What is the bill type for a corrected claim?

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For institutional claims (UB-04 / CMS-1450), the corrected claim bill type uses 7 (ending in XX7) as the third or fourth digit representing the frequency code, indicating a replacement or correction of a prior claim.

Corrected Claim Requirements

  • UB-04 Form (Box 4): Enter the 4-digit Type of Bill ending in 7 (e.g., 0117) to designate a replacement/corrected claim. (Use 8 or XX8 if you are voiding or canceling a prior claim entirely).
  • Original Claim Number: Enter the original Internal Control Number (ICN) or Document Control Number in Box 64 of the paper UB-04 form.
  • Electronic Submissions (837I): Report frequency code 7 in Loop 2300, CLM05-3 (or CLM05-03) along with the appropriate REF segment for the original reference number.
  • Professional Claims (CMS-1500): Note that professional claims do not use a Type of Bill box; instead, you enter resubmission code 7 and the original reference number in Box 22.

What is bill type 329?

Bill type 329 is a standardized Type of Bill (TOB) code used in medical billing for Medicare Home Health (HH) services to submit a final claim for an episode or period of care.

Key Details of Bill Type 329

  • Facility Type (Digit 3): The first part indicates a Home Health facility (digit 3 for home health, and 2 for specific care classifications like home health under a-type settings).
  • Frequency Code (Digit 9): The final digit 9 signifies a final claim for a specific home health billing cycle or episode of care.
  • Usage: Providers submit a Notice of Admission (NOA) using bill type 32A to open care, and then use bill type 329 to close out and request final payment for the designated 30-day or episodic period of care.

What is bill type 727?

Bill type 727 is a Replacement of Prior Claim used in medical billing for End-Stage Renal Disease (ESRD) facilities.

Key Details

  • Purpose: Used when a provider needs to correct a previously submitted and processed claim (other than for late charges).
  • Submission Rule: The original claim must be resubmitted in its entirety, updating only the specific data items that require correction.
  • Bill Structure: It falls under the 72X type of bill family (clinic/ESRD facility outpatient services), where the final digit '7' specifically designates a replacement or corrected adjustment claim.

What does bill type 223 mean?

Bill type 223 is a standardized medical billing code that designates an interim, continuing claim for Skilled Nursing Facility (SNF) Medicare Part B services.

Code Breakdown

Institutional bill types use a 3-digit or 4-digit code structure (often with a leading zero that systems ignore):

  • First digit (2): Identifies the facility type as a Skilled Nursing Facility (SNF).
  • Second digit (2): Specifies the subtype or specific level of care/program, which for "22" indicates Skilled Nursing Facility (Medicare Part B only).
  • Third digit (3): Acts as a frequency code representing an interim, continuing claim (submitted at periodic intervals during an ongoing course of treatment or long-term stay).

What is bill type 141 on UB04?

Type of bill code 141 on a UB-04 claim form (entered as 0141 in Box 4) stands for a hospital-other (non-patient/laboratory services provided to non-patients or reference laboratory tests).

Code Breakdown

  • First digit (0): Leading zero (ignored by processing systems, required for alignment).
  • Second digit (1): Hospital facility.
  • Third digit (4): Other hospital-associated care or diagnostic/laboratory services for non-patients (specimens sent in from an outside clinic or reference lab where the patient is not registered as a traditional hospital outpatient).
  • Fourth digit (1): Frequency code indicating a initial/admit through discharge claim (a new/original claim for this specific episode).

Common Usage & Rules

  • Non-Patient Labs: Used when a lab specimen is collected at an external location (like a physician's office or outside clinic) and sent to the hospital laboratory for processing, and the patient never physically visits the hospital as an outpatient.
  • Denials/Errors: Payers frequently reject or deny 0141 claims if the service requires an outpatient registration or if conflicting charges (like a hospital lab-draw fee code) are improperly attached.

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9 related questions found

What is bill type 831 used for?

Bill type 831 is an institutional code used on the UB-04 claim form to bill for services provided at an Ambulatory Surgery Center (ASC).

📊 Code Breakdown

  • 8: Special Facility category
  • 3: Ambulatory Surgical Center (ASC) care level
  • 1: Admit-through-discharge claim frequency (initial/only claim)

📌 Common Uses

  • Facility Fees: Reporting operating room, recovery room, and nursing services.
  • Surgical Supplies: Billing for on-site implants, drugs, and surgical dressings.
  • Single-Session Claims: Submitting standard outpatient surgery charges from start to finish on one claim.

What is bill type 327?

Type of bill (TOB) code 327 is an institutional adjustment claim used primarily by Home Health Agencies (HHAs) to correct a previously processed and paid Medicare claim.

Code Breakdown

  • Leading 0: Ignored by Medicare (often written as 0327 or 327).
  • 3: Identifies the facility type as Home Health.
  • 2: Specifies Home Health Services under a plan of care.
  • 7 (Frequency Code): Indicates a replacement/adjustment of a prior claim.

When to Use TOB 327

You submit a type of bill 327 when a mistake is discovered on a claim that Medicare has already paid. Common corrections include:

  • D0: Changes to service dates
  • D1: Changes to charges
  • D2: Changes to revenue, HCPCS, or HIPPS codes
  • E0: Changes to patient status
  • D9: Any other or multiple changes (requires a description in the Remarks field)

You can review comprehensive lists and guidelines for these codes at CGS Medicare Home Health Billing Codes or through the Palmetto GBA Job Aid.

What is bill type 893?

Bill type 893 (or 0893) is a medical billing Type of Bill (TOB) code representing an interim-continuing claim for a special facility, ambulatory surgery center (ASC), or other outpatient services where the frequency is an ongoing interim payment.

Code Structure Breakdown

  • Leading Digit (0): Ignored leading zero in four-digit billing structures.
  • Second Digit (8): Indicates a Special Facility, Critical Access Hospital (CAH), or Ambulatory Surgery Center (ASC).
  • Third Digit (9): Denotes Other special facility services or classifications.
  • Fourth Digit (3): Acts as a frequency code meaning an interim-continuing claim (indicating that this is an ongoing bill during a continuing course of treatment or episode, and is generally not valid for standard Prospective Payment System / PPS bills).

What is a 721 type of bill?

Bill type 721 is an institutional claim code used by End-Stage Renal Disease (ESRD) facilities to designate an Admit Through Discharge Claim for an entire course of outpatient treatment.

Overview of Bill Type 721

  • Definition: It indicates a claim that covers an entire billing period or sequence of outpatient dialysis treatment where the provider expects final payment from the payer.
  • Digit Breakdown:
    • The first two digits (72) identify the claim as belonging to an ESRD facility.
    • The third digit (1) identifies the frequency as an admit-through-discharge (single bill spanning the active service period, typically monthly for repetitive dialysis services).
  • Usage: Used according to guidelines in the CMS Medicare Claims Processing Manual to report regular monthly outpatient maintenance dialysis, or to submit a corrected bill if a provider number or identifier was initially wrong.

Key Billing Requirements

  • Line-Item Details: Individual dialysis sessions must be billed on separate lines with matching line-item dates of service rather than just a single span date total.
  • Condition & Revenue Codes: Claims require appropriate condition codes (such as setting indicators 71–74) and specific revenue codes (like 082X for hemodialysis or 083X/088X for peritoneal dialysis).
  • Frequency Limits: Standard Medicare coverage handles up to three treatments per week under the End Stage Renal Disease PPS, requiring specific modifiers (like KX) if extra medically necessary sessions are billed.

What is bill type 0731?

Bill type 731 is an institutional claim code used on the UB-04 form that stands for a Freestanding Clinic / Federally Qualified Health Center (FQHC) - Admit Through Discharge original claim.

Code Breakdown

  • First Digit (7): Clinic or specific outpatient facility.
  • Second Digit (3): Freestanding clinic (historically or regionally associated with FQHC or specific clinic care depending on local payer implementation).
  • Third Digit (1): Admit through discharge (an original/initial complete claim for an episode of care where no further bills are expected).