UB04 Type of Bill Codes or TOB Code is a 4 digit alphanumeric code that identifies the kind of bill submitted to a payer from the billing company. TOB codes specify different parts of information on the UB-04 claim form or CMS-1450 claim form. UB04 Type of Bill Codes List reported in field locator 4 on line 1.
TOB Codes description as per Digit
1st Digit = Leading zero. Ignored by CMS
2nd Digit = Type of facility
3rd Digit = Type of care
4rth Digit = Sequence of this bill in this episode of care. Referred to as a “frequency” code
Note- TOB Required for institutional claims and Not to be used for professional claims. Some examples the List of Type of Bill codes are listed below
TOB Codes List 2024
| TOB Codes | Description |
| 111 TOB | Hospital Inpatient admit through discharge(Including Medicare Part A) (Bill type 111) |
| 112 | Hospital Inpatient interim (Including Medicare Part A) |
| 113 | Hospital Inpatient interim (Including Medicare Part A)- continuing claims |
| 114 | Hospital Inpatient interim (Including Medicare Part A) – last claim |
| TOB 115 | Hospital Inpatient late charge only(Including Medicare Part A) |
| 117 | Hospital Inpatient replacement of prior claim (Including Medicare Part A) (Bill type 117) |
| TOB 118 | Hospital Inpatient void/cancel of a prior claim (Including Medicare Part A) |
| 119 | Hospital Inpatient final claim for a home (Including Medicare Part A) |
| TOB 121 | Hospital Inpatient admit through discharge (Medicare Part B Only) (121 type of bill) |
| TOB 122 | Hospital Inpatient interim (Medicare Part B Only) |
| 123 | Hospital Inpatient interim – continuing claims (Medicare Part B Only) |
| 124 | Hospital Inpatient interim – last claim (Medicare Part B Only) |
| 125 | Hospital Inpatient late charge only (Medicare Part B Only) |
| TOB 127 | Hospital Inpatient replacement of prior claim (Medicare Part B Only) |
| 128 | Hospital Inpatient void/cancel of a prior claim (Medicare Part B Only) |
| 129 | Hospital Inpatient final claim for a home (Medicare Part B Only) |
| 131 | Hospital Outpatient admit through discharge (131 Type of Bill) |
| TOB 132 | Hospital Outpatient interim – |
| TOB 133 | Hospital Outpatient interim – continuing claims |
| TOB 134 | Hospital Outpatient interim – last claim |
| 135 | Hospital Outpatient late charge only. (type of bill 135, tob 135 in medical billing) |
| Bill type 137 | Hospital Outpatient replacement of prior claim (type of bill 137) |
| 138 | Hospital Outpatient void/cancel of a prior claim |
| 139 | Hospital Outpatient final claim for a home |
| 141 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge. (Bill type 141) |
| 142 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – |
| 143 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims |
| 144 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim |
| 145 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only |
| Tob 147 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim (Tob 147) |
| 148 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim |
| 149 | Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home |
| 151 | Hospital Nursing Facility Level I admit through discharge |
| 152 | Hospital Nursing Facility Level I interim – |
| 153 | Hospital Nursing Facility Level I interim – continuing claims |
| 154 | Hospital Nursing Facility Level I interim – last claim |
| 155 | Hospital Nursing Facility Level I late charge only |
| 157 | Hospital Nursing Facility Level I replacement of prior claim |
| 158 | Hospital Nursing Facility Level I void/cancel of a prior claim |
| 159 | Hospital Nursing Facility Level I final claim for a home |
| 161 | Hospital Nursing Facility Level II admit through discharge |
| 162 | Hospital Nursing Facility Level II interim – |
| 163 | Hospital Nursing Facility Level II interim – continuing claims |
| 164 | Hospital Nursing Facility Level II interim – last claim |
| 165 | Hospital Nursing Facility Level II late charge only |
| 167 | Hospital Nursing Facility Level II replacement of prior claim |
| 168 | Hospital Nursing Facility Level II void/cancel of a prior claim |
| 169 | Hospital Nursing Facility Level II final claim for a home |
| 171 | Hospital Intermediate Care – Level III Nursing Facility admit through discharge |
| 172 | Hospital Intermediate Care – Level III Nursing Facility interim – |
| 173 | Hospital Intermediate Care – Level III Nursing Facility interim – continuing claims |
| 174 | Hospital Intermediate Care – Level III Nursing Facility interim – last claim |
| 175 | Hospital Intermediate Care – Level III Nursing Facility late charge only |
| 177 | Hospital Intermediate Care – Level III Nursing Facility replacement of prior claim |
| 178 | Hospital Intermediate Care – Level III Nursing Facility void/cancel of a prior claim |
| 179 | Hospital Intermediate Care – Level III Nursing Facility final claim for a home |
| 181 | Hospital Swing Beds admit through discharge |
| 182 | Hospital Swing Beds interim – |
| 183 | Hospital Swing Beds interim – continuing claims |
| 184 | Hospital Swing Beds interim – last claim |
| 185 | Hospital Swing Beds late charge only |
| 187 | Hospital Swing Beds replacement of prior claim |
| 188 | Hospital Swing Beds void/cancel of a prior claim |
| 189 | Hospital Swing Beds final claim for a home |
| 211 | Skilled Nursing Inpatient admit through discharge (Including Medicare Part A) |
| 212 | Skilled Nursing Inpatient interim – (Including Medicare Part A) |
| 213 | Skilled Nursing Inpatient interim – continuing claims (Including Medicare Part A) |
| 214 | Skilled Nursing Inpatient interim – last claim (Including Medicare Part A) |
| 215 | Skilled Nursing Inpatient late charge only (Including Medicare Part A) |
| 217 | Skilled Nursing Inpatient replacement of prior claim (Including Medicare Part A) |
| 218 | Skilled Nursing Inpatient void/cancel of a prior claim (Including Medicare Part A) |
| 219 | Skilled Nursing Inpatient final claim for a home (Including Medicare Part A) |
| Bill type 221 | Skilled Nursing Inpatient admit through discharge (Medicare Part B Only) |
| 222 | Skilled Nursing Inpatient interim – (Medicare Part B Only) |
| 223 | Skilled Nursing Inpatient interim – continuing claims (Medicare Part B Only) |
| 224 | Skilled Nursing Inpatient interim – last claim (Medicare Part B Only) |
| 225 | Skilled Nursing Inpatient late charge only (Medicare Part B Only) |
| 227 | Skilled Nursing Inpatient (Medicare Part B Only) replacement of prior claim |
| 228 | Skilled Nursing Inpatient (Medicare Part B Only) void/cancel of a prior claim |
| 229 | Skilled Nursing Inpatient (Medicare Part B Only) final claim for a home |
| 231 | Skilled Nursing Outpatient admit through discharge |
| 232 | Skilled Nursing Outpatient interim – |
| 233 | Skilled Nursing Outpatient interim – continuing claims |
| 234 | Skilled Nursing Outpatient interim – last claim |
| 235 | Skilled Nursing Outpatient late charge only |
| 237 | Skilled Nursing Outpatient replacement of prior claim |
| 238 | Skilled Nursing Outpatient void/cancel of a prior claim |
| 239 | Skilled Nursing Outpatient final claim for a home |
| 241 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge |
| 242 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – |
| 243 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims |
| 244 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim |
| 245 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only |
| 247 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim |
| 248 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim |
| 249 | Skilled Nursing Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home |
| 251 | Skilled Nursing Nursing Facility Level I admit through discharge |
| 252 | Skilled Nursing Nursing Facility Level I interim – |
| 253 | Skilled Nursing Nursing Facility Level I interim – continuing claims |
| 254 | Skilled Nursing Nursing Facility Level I interim – last claim |
| 255 | Skilled Nursing Nursing Facility Level I late charge only |
| 257 | Skilled Nursing Nursing Facility Level I replacement of prior claim |
| 258 | Skilled Nursing Nursing Facility Level I void/cancel of a prior claim |
| 259 | Skilled Nursing Nursing Facility Level I final claim for a home |
| 261 | Skilled Nursing Nursing Facility Level II admit through discharge |
| 262 | Skilled Nursing Nursing Facility Level II interim – |
| 263 | Skilled Nursing Nursing Facility Level II interim – continuing claims |
| 264 | Skilled Nursing Nursing Facility Level II interim – last claim |
| 265 | Skilled Nursing Nursing Facility Level II late charge only |
| 267 | Skilled Nursing Nursing Facility Level II replacement of prior claim |
| 268 | Skilled Nursing Nursing Facility Level II void/cancel of a prior claim |
| 269 | Skilled Nursing Nursing Facility Level II final claim for a home |
| 271 | Skilled Nursing Intermediate Care – Level III Nursing Facility admit through discharge |
| 272 | Skilled Nursing Intermediate Care – Level III Nursing Facility interim – |
| 273 | Skilled Nursing Intermediate Care – Level III Nursing Facility interim – continuing claims |
| 274 | Skilled Nursing Intermediate Care – Level III Nursing Facility interim – last claim |
| 275 | Skilled Nursing Intermediate Care – Level III Nursing Facility late charge only |
| 277 | Skilled Nursing Intermediate Care – Level III Nursing Facility replacement of prior claim |
| 278 | Skilled Nursing Intermediate Care – Level III Nursing Facility void/cancel of a prior claim |
| 279 | Skilled Nursing Intermediate Care – Level III Nursing Facility final claim for a home |
| 281 | Skilled Nursing Swing Beds admit through discharge |
| 282 | Skilled Nursing Swing Beds interim – |
| 283 | Skilled Nursing Swing Beds interim – continuing claims |
| 284 | Skilled Nursing Swing Beds interim – last claim |
| 285 | Skilled Nursing Swing Beds late charge only |
| 287 | Skilled Nursing Swing Beds replacement of prior claim |
| 288 | Skilled Nursing Swing Beds void/cancel of a prior claim |
| 289 | Skilled Nursing Swing Beds final claim for a home |
| 311 | Home Health Inpatient (Including Medicare Part A) admit through discharge |
| 312 | Home Health Inpatient (Including Medicare Part A) interim – |
| 313 | Home Health Inpatient (Including Medicare Part A) interim – continuing claims |
| 314 | Home Health Inpatient (Including Medicare Part A) interim – last claim |
| 315 | Home Health Inpatient (Including Medicare Part A) late charge only |
| 317 | Home Health Inpatient (Including Medicare Part A) replacement of prior claim |
| 318 | Home Health Inpatient (Including Medicare Part A) void/cancel of a prior claim |
| 319 | Home Health Inpatient (Including Medicare Part A) final claim for a home |
| 321 | Home Health Inpatient (Medicare Part B Only) admit through discharge |
| 322 | Home Health Inpatient (Medicare Part B Only) interim – |
| TOB 323 | Home Health Inpatient (Medicare Part B Only) interim – continuing claims |
| 324 | Home Health Inpatient (Medicare Part B Only) interim – last claim |
| 325 | Home Health Inpatient (Medicare Part B Only) late charge only |
| 327 | Home Health Inpatient (Medicare Part B Only) replacement of prior claim |
| 328 | Home Health Inpatient (Medicare Part B Only) void/cancel of a prior claim |
| 329 | Home Health Inpatient (Medicare Part B Only) final claim for a home |
| 331 | Home Health Outpatient admit through discharge |
| 332 | Home Health Outpatient interim – |
| 333 | Home Health Outpatient interim – continuing claims |
| 334 | Home Health Outpatient interim – last claim |
| 335 | Home Health Outpatient late charge only |
| 337 | Home Health Outpatient replacement of prior claim |
| 338 | Home Health Outpatient void/cancel of a prior claim |
| 339 | Home Health Outpatient final claim for a home |
| 341 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge |
| 342 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – |
| 343 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims |
| 344 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim |
| 345 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only |
| 347 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim |
| 348 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim |
| 349 | Home Health Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home |
| 351 | Home Health Nursing Facility Level I admit through discharge |
| 352 | Home Health Nursing Facility Level I interim – |
| 353 | Home Health Nursing Facility Level I interim – continuing claims |
| 354 | Home Health Nursing Facility Level I interim – last claim |
| 355 | Home Health Nursing Facility Level I late charge only |
| 357 | Home Health Nursing Facility Level I replacement of prior claim |
| 358 | Home Health Nursing Facility Level I void/cancel of a prior claim |
| 359 | Home Health Nursing Facility Level I final claim for a home |
| 361 | Home Health Nursing Facility Level II admit through discharge |
| 362 | Home Health Nursing Facility Level II interim – |
| 363 | Home Health Nursing Facility Level II interim – continuing claims |
| 364 | Home Health Nursing Facility Level II interim – last claim |
| 365 | Home Health Nursing Facility Level II late charge only |
| 367 | Home Health Nursing Facility Level II replacement of prior claim |
| 368 | Home Health Nursing Facility Level II void/cancel of a prior claim |
| 369 | Home Health Nursing Facility Level II final claim for a home |
| 371 | Home Health Intermediate Care – Level III Nursing Facility admit through discharge |
| 372 | Home Health Intermediate Care – Level III Nursing Facility interim – |
| 373 | Home Health Intermediate Care – Level III Nursing Facility interim – continuing claims |
| 374 | Home Health Intermediate Care – Level III Nursing Facility interim – last claim |
| 375 | Home Health Intermediate Care – Level III Nursing Facility late charge only |
| 377 | Home Health Intermediate Care – Level III Nursing Facility replacement of prior claim |
| 378 | Home Health Intermediate Care – Level III Nursing Facility void/cancel of a prior claim |
| 379 | Home Health Intermediate Care – Level III Nursing Facility final claim for a home |
| 381 | Home Health Swing Beds admit through discharge |
| 382 | Home Health Swing Beds interim – |
| 383 | Home Health Swing Beds interim – continuing claims |
| 384 | Home Health Swing Beds interim – last claim |
| 385 | Home Health Swing Beds late charge only |
| 387 | Home Health Swing Beds replacement of prior claim |
| 388 | Home Health Swing Beds void/cancel of a prior claim |
| 389 | Home Health Swing Beds final claim for a home |
| 411 | Christian Science Hospital Inpatient (Including Medicare Part A) admit through discharge |
| 412 | Christian Science Hospital Inpatient (Including Medicare Part A) interim – |
| 413 | Christian Science Hospital Inpatient (Including Medicare Part A) interim – continuing claims |
| 414 | Christian Science Hospital Inpatient (Including Medicare Part A) interim – last claim |
| 415 | Christian Science Hospital Inpatient (Including Medicare Part A) late charge only |
| 417 | Christian Science Hospital Inpatient (Including Medicare Part A) replacement of prior claim |
| 418 | Christian Science Hospital Inpatient (Including Medicare Part A) void/cancel of a prior claim |
| 419 | Christian Science Hospital Inpatient (Including Medicare Part A) final claim for a home |
| 421 | Christian Science Hospital Inpatient (Medicare Part B Only) admit through discharge |
| 422 | Christian Science Hospital Inpatient (Medicare Part B Only) interim – |
| 423 | Christian Science Hospital Inpatient (Medicare Part B Only) interim – continuing claims |
| 424 | Christian Science Hospital Inpatient (Medicare Part B Only) interim – last claim |
| 425 | Christian Science Hospital Inpatient (Medicare Part B Only) late charge only |
| 427 | Christian Science Hospital Inpatient (Medicare Part B Only) replacement of prior claim |
| 428 | Christian Science Hospital Inpatient (Medicare Part B Only) void/cancel of a prior claim |
| 429 | Christian Science Hospital Inpatient (Medicare Part B Only) final claim for a home |
| 431 | Christian Science Hospital Outpatient admit through discharge |
| 432 | Christian Science Hospital Outpatient interim – |
| 433 | Christian Science Hospital Outpatient interim – continuing claims |
| 434 | Christian Science Hospital Outpatient interim – last claim |
| 435 | Christian Science Hospital Outpatient late charge only |
| 437 | Christian Science Hospital Outpatient replacement of prior claim |
| 438 | Christian Science Hospital Outpatient void/cancel of a prior claim |
| 439 | Christian Science Hospital Outpatient final claim for a home |
| 441 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge |
| 442 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – |
| 443 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims |
| 444 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim |
| 445 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only |
| 447 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim |
| 448 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim |
| 449 | Christian Science Hospital Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home |
| 451 | Christian Science Hospital Nursing Facility Level I admit through discharge |
| 452 | Christian Science Hospital Nursing Facility Level I interim – |
| 453 | Christian Science Hospital Nursing Facility Level I interim – continuing claims |
| 454 | Christian Science Hospital Nursing Facility Level I interim – last claim |
| 455 | Christian Science Hospital Nursing Facility Level I late charge only |
| 457 | Christian Science Hospital Nursing Facility Level I replacement of prior claim |
| 458 | Christian Science Hospital Nursing Facility Level I void/cancel of a prior claim |
| 459 | Christian Science Hospital Nursing Facility Level I final claim for a home |
| 461 | Christian Science Hospital Nursing Facility Level II admit through discharge |
| 462 | Christian Science Hospital Nursing Facility Level II interim – |
| 463 | Christian Science Hospital Nursing Facility Level II interim – continuing claims |
| 464 | Christian Science Hospital Nursing Facility Level II interim – last claim |
| 465 | Christian Science Hospital Nursing Facility Level II late charge only |
| 467 | Christian Science Hospital Nursing Facility Level II replacement of prior claim |
| 468 | Christian Science Hospital Nursing Facility Level II void/cancel of a prior claim |
| 469 | Christian Science Hospital Nursing Facility Level II final claim for a home |
| 471 | Christian Science Hospital Intermediate Care – Level III Nursing Facility admit through discharge |
| 472 | Christian Science Hospital Intermediate Care – Level III Nursing Facility interim – |
| 473 | Christian Science Hospital Intermediate Care – Level III Nursing Facility interim – continuing claims |
| 474 | Christian Science Hospital Intermediate Care – Level III Nursing Facility interim – last claim |
| 475 | Christian Science Hospital Intermediate Care – Level III Nursing Facility late charge only |
| 477 | Christian Science Hospital Intermediate Care – Level III Nursing Facility replacement of prior claim |
| 478 | Christian Science Hospital Intermediate Care – Level III Nursing Facility void/cancel of a prior claim |
| 479 | Christian Science Hospital Intermediate Care – Level III Nursing Facility final claim for a home |
| 481 | Christian Science Hospital Swing Beds admit through discharge |
| 482 | Christian Science Hospital Swing Beds interim – |
| 483 | Christian Science Hospital Swing Beds interim – continuing claims |
| 484 | Christian Science Hospital Swing Beds interim – last claim |
| 485 | Christian Science Hospital Swing Beds late charge only |
| 487 | Christian Science Hospital Swing Beds replacement of prior claim |
| 488 | Christian Science Hospital Swing Beds void/cancel of a prior claim |
| 489 | Christian Science Hospital Swing Beds final claim for a home |
| 511 | Christian Science Extended Care Inpatient (Including Medicare Part A) admit through discharge |
| 512 | Christian Science Extended Care Inpatient (Including Medicare Part A) interim – |
| 513 | Christian Science Extended Care Inpatient (Including Medicare Part A) interim – continuing claims |
| 514 | Christian Science Extended Care Inpatient (Including Medicare Part A) interim – last claim |
| 515 | Christian Science Extended Care Inpatient (Including Medicare Part A) late charge only |
| 517 | Christian Science Extended Care Inpatient (Including Medicare Part A) replacement of prior claim |
| 518 | Christian Science Extended Care Inpatient (Including Medicare Part A) void/cancel of a prior claim |
| 519 | Christian Science Extended Care Inpatient (Including Medicare Part A) final claim for a home |
| 521 | Christian Science Extended Care Inpatient (Medicare Part B Only) admit through discharge |
| 522 | Christian Science Extended Care Inpatient (Medicare Part B Only) interim – |
| 523 | Christian Science Extended Care Inpatient (Medicare Part B Only) interim – continuing claims |
| 524 | Christian Science Extended Care Inpatient (Medicare Part B Only) interim – last claim |
| 525 | Christian Science Extended Care Inpatient (Medicare Part B Only) late charge only |
| 527 | Christian Science Extended Care Inpatient (Medicare Part B Only) replacement of prior claim |
| 528 | Christian Science Extended Care Inpatient (Medicare Part B Only) void/cancel of a prior claim |
| 529 | Christian Science Extended Care Inpatient (Medicare Part B Only) final claim for a home |
| 531 | Christian Science Extended Care Outpatient admit through discharge |
| 532 | Christian Science Extended Care Outpatient interim – |
| 533 | Christian Science Extended Care Outpatient interim – continuing claims |
| 534 | Christian Science Extended Care Outpatient interim – last claim |
| 535 | Christian Science Extended Care Outpatient late charge only |
| 537 | Christian Science Extended Care Outpatient replacement of prior claim |
| 538 | Christian Science Extended Care Outpatient void/cancel of a prior claim |
| 539 | Christian Science Extended Care Outpatient final claim for a home |
| 541 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) admit through discharge |
| 542 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – |
| 543 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – continuing claims |
| 544 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) interim – last claim |
| 545 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) late charge only |
| 547 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) replacement of prior claim |
| 548 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) void/cancel of a prior claim |
| 549 | Christian Science Extended Care Other (for hospital referenced diagnostic services or home health not under a plan of treatment) final claim for a home |
| 551 | Christian Science Extended Care Nursing Facility Level I admit through discharge |
| 552 | Christian Science Extended Care Nursing Facility Level I interim – |
| 553 | Christian Science Extended Care Nursing Facility Level I interim – continuing claims |
| 554 | Christian Science Extended Care Nursing Facility Level I interim – last claim |
| 555 | Christian Science Extended Care Nursing Facility Level I late charge only |
| 557 | Christian Science Extended Care Nursing Facility Level I replacement of prior claim |
| 558 | Christian Science Extended Care Nursing Facility Level I void/cancel of a prior claim |
| 559 | Christian Science Extended Care Nursing Facility Level I final claim for a home |
| 561 | Christian Science Extended Care Nursing Facility Level II admit through discharge |
| 562 | Christian Science Extended Care Nursing Facility Level II interim – |
| 563 | Christian Science Extended Care Nursing Facility Level II interim – continuing claims |
| 564 | Christian Science Extended Care Nursing Facility Level II interim – last claim |
| 565 | Christian Science Extended Care Nursing Facility Level II late charge only |
| 567 | Christian Science Extended Care Nursing Facility Level II replacement of prior claim |
| 568 | Christian Science Extended Care Nursing Facility Level II void/cancel of a prior claim |
| 569 | Christian Science Extended Care Nursing Facility Level II final claim for a home |
| 571 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility admit through discharge |
| 572 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim – |
| 573 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim – continuing claims |
| 574 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility interim – last claim |
| 575 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility late charge only |
| 577 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility replacement of a prior claim |
| 578 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility void/cancel of a prior claim |
| 579 | Christian Science Extended Care Intermediate Care – Level III Nursing Facility final claim for a home |
| 581 | Christian Science Extended Care Swing Beds admit through discharge |
| 582 | Christian Science Extended Care Swing Beds interim – |
| 583 | Christian Science Extended Care Swing Beds interim – continuing claims |
| 584 | Christian Science Extended Care Swing Beds interim – last claim |
| 585 | Christian Science Extended Care Swing Beds late charge only |
| 587 | Christian Science Extended Care Swing Beds replacement of a prior claim |
| 588 | Christian Science Extended Care Swing Beds void/cancel of a prior claim |
| 589 | Christian Science Extended Care Swing Beds final claim for a home |
INTERMEDIATE CARE – LEVEL I
| 65X | RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS – OUTPATIENT SERVICES |
INTERMEDIATE CARE – LEVEL II66X RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS – OUTPATIENT SERVICES
CLINIC RURAL HEALTH
| 711 | CLINIC RURAL HEALTH: ADMIT THROUGH DISCHARGE |
| 712 | CLINIC RURAL HEALTH: INTERIM, FIRST CLAIM |
| 713 | CLINIC RURAL HEALTH: INTERIM, CONTINUING CLAIM |
| 714 | CLINIC RURAL HEALTH: INTERIM, FINAL CLAIM |
| 715 | CLINIC RURAL HEALTH: LATE CHARGE(S) ONLY CLAIM |
| 717 | CLINIC RURAL HEALTH: REPLACEMENT OF PRIOR CLAIM |
HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS721 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: ADMIT THROUGH
DISCHARGE722 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: INTERIM, FIRST CLAIM 723 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: INTERIM, CONTINUING
CLAIM724 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: INTERIM, FINAL CLAIM 725 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: LATE CHARGE(S) ONLY
CLAIM727 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: REPLACEMENT OF PRIOR
CLAIM728 HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS: VOID/CANCEL OF PRIOR
CLAIM
FREE STANDING CLINIC
| 73X | FREE STANDING CLINIC |
CLINIC OUTPATIENT REHABILITATION FACILITY (ORF)741 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): ADMIT THROUGH
DISCHARGE742 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): INTERIM, FIRST CLAIM 743 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): INTERIM, CONTINUING
CLAIM744 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): INTERIM, FINAL CLAIM 745 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): LATE CHARGE(S) ONLY 747 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): REPLACEMENT OF PRIOR CLAIM 748 CLINIC OUTPATIENT REHABILITATION FACILITY (ORF): VOID/CANCEL OF PRIOR
CLAIM
CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF)
| 751 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): ADMIT THROUGH DISCHARGE |
| 752 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): INTERIM, FIRST CLAIM |
| 753 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): INTERIM, CONTINUING CLAIM |
| 754 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): INTERIM, FINAL CLAIM |
| 755 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): LATE CHARGE(S) ONLY CLAIM |
| 757 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): REPLACEMENT OF PRIOR CLAIM |
| 758 | CLINIC – COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF): VOID/CANCEL OF PRIOR CLAIM |
CLINIC – COMMUNITY MENTAL HEALTH CENTER76X CLINIC – COMMUNITY MENTAL HEALTH CENTER
CLINIC – FEDERALLY QUALIFIED HEALTH CENTER77X CLINIC – FEDERALLY QUALIFIED HEALTH CENTER
LICENSED FREE STANDING EMERGENCY MEDICAL FACILITY78X LICENSED FREE STANDING EMERGENCY MEDICAL FACILITY
CLINIC – OTHER79X CLINIC – OTHER
SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED)
| 811 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): ADMIT THROUGH DISCHARGE |
| 812 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): INTERIM, FIRST CLAIM |
| 813 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): INTERIM, CONTINUING CLAIM |
| 814 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): INTERIM, FINAL CLAIM |
| 815 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): LATE CHARGE(S) ONLY |
| 817 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): REPLACEMENT OF PRIOR CLAIM |
| 818 | SPECIALTY FACILITY HOSPICE (NON-HOSPITAL BASED): VOID/CANCEL OF PRIOR CLAIM |
SPECIALTY FACILITY HOSPICE (HOSPITAL BASED)821 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): ADMIT THROUGH DISCHARGE 822 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): INTERIM, FIRST CLAIM 823 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): INTERIM, CONTINUING CLAIM 824 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): INTERIM, FINAL CLAIM 825 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): LATE CHARGE(S) ONLY 827 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): REPLACEMENT OF PRIOR CLAIM 828 SPECIALTY FACILITY HOSPICE (HOSPITAL BASED): VOID/CANCEL OF PRIOR CLAIM
SPECIALTY FACILITY AMBULATORY SURGERY831 SPECIALTY FACILITY AMBULATORY SURGERY: ADMIT THROUGH DISCHARGE 832 SPECIALTY FACILITY AMBULATORY SURGERY: INTERIM, FIRST CLAIM 833 SPECIALTY FACILITY AMBULATORY SURGERY: INTERIM, CONTINUING CLAIM 834 SPECIALTY FACILITY AMBULATORY SURGERY: INTERIM, FINAL CLAIM 835 SPECIALTY FACILITY AMBULATORY SURGERY: LATE CHARGE(S) ONLY CLAIM 837 SPECIALTY FACILITY AMBULATORY SURGERY: REPLACEMENT OF PRIOR CLAIM 838 SPECIALTY FACILITY AMBULATORY SURGERY: VOID/CANCEL OF PRIOR CLAIM
SPECIALTY FACILITY – FREE STANDING BIRTHING CENTER – RECLASSIFIED TO OUTPATIENT ONLY
| 84X | SPECIALTY FACILITY – FREE STANDING BIRTHING CENTER |
SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL851 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: ADMIT THROUGH DISCHARGE 852 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: INTERIM, FIRST CLAIM 853 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: INTERIM, CONTINUING CLAIM 854 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: INTERIM, FINAL CLAIM 855 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: LATE CHARGE(S) ONLY
CLAIM857 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: REPLACEMENT OF PRIOR
CLAIM838 SPECIALTY FACILITY – CRITICAL ACCESS HOSPITAL: VOID/CANCEL OF PRIOR
CLAIM
SPECIALTY FACILITY – RESIDENTIAL FACILITY86X SPECIALTY FACILITY – RESIDENTIAL FACILITY
SPECIALTY FACILITY – OTHER – RECLASSIFIED TO OUTPATIENT ONLY
| 89X | SPECIALTY FACILITY – OTHER |
NOTE: X REFERS TO NUMBER 0-9 BUT DOES NOT INCLUDE ‘6’
As per the American Hospital Association (AHA) For more UB04 Type of bill codes list please visit TOB Code Complete List.
Common TOB codes
Many different TOB codes are used in hospital billing. Some of the most common codes include
011x – Inpatient acute care
012x – Inpatient psychiatric care
021x – Inpatient rehabilitation care
031x – Skilled nursing care
051x – Inpatient hospice care
FAQs About TOB Codes
Q1. What happens if a hospital uses the wrong TOB code?
Ans. If a hospital uses the incorrect TOB code, they may not be reimbursed for the full amount they are owed. In addition, using the wrong TOB code can delay payment and may require the hospital to resubmit the claim with the correct code.
Q2. How do I know which TOB code to use?
Ans. The TOB code used depends on the type of care provided. Hospital billing departments. The hospital billing departments are responsible for determining the appropriate TOB code for each service provided. It is important for hospital staff to accurately document the care provided so that the billing department can assign the correct code. If you have questions about which TOB code to use, contact your hospital’s billing department for assistance.
Q3. What other information is included in a hospital claim?
Ans. In addition to the TOB code, hospital claims include various other information. This may consist of the patient’s name, date of birth, insurance information, diagnosis codes, procedure codes, and more. All of this information is used by insurance companies to determine how much they will pay for the services provided.
Q4. Are there any exceptions to the use of TOB codes?
Ans. In general, all hospital claims must include a TOB code. However, there may be some exceptions to this rule. For example, if a patient receives outpatient services at a hospital, the hospital may use a different coding system, such as HCPCS codes, instead of TOB codes.
Q5. In UB04 which Form locater update TOB Code?
Ans. At Form locater number 4, we update TOB code.
UB04 Type of Bill Codes List is updated from the authorized source of information about medical billing coding. If there is any description please let us know via the contact us page.
UB04 Type Of Bill Codes Complete List Pdf
Reference:- Agency For Healthcare Research and Quality
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