What are occurrence codes Medicare?
Occurrence Codes
| Code | Description |
|---|---|
| 01 | Accident/Medical Coverage |
| 02 | No Fault Insurance Involved – Including Auto Accident/Other |
| 03 | Accident/Tort Liability |
| 04 | Accident/ Employment Related |
What is an occurrence code?
Occurrence Codes identify a significant event relating to an institutional claim that may affect payer processing. These codes are claim-related occurrences that are related to a time period (span of dates).
What is an occurrence code 24?
Accident/Employment-Related – Date of an accident/injury related to beneficiary’s employment. Reported with VC 15 or VC 41. If filing for a Conditional Payment, report with Occurrence Code 24.
What is Medicare occurrence code 22?
Benefits exhaust claim with a drop in level of care within the same month (patient remains in Medicare-certified area) Occurrence Code 22 (date active care ended) – include the date active care ended; this should match the statement covers through date on the claim.
What is a 18 occurrence code?
18 Date of Retirement Code indicates the date of retirement for the Patient/Beneficiary patient/beneficiary. 19 Date of Retirement Code indicates the date of retirement for the Spouse patient’s spouse.
What is a 55 occurrence code?
occurrence code 55 is present when patient discharge. status code 20 (expired), 40 (expired at home), 41. (expired in a medical facility), or 42 (expired – place. unknown) is present.
What is purpose of occurrence code?
The code that identifies a significant event relating to an institutional claim that may affect payer processing. These codes are associated with a specific date (the claim related occurrence date).
What is occurrence code 55?
What does claim status 19 mean?
Primary
19. Processed as Primary, Forwarded to Additional Payer(s) Not Provided.
What box is the discharge status on a UB?
Box 17
Box 17 – Patient Discharge Status: (Required if applicable) This field indicates the discharge status of the patient when service is ended/complete.
What is an occurrence code 50?
Occurrence Code 50: Assessment Date is defined as “Code indicating an assessment date as defined by the assessment instrument applicable to this provider type (e.g. Minimum Data Set for skilled nursing). For IRFs, this is the date assessment data was transmitted to the CMS National Assessment Collection Database.”