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Medicare Billing: CMS-1450 & 837I

Loop 2300 DTP/FL 12

situationally required icon

Required for inpatient hospital and home health

Table 29: Loop 2300 DTP/FL 12 Field
Admission or Start of Care DateSource
Enter the date of admission or start of care.Patient or provider records

Guidelines for reporting the Admission or Start of Care Date include:

  • Report the admission or start of care date on all inpatient claims regardless of whether it’s an initial, interim, or final bill. A hospital or skilled nursing facility (SNF) enters the patient’s date of admission for inpatient care (MMDDYY).
  • An HHA enters the same date of admission as submitted on the RAP for the episode. Submit a RAP at the beginning of a 60-day episode or 30-day period of care.
  • A hospice enters the admission date, which must be the same date as the effective date of the hospice election or change of election. The date of admission can't precede the physician’s certification by more than 2 calendar days.