HSP151

Data ElementBILL_CLASS
DescriptionA code indicating the specific bill classification.

Bill Classification for entities and services except for clinics and special features:
01 = Inpatient (Including Medicare Part A)
02 = Inpatient (Medicare Part B Only) (Includes HHA Visits Under a Part B Plan of Treatment)
03 = Outpatient (Includes HHA Visits Under a Part A Plan of Treatment Including DME Under Part A)
04 = Laboratory Services Provided to Non-Patients, or Home Health Not Under a Plan of Treatment
05 = Intermediate Care Level 1
06 = Intermediate Care Level 2
07 = Reserved for National Assignment
08 = Swing Beds
09 = Reserved for National Assignment

Bill Classification for Clinics:
01 = Rural Health Clinic
02 = Clinic – Hospital-Based or Independent Renal Dialysis Center
03 = Freestanding
04 = ORF
05 = CORF
06 = CMHC
07 = Reserved for National Assignment
08 = Reserved for National Assignment
09 = Other

Bill Classification for Special Facilities:
01 = Hospice (Non-Hospital Based)
02 = Hospice (Hospital Based)
03 = Ambulatory Surgery Center
04 = Freestanding Birthing Center
05 = Critical Access Hospital
06 = Residential Facility (Not Used for Medicare)
07 = Reserved for National Assignment
08 = Reserved for National Assignment
09 = Other (Not Used for Medicare)
TypeText
Formatvarchar
Length2
Coverage100%
Tip / Notes
Rank153