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August 2013

Discharge hour required on inpatient claims with frequency code 1, 4 and 7

Please remember that the discharge hour (Form Locator 16) is required on all final inpatient claims with frequency bill codes 1, 4 and 7 (Form Locator 04), except for skilled nursing facility inpatient claims, Type of Bill 021X. This change was effective on July 1, 2012, per the National Uniform Billing Committee.

This requirement is not applicable to hospice claims billed to BCBSM since they are excluded from the mandate.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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