicates the date of an accident not described by the above codes. This code is used to report that the provider has developed for other casualty related payers and has determined there are none.
What does status code 01 mean?
Definition: A code indicating the disposition or discharge status of the patient at the end of service for the period covered on the bill/record or claim. 01 Discharged to home or self-care (routine discharge).
What is a denial code 01?
What is Denial Code 1. Denial code 1 is related to the deductible amount. It indicates that the claim has been denied because the patient has not met their deductible for the specific service or treatment.
What is a Level 1 code in medical billing?
What is a Level I Code? Level I comprises Current Procedural Terminology (CPT-4 or CPT codes), a numeric coding system maintained by the American Medical Association (AMA). The numeric digit system maintains descriptive terms and codes used in medical billing.
What is condition code 01?
Understanding the Conditions/Situations Mentioned by NUBC
The NUBC's 2007 manual lists 99 situations with numeric codes ranging from 01-99. For example, sub-code 01 refers to the Military Service-Related situation explained as medical conditions incurred during military service.
What does occurrence amount mean?
Your insurance policy's per-occurrence limit is the maximum amount of money you'll get to cover a single incident. In comparison, your policy's aggregate limit is the highest amount of money the insurance company will pay you for all claims made during your policy period (usually one year).
What does occurrence insurance cover?
An occurrence-based policy covers losses that happen during the time you have the policy, regardless of when you file a claim. It is designed to protect you against long-tail events – incidents that could cause injury or damage years after they occur.
What does value code 01 mean?
01. Most common Semi-Private Rate - to provide for recording hospital's most common semi- private rate. 02. Hospital has no semi-private rooms - using this code requires $0.00 amount.
What are occurrence codes?
A code to describe to describe specific event(s) relating to this billing period covered by the claim.
What is a condition code on a claim?
Currently, Condition Codes are designed to allow the collection of information related to the patient, particular services, service venue and billing parameters which impact the processing of an Institutional claim.
What are the three accident occurrence codes?
Will Medicare pay for transfers from one hospital to another?
Medicare may cover the costs associated with transferring a patient from one hospital to another, but there is specific criteria that must be met for coverage to become available.
What is a status code on a medical claim?
A national administrative code set that identifies the status of health care claims.
What is the meaning of occurrence occurrence?
something that happens; event; incident: We were delayed by several unexpected occurrences.
What is an example of occurrence?
Street-fights are an everyday occurrence in this area of the city. Death was an everyday occurrence during the Civil War. It's still not possible to accurately predict the occurrence of earthquakes. There have been several occurrences of theft in the area recently.