Sunday, April 3, 2011

Bill type for capsule Endoscopy claims

Coding information for Capsule Endoscopy

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.

012x  Hospital Inpatient (Medicare Part B only)
013x  Hospital Outpatient
021x  Skilled Nursing - Inpatient (Including Medicare Part A)
022x  Skilled Nursing - Inpatient (Medicare Part B only)
023x  Skilled Nursing - Outpatient
071x  Clinic - Rural Health
072x  Clinic - Hospital Based or Independent Renal Dialysis Center
073x  Clinic - Freestanding
085x  Critical Access Hospital

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