Loop 2300 HI/FLs 18-28
| Condition Codes | Source |
|---|---|
| Enter codes for conditions or events that may affect bill processing. | NUBC |
Enter the corresponding condition code in numerical order to describe conditions or events that apply to the billing period. The codes help determine patient eligibility and benefits to administer primary or secondary insurance coverage.
- 02 – Condition is employment related
- 20 – Patient requested billing (demand bill)
- 21 – Billing for denial notice
- 41 – Partial hospitalization
- 44 – Inpatient admission changed to outpatient
- 67 – Patient elects not to use Lifetime Reserve (LTR) days
- 77 – Provider accepts or is obligated/required, due to a contractual arrangement or law, to accept payment by a primary payer as payment in full
- D0 – Changes to service dates
- D1 – Changes to charges
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