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Medicare Billing: CMS-1450 & 837I

Loop 2400 SV2/FL 44

situationally required icon

Required for outpatient claims when there's an HCPCS for this service line item.

OR

Required for inpatient claims when there's a HCPCS for drugs or biologics or HIPPS code for this service line item.

Table 39: Loop 2400 SV2/FL 44 Field
HCPCS/Accommodation Rates/Health Insurance Prospective Payment System Rate CodesSource

Report the HCPCS for services given. Add modifiers to HCPCS as needed.

This field may also contain the HIPPS rate code. Claims for HHAs, inpatient SNFs, swing bed providers, and Inpatient Rehabilitation Facilities (IRFs) must enter the HIPPS code in FL 44 when applicable.

HCPCS

Level I: CPT codes maintained by the American Medical Association (AMA)

Level II: Maintained by CMS

Visit the HIPPS Codes webpage for a complete list of HIPPS codes.

Use HCPCS Level I and II codes to code procedures on all claims in FL 44, except for inpatient hospitals. Use ICD codes for procedure coding on inpatient hospital Part A claims as discussed later in this lesson for FL 74 and FL 74A-E.