Occurrence Code
This occurrence code indicates the Date of Accident.
01
This revenue code is used for General Medical/Surgical Room & Board.
0120 / 0123
CO11
The diagnosis is inconsistent with the procedure.
This condition code is used when a patient is admitted to a hospital for observation rather than for an inpatient stay.
44
Which PMS is used in Allendale
Meditech
This occurrence code refers to the Date of Onset of Symptoms / Illness.
11
This revenue code represents the Emergency Room.
0450
CO22
This care may be covered by another payer per coordination of benefits.
This code indicates that the patient's admission to the hospital was required by the payer for a medical emergency, such as an urgent or emergent condition that requires immediate intervention.
61
Which PMS is used in Minneola
Cerner
This occurrence code is used when a patient experiences Benefits Exhaustion.
42
This revenue code indicates Pharmacy services and is commonly billed with drugs.
0250
CO50
These are non-covered services because this is not deemed a 'medical necessity' by the payer.
This code is used when a patient is being admitted for a non-covered service or a non-eligible benefit under the payer’s policy, or when the patient is under an experimental treatment plan.
20
Which PMS is used in Hills and Dales and Marlette
Epic
This occurrence code is used for the Date the Patient Last Worked.
17
This revenue code (0450) is associated with this type of OP visit.
Emergency Room service
CO109
Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.
This condition code is used when a patient requires skilled nursing facility care after being discharged from an acute hospital setting
30
Which PMS is used in Baptist
Medhost
This occurrence code represents Hospice Election Date.
55
This revenue code is used for Physical Therapy — identify the code.
0420
CO197
Precertification/authorization/notification/pre-treatment absent.
This code is used when a patient is admitted to the hospital due to drug or alcohol dependency or when undergoing treatment for substance use disorders.
51
Which PMS is used in Beacon
Cerner