NUBC Revises Occurrence Code 72 to Accommodate2-Midnight Provision for IPPS, CAH Facilities
Dec. 17—The National Uniform Billing Committee has redefined a code in its billing data set (Occurrence Code 72) to allow hospitals to denote inpatient claims meeting the Centers for Medicare & Medicaid Services’ (CMS’s) two-midnight benchmark through a combination of outpatient and inpatient services.
Effective Dec. 1, 2013, hospitals may use Occurrence Code 72 on inpatient bills to denote the date span of contiguous outpatient hospital services that preceded the inpatient admission.
CMS is developing a Change Request (CR 8586) and a MedLearn Matters, which should be published within the next few weeks and will include examples.
The revised code aims to prevent the claim from being audited.
Publication Date: Tuesday, December 17, 2013