Reason Code 32030
Description
Value code G8 and/or 61 are required on hospice claims to indicate the location where the hospice care was provided.
- Revenue code 0655 (respite) and/or 0656 (general inpatient care) was submitted on the hospice claim; however, value code “G8” is not present; and/or
- Revenue code 0651 (routine home care) and/or 0652 (continuous home care) was submitted on the hospice claim; however, value code “61” is not present.
Resolution
Check FISS Claim Page 02 to review the levels of care billed on the hospice claim. Ensure that a value code G8 or 61 is present to reflect the location where the level of care was provided.
If revenue code 0655 (respite) or 0656 (general inpatient care) is present on your claim, a value code “G8” is required in the value code field (FL 39–41 or “Value Code” field on FISS Page 01).
If revenue code 0651 (routine home care) or 0652 (continuous home care) is present on your claim, a value code “61” is required in the value code field (FL 39–41 or “Value Code” field on FISS Page 01).
Ensure that a Core Based Statistical Area (CBSA) code is submitted with the value code G8 or 61. The CBSA code must identify the location where the level of care was provided. A list of CBSA codes is available from the Hospice Agency Center web page under the header "Wage Index Files."