| Code |
Version |
Description |
updated |
| 0022 |
1 |
SNF
claim paid under PPS submitted as TOB 21X, effective for cost reporting
periods beginning on or after 7/1/98 (dates of service after 6/30/98). |
7/24/2002 |
| 0023 |
1 |
Home
Health services paid under PPS submitted as TOB 32X and 33X, effective
10/00. This code may appear
multiple times on a claim to identify different HIPPS/Home Health Resource
Groups (HRG). |
7/24/2002 |
| 0024 |
1 |
Inpatient rehabilitation facility prospective payment system |
|
| 0100 |
1 |
All inclusive
rate-room and board plus ancillary |
7/24/2002 |
| 0101 |
1 |
All inclusive rate-room and
board |
7/24/2002 |
| 0110 |
1 |
Private
medical or general-general classification |
7/24/2002 |
| 0111 |
1 |
Private medical
or general-medical/surgical/GYN |
7/24/2002 |