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Issue Number - Name
0122-Outpatient Hospice-Related Services
Review Type
Automated
Claim Type
Part A Inpatient
Region and State
RAC 1-4
All A/B MACs
Date Approved
12/11/2018

Description

Services related to a hospice terminal diagnosis provided during a hospice period are included in the hospice payment and are not paid separately.

Affected Codes

All CPT/HCPCS codes except those codes billed with condition code 7

Applicable Policy References

Social Security Act: Section 1833(e)
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 11, Section 10, Section 40.2, Section 50
CMS Pub. 100-02, Medicare Benefit Policy Manual, Chapter 9, Section 10