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Printed Date: 9/22/2015
If non-routine supplies were provided, the charges must be added to the claim using the appropriate supply Revenue code, or if supplies were not provided, the HHA must indicate that on the claim by changing the 5th position of the HIPPS code to the appropriate numeric value in the range one through six.
Explanation and Suggestion
If non-routine supplies were provided, providers must report:
If non-routine supplies were not provided during the episode, providers should change the 5th position of the HIPPS code to the corresponding numeric value of one through six.
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Last Updated: 10/10/2016