Purpose:
To provide an overview of discipline codes, service codes, and buddy codes.
Regulation:
Policy:
Process:
- All Service Codes are pre-fixed with a discipline code. if '11' is for a Routine visit then a PT11 would be a Physical Therapy Routine Visit or a SN11 would be a Skilled Nursing Routine Visit. Below is a list of the Home Health Discipline Codes:
- For reference the Home Health Service Codes 01.30.24.xlsx spreadsheet is available with greater detail for each service code in the HCHB system.
- For reference the Home Health Service Codes 01.30.24.xlsx spreadsheet is available with greater detail for each service code in the HCHB system.
- To make a complete Service Code the Discipline Code needs to be followed by a Numerical or Alphabetical code. The descriptions of these codes are listed below, first in the 'Service Codes Description' table are the 'regular' service codes. The second table below houses the 'Medical Treatment - "BUDDY CODES" table. A Buddy Code indicates that something is due on that associated visit and MUST accompany a regular service code.
3. Lastly, some 'Other Codes' are added at the end of the Service Code to further identify the code. A common example of this is the use of 'N' for non-billable supervisory visits. A RN10N would indicate that a Registered Nurse (RN) is completing a Supervision (10) visit that is Non-Billable (N).
3. Lastly, some 'Other Codes' are added at the end of the Service Code to further identify the code. A common example of this is the use of 'N' for non-billable supervisory visits. A RN10N would indicate that a Registered Nurse (RN) is completing a Supervision (10) visit that is Non-Billable (N).HOME HEALTH OTHER CODES | |
Description | Service Code Ending Value |
Billable in Home (RN10B) | B |
OT Admission w/Modified OASIS (OT00(MOD)) | (MOD) |
N on the end of a code denotes “No Bill” | N |
Phone Visit | P |
PRN Routine Visit (As Needed) | PRN |
Rapid Subsequent (goes at end of code, e.g., “SN11RS”) | RS |
X Codes denote NO OASIS | X |
Lymphedema Visit | LY |
Maintenance Therapy | MT |
DO NOT MOVE (goes at beginning of discipline, e.g., "DNM-SN") - used for physician ordered date, lab draw, INR's that all have to be completed on a specific date. | DNM |