1282H

FISS Narrative:

  • UB92: Code 42, for a hospice discharge, is only valid when the bill type is 81x or 82x
  • The fourth digit of the reason code reflects the sequence in which the error occurred
  • The sequence is 1 through 0 (1st through 10th occurrence) and A through T (11 through 30 occurrence)

Explanation and Suggestion:

  • Occurrence code 42 (date of discharge) is only valid for Medicare hospice claims when used with type of bill 0811, 0814, 0821 or 0824
  • Please correct and resubmit the claim

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

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