What is occurrence code 21?

Asked by: Xander Feeney  |  Last update: June 24, 2025
Score: 4.4/5 (4 votes)

Beneficiaries are assumed to be liable on claims using condition code 21, since these claims, sometimes called “no-pay bills” and having all non-covered charges, are submitted to Medicare to obtain a denial that can be passed to subsequent payers.

What does denial code 21 mean?

Denial code 21 is used when the insurance company determines that the injury or illness being claimed is the responsibility of a no-fault carrier.

What is a billing condition code 21?

These no-payment claims are referred to as “billing for denial” when they are submitted with the condition code 21 (billing for denial notice).

What is code 21 in a hospital?

New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement. or transfers to court/law enforcement. This includes transfers to incarceration facilities such as jail, prison, or other detention facility.

What does place of service code 21 mean?

21. Inpatient Hospital. A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.

OCCURRENCE CODES IN MEDICAL BILLING #UB04 #rcmservices #RCMl #insurance #providers #patient

22 related questions found

What is the fault code 21?

Fault Code 21 indicates a problem with the Auto-Neutral Park Brake Switch circuit.

What is the difference between POS 21 and 22?

The main difference between POS 21 and POS 22 is the patient's status: POS 21 is used for inpatient hospital services where the patient is formally admitted, while POS 22 is used for outpatient hospital services where the patient is not admitted and receives care without staying overnight.

What is code 21 used for?

Dialing *#21# on a GSM network like AT&T or T-Mobile will tell you whether your calls and messages are being diverted to another number. Call **21* if you use Verizon, US Cellular, or another CDMA network to discover any unconditional call forwarding settings that may be used to tap your phone.

What does code 21 do?

According to Gadget Mates, *#21# is a specific Unstructured Supplementary Service Data (USSD) code that is typically used to check the status of call forwarding on a mobile device. It allows users to view whether their calls are being forwarded and to which number. They are also called Interrogation codes.

What is hospital discharge code 21?

Change Request (CR) 6385 provides implementing instructions for a new patient discharge status code (21), which defines discharges or transfers to court/law enforcement.

What is ACH code 21?

ACH Return Code R21, also known as "Invalid Company Identification," is a standard code used in Automated Clearing House (ACH) transactions.

What is occurrence code 22?

iii) Occurrence Code 22 (date active care ended, i.e., date covered SNF level of care ended) = include the date active care ended; this should match the statement covers through date on the claim.

What are billing codes in healthcare?

CPT® is a uniform coding system consisting of descriptive terms and identifying codes used primarily to identify medical services and procedures furnished by physicians and other health care professionals for which they bill public or private health insurance programs.

What is condition code 21?

Beneficiaries are assumed to be liable on claims using condition code 21, since these claims, sometimes called “no-pay bills” and having all non-covered charges, are submitted to Medicare to obtain a denial that can be passed to subsequent payers. An advance beneficiary notice (ABN) is not required in these cases.

What are occurrence codes?

A code to describe specific event(s) relating to this billing period covered by the claim.

What is rejection code 21 missing or invalid information?

Usage: At least one other status code is required to identify the missing or invalid information. This rejection from the US Department of Labor means your 9-Digit Provider Site ID number is required on your claims and has not been included in Box 33B.

What is code 21 in medical billing?

This code specifies inpatient care as different from outpatient practice. It also includes emergency room visitation or care in assisted living facilities. Healthcare providers must use POS 21 to classify services as inpatient care to ensure that the bill accurately reflects the level of care provided.

What is problem code 21?

Code 21 "Windows is removing this device...(Code 21)" This error means that Windows is in the process of removing the device. However, the device has not yet been completely removed.

What does G21 code do?

G20 and G21 G Codes simply tell the controller what units the g-code program's coordinates are in. G20 specifies Imperial (inch) and G21 specifies Metric (mm) units. Once the controller knows what units you're giving it, it uses that knowledge to convert the coordinates to the unit system it uses internally.

What is 21 code for?

When you dial *#21#, you are, in fact, activating a feature access code that quickly tells you the status of call forwarding for your phone. It's a quick way of seeing what, in the case of this particular 'setting interrogation code,' your call forwarding settings.

What is termination cause code 21?

disconnect cause 21 : Call Rejected. Indicates that the equipment sending this cause does not wish to accept this call, alth9ough it could have accepted the call because the equipment sending this cause is neither busy nor incompatible.

What is 21 used for?

All that code does is tells you if call forwarding is on or off.

What is 21 in cms 1500?

Item 21. Item 21 - Enter the patient's diagnosis/condition. You must use an ICD-10 code number and code to the highest level of specificity for the date of service.

How to identify urgent care claims?

Urgent care facilities rely on designated Healthcare Common Procedure Coding System (HCPCS) codes, identified with the distinctive prefix 'S,' including S9088 and S9083. These codes play a pivotal role in facilitating billing processes for evaluating and treating medical conditions.

What is code 22 in medical billing?

Out-of-Network Provider: If the healthcare provider is not in the patient's insurance network, the claim may be denied with code 22. This denial indicates that the patient needs to seek care from an in-network provider to receive coverage.