CODE	DESCRIPTION	BILL_DESIGNATION	ADD_DATE	TERM_DATE	CHANGE_DATE
0110	Hospital; inpatient; Non-payment/zero claim	IP	18-FEB-98		18-FEB-98
0111	Hospital; inpatient; Admit thru discharge claim	IP	18-FEB-98		18-FEB-98
0112	Hospital; inpatient; Interim - First claim	IP	18-FEB-98		18-FEB-98
0113	Hospital; inpatient; Interim - Continuing claim	IP	18-FEB-98		18-FEB-98
0114	Hospital; inpatient; Interim - Last claim	IP	18-FEB-98		18-FEB-98
0115	Hospital; inpatient; Late charge (s) only	IP	18-FEB-98		18-FEB-98
0117	Hospital; inpatient; Replacement of prior claim	IP	18-FEB-98		18-FEB-98
0118	Hospital; inpatient; Void/cancel of prior claim	IP	18-FEB-98		18-FEB-98
011A	Hospital; inpatient; Admission/election notice	IP	18-FEB-98		18-FEB-98
011B	Hospital; inpatient; Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/Centers of Excellence Demonstration/Provider Partnerships Demonstration - Termination/Revocation Notice	IP	01-JUL-00		01-JUL-00
011D	Hospital; inpatient; Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/ Centers of Excellence Demonstration/ Provider Partnerships Demonstration - Void/Cancel	IP	01-JUL-00		01-JUL-00
011F	Hospital; inpatient; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
011G	Hospital; inpatient; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
011H	Hospital; inpatient; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
011I	Hospital; inpatient; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
011J	Hospital; inpatient; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
011K	Hospital; inpatient; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
011M	Hospital; inpatient; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
011N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
011O	Hospital; inpatient;Nonpayment/zero claim	IP	01-JUL-00		01-JUL-00
011P	Hospital; inpatient; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
011Q	Hospital; inpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
011X	Hospital; inpatient; Void/Cancel a prior abbreviated encounter submission ((Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
011Y	Hospital; inpatient; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
011Z	Hospital; inpatient; New abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0120	Hospital; inpatient Part B only; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0121	Hospital; inpatient Part B only; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0122	Hospital; inpatient Part B only: Interim-First Claim	OP	18-FEB-98		18-FEB-98
0123	Hospital; inpatient Part B only: Interim-Continuing Claim	OP	18-FEB-98		18-FEB-98
0124	Hospital; inpatient Part B only: Interim-Last Claim	OP	18-FEB-98		18-FEB-98
0125	Hospital; inpatient Part B only; Late charge (s) only	OP	18-FEB-98		18-FEB-98
0127	Hospital; inpatient Part B only; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0128	Hospital; inpatient Part B only; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
012F	Hospital; inpatient Part B only; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
012G	Hospital; inpatient Part B only; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
012H	Hospital; inpatient Part B only; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
012I	Hospital; inpatient Part B only; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
012J	Hospital; inpatient Part B only; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
012K	Hospital; inpatient Part B only; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
012M	Hospital; inpatient Part B only; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
012N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
012O	Hospital; inpatient Part B only; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
012P	Hospital; inpatient Part B only; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
012Q	Hospital; inpatient Part B only; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
012X	Hospital; inpatient Part B only; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
012Y	Hospital; inpatient Part B only; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
012Z	Hospital; inpatient Part B only; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0130	Hospital; outpatient; Non-payment/zero claim	OP	18-FEB-98		19-FEB-98
0131	Hospital; outpatient; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0132	Hospital; outpatient; Interim, First Claim	OP	01-JAN-13		01-JAN-13
0133	Hospital; outpatient; Interim, Continuing Claim	OP	01-JAN-13		01-JAN-13
0134	Hospital; outpatient; Interim, Last Claim	OP	01-JAN-13		01-JAN-13
0135	Hospital; outpatient; Late charge (s) only	OP	18-FEB-98		18-FEB-98
0137	Hospital; outpatient; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0138	Hospital; outpatient; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
013F	Hospital; outpatient; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
013G	Hospital; outpatient; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
013H	Hospital; outpatient; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
013I	Hospital; outpatient; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
013J	Hospital; outpatient; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
013K	Hospital; outpatient; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
013M	Hospital; outpatient; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
013N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
013O	Hospital; outpatient; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
013P	Hospital; outpatient; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
013Q	Hospital; outpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
013X	Hospital; outpatient; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
013Y	Hospital; outpatient; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
013Z	Hospital; outpatient; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0140	Hospital; laboratory services provided to non-patients; Non-payment/zero claim	OP	18-FEB-98		09-SEP-08
0141	Hospital; laboratory services provided to non-patients; Admit thru discharge claim	OP	18-FEB-98		09-SEP-08
0142	Hospital; laboratory services provided to non-patients; Interim-First Claim	OP	18-FEB-98		09-SEP-08
0143	Hospital; laboratory services provided to non-patients; Interim-Continuing Claim	OP	18-FEB-98		09-SEP-08
0144	Hospital; laboratory services provided to non-patients; Last Claim	OP	18-FEB-98		09-SEP-08
0145	Hospital; laboratory services provided to non-patients; Late charge (s) only	OP	18-FEB-98		09-SEP-08
0147	Hospital; laboratory services provided to non-patients; Replacement of prior claim	OP	18-FEB-98		09-SEP-08
0148	Hospital; laboratory services provided to non-patients; Void/cancel of prior claim	OP	18-FEB-98		09-SEP-08
014F	Hospital; laboratory services provided to non-patients; Beneficiary initiated adjustment claim	OP	18-FEB-98		09-SEP-08
014G	Hospital; laboratory services provided to non-patients; CWF initiated adjustment claim	OP	01-JUL-00		09-SEP-08
014H	Hospital; laboratory services provided to non-patients; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
014I	Hospital; laboratory services provided to non-patients; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
014J	Hospital;  laboratory services provided to non-patients; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
014K	Hospital; laboratory services provided to non-patients; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
014M	Hospital; laboratory services provided to non-patients;MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
014N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
014O	Hospital; laboratory services provided to non-patients; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
014P	Hospital; laboratory services provided to non-patients; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
014Q	Hospital; laboratory services provided to non-patients; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
014X	Hospital; laboratory services provided to non-patients; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
014Y	Hospital; laboratory services provided to non-patients; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
014Z	Hospital; laboratory services provided to non-patients; New abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0180	Hospital; swing bed; Non-payment/zero claim	IP	18-FEB-98		09-SEP-08
0181	Hospital; swing bed; Admit thru discharge claim	IP	18-FEB-98		09-SEP-08
0182	Hospital; swing bed; Interim - First claim	IP	18-FEB-98		09-SEP-08
0183	Hospital; swing bed; Interim - Continuing claim	IP	18-FEB-98		09-SEP-08
0184	Hospital; swing bed; Interim - Last claim	IP	18-FEB-98		09-SEP-08
0185	Hospital; swing bed; Late charge (s) only	IP	18-FEB-98		09-SEP-08
0187	Hospital; swing bed; Replacement of prior claim	IP	18-FEB-98		09-SEP-08
0188	Hospital; swing bed; Void/cancel of prior claim	IP	18-FEB-98		09-SEP-08
018F	Hospital; swing bed; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
018G	Hospital; swing bed; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
018H	Hospital; swing bed; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
018I	Hospital; swing bed; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
018J	Hospital; swing bed; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
018K	Hospital; swing bed; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
018M	Hospital; swing bed; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
018N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
018O	Hospital; swing bed; Non-payment/zero claim	IP	01-JUL-00		01-JUL-00
018P	Hospital; swing bed; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
018Q	Hospital; swing bed;Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
018X	Hospital; swing bed; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
018Y	Hospital; swing bed; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
018Z	Hospital; swing bed; New abbreviated encounter submission ((Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0210	Skilled nursing; inpatient; Non-payment/zero claim	IP	18-FEB-98		09-SEP-08
0211	Skilled nursing; inpatient; Admit thru discharge claim	IP	18-FEB-98		09-SEP-08
0212	Skilled nursing; inpatient; Interim - First claim	IP	18-FEB-98		09-SEP-08
0213	Skilled nursing; inpatient; Interim - Continuing claim	IP	18-FEB-98		09-SEP-08
0214	Skilled nursing; inpatient; Interim - Last claim	IP	18-FEB-98		09-SEP-08
0215	Skilled nursing; inpatient; Late charge (s) only	IP	18-FEB-98		09-SEP-08
0217	Skilled nursing; inpatient; Replacement of prior claim	IP	18-FEB-98		09-SEP-08
0218	Skilled nursing; inpatient; Void/cancel of prior claim	IP	18-FEB-98		09-SEP-08
021F	Skilled nursing; inpatient; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
021G	Skilled nursing; inpatient; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
021H	Skilled nursing; inpatient; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
021I	Skilled nursing; inpatient; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
021J	Skilled nursing; inpatient; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
021K	Skilled nursing; inpatient; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
021M	Skilled nursing; inpatient; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
021N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
021O	Skilled nursing; inpatient; Non-payment/zero claim	IP	01-JUL-00		01-JUL-00
021P	Skilled nursing; inpatient; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
021Q	Skilled nursing; inpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
021X	Skilled nursing; inpatient; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
021Y	Skilled nursing; inpatient; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
021Z	Skilled nursing; inpatient; New abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0220	Skilled nursing; inpatient (Medicare Part B only); Non-payment/zero claim	OP	18-FEB-98		09-SEP-08
0221	Skilled nursing; inpatient (Medicare Part B only); Admit thru discharge claim	OP	18-FEB-98		09-SEP-08
0222	Skilled nursing; inpatient (Medicare Part B only); Interim - First claim	OP	18-FEB-98		09-SEP-08
0223	Skilled nursing; inpatient (Medicare Part B only); Interim - Continuing claim	OP	18-FEB-98		09-SEP-08
0224	Skilled nursing; inpatient (Medicare Part B only); Interim - Last claim	OP	18-FEB-98		09-SEP-08
0225	Skilled nursing; inpatient (Medicare Part B only); Late charge (s) only	OP	18-FEB-98		09-SEP-08
0227	Skilled nursing; inpatient (Medicare Part B only); Replacement of prior claim	OP	18-FEB-98		09-SEP-08
0228	Skilled nursing; inpatient (Medicare Part B only); Void/cancel of prior claim	OP	18-FEB-98		09-SEP-08
022F	Skilled nursing; inpatient (Medicare Part B only); Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
022G	Skilled nursing; inpatient (Medicare Part B only); CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
022H	Skilled nursing; inpatient (Medicare Part B only); CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
022I	Skilled nursing; inpatient (Medicare Part B only); Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
022J	Skilled nursing; inpatient (Medicare Part B only); Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
022K	Skilled nursing; inpatient (Medicare Part B only); OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
022M	Skilled nursing; inpatient (Medicare Part B only); MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
022N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
022O	Skilled nursing; inpatient (Medicare Part B only); Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
022P	Skilled nursing; inpatient (Medicare Part B only); QIO adjustment claim	OP	01-MAR-07		01-MAR-07
022Q	Skilled nursing; inpatient (Medicare Part B only); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
022X	Skilled nursing; inpatient; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
022Y	Skilled nursing; inpatient (Medicare Part B only); Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
022Z	Skilled nursing; inpatient (Medicare Part B only); New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0230	Skilled nursing; outpatient; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0231	Skilled nursing; outpatient; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0232	Skilled nursing; outpatient; Interim-First Claim	OP	18-FEB-98		18-FEB-98
0233	Skilled nursing; outpatient; Interim-Continuing Claim	OP	18-FEB-98		18-FEB-98
0234	Skilled nursing; outpatient; Interim-Last Claim	OP	18-FEB-98		18-FEB-98
0235	Skilled nursing; outpatient; Late charge (s) only	OP	18-FEB-98		18-FEB-98
0237	Skilled nursing; outpatient; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0238	Skilled nursing; outpatient; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
023F	Skilled nursing; outpatient; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
023G	Skilled nursing; outpatient; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
023H	Skilled nursing; outpatient; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
023I	Skilled nursing; outpatient; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
023J	Skilled nursing; outpatient; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
023K	Skilled nursing; outpatient; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
023M	Skilled nursing; outpatient; MSP initiated adjustment claim	OP	01-JUL-98		01-JUL-00
023N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
023O	Skilled nursing; outpatient; Non-payment/zero claim	OP	10-AUG-05		10-AUG-05
023P	Skilled nursing; outpatient; QIO adjustment claim	OP	01-AUG-00		01-AUG-00
023Q	Skilled nursing; outpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
023X	Skilled nursing; outpatient; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
023Y	Skilled nursing; outpatient; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
023Z	Skilled nursing; outpatient; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0240	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0241	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0245	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0247	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0248	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
024Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0280	Skilled nursing; swing bed; Non-payment/zero claim	IP	18-FEB-98		18-FEB-98
0281	Skilled nursing; swing bed; Admit thru discharge claim	IP	18-FEB-98		18-FEB-98
0282	Skilled nursing; swing bed; Interim - First claim	IP	18-FEB-98		18-FEB-98
0283	Skilled nursing; swing bed; Interim - Continuing claim	IP	18-FEB-98		18-FEB-98
0284	Skilled nursing; swing bed; Interim - Last claim	IP	18-FEB-98		18-FEB-98
0285	Skilled nursing; swing bed; Late charge (s) only	IP	18-FEB-98		18-FEB-98
0287	Skilled nursing; swing bed; Replacement of prior claim	IP	18-FEB-98		18-FEB-98
0288	Skilled nursing; swing bed; Void/cancel of prior claim	IP	18-FEB-98		18-FEB-98
028F	Skilled nursing; swing bed; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
028G	Skilled nursing; swing bed; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
028H	Skilled nursing; swing bed; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
028I	Skilled nursing; swing bed; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
028J	Skilled nursing; swing bed; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
028K	Skilled nursing; swing bed; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
028M	Skilled nursing; swing bed; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
028N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
028O	Skilled nursing; swing bed; Non-payment/zero claim	IP	01-JUL-00		01-MAR-07
028P	Skilled nursing; swing bed; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
028Q	Skilled nursing; swing bed; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
028X	Skilled nursing; swing bed; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
028Y	Skilled nursing; swing bed; Replacement of prior abbreviated encounter submission  (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
028Z	Skilled nursing; swing bed; New abbreviated encounter submission  (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0320	Home health services under a plan of treatment; Non-payment/zero claim	OP	18-FEB-98		01-OCT-13
0321	Home health services under a plan of treatment; Admit thru discharge claim	OP	18-FEB-98		01-OCT-13
0322	Home health services under a plan of treatment; Interim - First claim	OP	18-FEB-98		01-OCT-13
0323	Home health services under a plan of treatment; Continuing claim	OP	18-FEB-98		01-OCT-13
0324	Home health services under a plan of treatment; Last claim	OP	18-FEB-98		01-OCT-13
0325	Home health services under a plan of treatment; Late charge (s) only.	OP	18-FEB-98		18-FEB-98
0327	Home health services under a plan of treatment; Replacement of prior claim	OP	18-FEB-98		01-OCT-13
0328	Home health services under a plan of treatment; Void/cancel of prior claim	OP	18-FEB-98		01-OCT-13
0329	Home health services under a plan of treatment; Final claim for a home health PPS episode	OP	18-FEB-98		01-OCT-13
032A	Home health services under a plan of treatment; Admission/election notice	OP	18-FEB-98		01-OCT-13
032F	Home health services under a plan of treatment; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-OCT-13
032G	Home health services under a plan of treatment; CWF initiated adjustment claim	OP	01-JUL-00		01-OCT-13
032H	Home health services under a plan of treatment;  CMS initiated adjustment claim	OP	01-JUL-00		01-OCT-13
032I	Home health services under a plan of treatment;  Intermediary adjustment claim	OP	01-JUL-00		01-OCT-13
032J	Home health services under a plan of treatment;  Initiated adjustment claim - other	OP	01-JUL-00		01-OCT-13
032K	Home health services under a plan of treatment; OIG initiated adjustment claim	OP	01-JUL-00		01-OCT-13
032M	Home health services under a plan of treatment;  MSP initiated adjustment claim	OP	01-JUL-00		01-OCT-13
032N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
032O	Home health services under a plan of treatment; Non-payment/zero claim	OP	01-JUL-00		01-OCT-13
032P	Home health services under a plan of treatment; QIO adjustment claim	OP	01-MAR-07		01-OCT-13
032Q	Home health; inpatient (plan of treatment under Part B only); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
032X	Home health services under a plan of treatment;  Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
032Y	Home health services under a plan of treatment;  Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
032Z	Home health services under a plan of treatment; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
0340	Home health services not under a plan of treatment; Non-payment/zero claim	OP	18-FEB-98		01-OCT-13
0341	Home health services not under a plan of treatment; Admit thru discharge claim	OP	18-FEB-98		01-OCT-13
0342	Home health services not under a plan of treatment; Interim- First Claim	OP	18-FEB-98		18-FEB-98
0343	Home health services not under a plan of treatment; Continuing Claim	OP	18-FEB-98		18-FEB-98
0344	Home health services not under a plan of treatment; Last Claim	OP	18-FEB-98		18-FEB-98
0345	Home health services not under a plan of treatment; Late charge (s) only	OP	18-FEB-98		01-OCT-13
0347	Home health services not under a plan of treatment; Replacement of prior claim	OP	18-FEB-98		01-OCT-13
0348	Home health services not under a plan of treatment;  Void/cancel of prior claim	OP	18-FEB-98		01-OCT-13
034A	Home health services not under a plan of treatment; Admission/election notice	OP	18-FEB-98		01-OCT-13
034F	Home health services not under a plan of treatment; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-OCT-13
034G	Home health services not under a plan of treatment; CWF initiated adjustment claim	OP	01-JUL-00		01-OCT-13
034H	Home health services not under a plan of treatment;CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
034I	Home health services not under a plan of treatment; Intermediary adjustment claim	OP	01-JUL-00		01-OCT-13
034J	Home health services not under a plan of treatment; Initiated adjustment claim - other	OP	01-JUL-00		01-OCT-13
034K	Home health services not under a plan of treatment; OIG initiated adjustment claim	OP	01-JUL-00		01-OCT-13
034M	Home health services not under a plan of treatment; MSP initiated adjustment claim	OP	01-JUL-00		01-OCT-13
034N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
034O	Home health services not under a plan of treatment; Non-payment/zero claim	OP	01-JUL-00		01-OCT-13
034P	Home health services not under a plan of treatment; QIO adjustment claim	OP	01-MAR-07		01-OCT-13
034Q	Home health services not under a plan of treatment; Claim Submitted for Reconsideration/Reopeing Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
034X	Home health services not under a plan of treatment; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
034Y	Home health services not under a plan of treatment; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
034Z	Home health services not under a plan of treatment; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-OCT-13
0410	Religious nonmedical health care institutions-inpatient; Non-payment/zero claim	IP	18-FEB-98		01-JUL-14
0411	Religious nonmedical health care institutions-inpatient; Admit thru discharge claim	IP	18-FEB-98		01-JUL-14
0412	Religious nonmedical health care institutions-inpatient; Interim - First claim	IP	11-MAY-06		01-JUL-14
0413	Religious nonmedical health care institutions-inpatient; Interim - Continuing claim	IP	11-MAY-06		01-JUL-14
0414	Religious nonmedical health care institutions-inpatient; Interim - Last claim	IP	11-MAY-06		01-JUL-14
0415	Religious nonmedical health care institutions-inpatient; Late Charge(s) only	IP	18-FEB-98		01-JUL-14
0417	Religious nonmedical health care institutions-inpatient; Replacement of prior claim	IP	11-MAY-06		01-JUL-14
0418	Religious nonmedical health care institutions-inpatient; Void/Cancel of prior claim	IP	11-MAY-06		01-JUL-14
041A	Religious nonmedical health care institutions-inpatient; Admission or election notice	IP	18-FEB-98		01-JUL-14
041B	Religious nonmedical health care institutions-inpatient; Termination or revocation notice	IP	01-JUL-00		01-JUL-14
041D	Religious nonmedical health care institutions-inpatient;  Void or cancel notice	IP	01-JUL-00		01-JUL-14
041F	Religious nonmedical health care institutions-inpatient; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-14
041G	Religious nonmedical health care institutions-inpatient;  CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-14
041H	Religious nonmedical health care institutions-inpatient;  CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-14
041I	Religious nonmedical health care institutions-inpatient;  Intermediary adjustment claim	IP	01-JUL-00		01-JUL-14
041J	Religious nonmedical health care institutions-inpatient;  Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-14
041K	Religious nonmedical health care institutions-inpatient; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-14
041M	Religious nonmedical health care institutions-inpatient; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-14
041N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
041O	Religious nonmedical health care institutions-inpatient; Non-payment/zero claim	IP	01-JUL-00		01-JUL-14
041P	Religious nonmedical health care institutions inpatient; Non-payment/zero claim	IP	01-MAR-07		01-MAR-14
041Q	Religious nonmedical health care institutions-inpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
041X	Religious nonmedical health care institutions-inpatient; Void/Cancel a prior abbreviated encounter submission  (Medicare Advantage)	IP	01-AUG-00		01-JUL-14
041Y	Religious nonmedical health care institutions-inpatient; Replacement of prior abbreviated encounter submission  (Medicare Advantage)	IP	01-AUG-00		01-JUL-14
041Z	Religious nonmedical health care institutions-inpatient; New abbreviated encounter submission  (Medicare Advantage)	IP	01-AUG-00		01-JUL-14
0430	Religious nonmedical health care institutions; outpatient services; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0431	Religious non-medical health care institutions; outpatient; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0432	Religious non-medical health care institutions; outpatient;  Interim - first claim	OP	18-FEB-98		18-FEB-98
0433	Religious non-medical health care institutions; outpatient;  Interim - Continuing claim	OP	18-FEB-98		18-FEB-98
0434	Religious non-medical health care institutions; outpatient; Interim - Last claim	OP	18-FEB-98		18-FEB-98
0435	Religious non-medical health care institutions; outpatient; Late charge only claim	OP	18-FEB-98		18-FEB-98
0437	Religious non-medical health care institutions; outpatient; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0438	Religious non-medical health care institutions; outpatient; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
043A	Religious nonmedical health care institutions; outpatient services; Admision/election notice	OP	18-FEB-98		18-FEB-98
043B	Religious nonmedical health care institutions; outpatient services; Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/Centers of Excellence Demonstration/Provider Partnerships Demonstration - Termination/Revocation Notice	OP	01-JUL-00		01-JUL-00
043D	Religious non-medical health care institutions; outpatient; Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/ Centers of Excellence Demonstration/ Provider Partnerships Demonstration - Void/Cancel	OP	01-JUL-00		01-JUL-00
043F	Religious non-medical health care institutions; outpatient; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
043G	Religious non-medical health care institutions; outpatient; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
043H	Religious non-medical health care institutions; outpatient; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
043I	Religious non-medical health care institutions; outpatient; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
043J	Religious non-medical health care institutions; outpatient; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
043K	Religious non-medical health care institutions; outpatient; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
043M	Religious non-medical health care institutions; outpatient; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
043N	Reserved for assignment by the NUBC	OP	09-SEP-08		09-SEP-08
043O	Religious nonmedical health care institutions; outpatient services; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
043Q	Religious non-medical health care institution; outpatient; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	01-APR-15		01-APR-15
043X	Religious non-medical health care institutions; outpatient; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
043Y	Religious non-medical health care institutions; outpatient; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
043Z	Religious non-medical health care institutions; outpatient; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0511	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051A	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051B	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051D	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
051Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0520	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0521	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
052Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0530	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0531	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
053Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0540	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0541	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
054Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061Q	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
061Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0650	Intermediate care; Level I; Non-payment/zero claim	IP	18-FEB-98		18-FEB-98
0651	Intermediate care;  Level I; Admit thru discharge claim	IP	18-FEB-98		18-FEB-98
0652	Intermediate care; Level I; Interim-First Claim	IP	18-FEB-98		18-FEB-98
0653	Intermediate care; Level I; Interim-Continuing Claim	IP	18-FEB-98		18-FEB-98
0654	Intermediate care; Level I; Interim-Last Claim	IP	18-FEB-98		18-FEB-98
0657	Intermediate care; Level I; Replacement of prior claim	IP	18-FEB-98		18-FEB-98
0658	Intermediate care; Level I; Void/cancel of prior claim	IP	18-FEB-98		18-FEB-98
065F	Intermediate care; Level I; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
065G	Intermediate care; Level I; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
065H	Intermediate care; Level I; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
065I	Intermediate care; Level I; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
065J	Intermediate care; Level I; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
065K	Intermediate care; Level I; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
065M	Intermediate care; Level I; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
065N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
065O	Intermediate care; Level I; Non-payment/zero claim	IP	01-JUL-00		01-JUL-00
065P	Intermediate care; Level I; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
065Q	Intermediate care; Level I; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
065X	Intermediate care; Level I; Void/Cancel a prior abbreviated encounter submission  (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
065Y	Intermediate care; Level I; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
065Z	Intermediate care; Level I; New abbreviated encounter submission  (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0660	Intermediate care; Level II; Non-payment/zero claim	IP	18-FEB-98		18-FEB-98
0661	Intermediate care; Level II; Admit thru discharge claim	IP	18-FEB-98		18-FEB-98
0662	Intermediate care; Level II; Interim-First Claim	IP	18-FEB-98		18-FEB-98
0663	Intermediate care; Level II; Interim-Continuing Claim	IP	18-FEB-98		18-FEB-98
0664	Intermediate care; Level II; Interim-Last Claim	IP	18-FEB-98		18-FEB-98
0667	Intermediate care; Level II; Replacement of prior claim	IP	18-FEB-98		18-FEB-98
0668	Intermediate care; Level II; Cancel or void of a prior claim	IP	18-FEB-98		18-FEB-98
066F	Intermediate care; Level II; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-JUL-00
066G	Intermediate care;Level II; CWF initiated adjustment claim	IP	01-JUL-00		01-JUL-00
066H	Intermediate care; Level II; CMS initiated adjustment claim	IP	01-JUL-00		01-JUL-00
066I	Intermediate care; Level II; Intermediary adjustment claim	IP	01-JUL-00		01-JUL-00
066J	Intermediate care; Level II; Initiated adjustment claim - other	IP	01-JUL-00		01-JUL-00
066K	Intermediate care; Level II; OIG initiated adjustment claim	IP	01-JUL-00		01-JUL-00
066M	Intermediate care; Level II; MSP initiated adjustment claim	IP	01-JUL-00		01-JUL-00
066N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
066O	Intermediate care; Level II; Non-payment/zero claim	IP	01-JUL-00		01-JUL-00
066P	Intermediate care; Level II; QIO adjustment claim	IP	01-MAR-07		01-MAR-07
066Q	Intermediate care; Level II; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
066X	Intermediate care; Level II; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
066Y	Intermediate care; Level II; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
066Z	Intermediate care; Level II; New abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-AUG-00
0670	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0671	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0677	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0678	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067F	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067G	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067H	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067I	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067J	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067K	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067M	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067N	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067X	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067Y	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
067Z	Reserved for assignment by the NUBC		09-SEP-08		09-SEP-08
0710	Clinic; Rural health; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0711	Clinic; Rural health; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0712	Clinic; Rural health; Interim-Frst Claim	OP	18-FEB-98		18-FEB-98
0713	Clinic; Rural health; Interim-Continuing Claim	OP	18-FEB-98		18-FEB-98
0714	Clinic; Rural health; Last Claim	OP	18-FEB-98		18-FEB-98
0715	Clinic; Rural health; Late charge (s) only	OP	18-FEB-98		18-FEB-98
0717	Clinic; Rural health; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0718	Clinic; Rural health; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
071F	Clinic; Rural health; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
071G	Clinic; Rural health; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
071H	Clinic; Rural health; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
071I	Clinic; Rural health; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
071J	Clinic; Rural health; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
071K	Clinic; Rural health; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
071M	Clinic; Rural health; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
071N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
071O	Clinic; Rural health; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
071P	Clinic; Rural health; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
071Q	Clinic; Rural health; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
071X	Clinic; Rural health; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
071Y	Clinic; Rural health; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
071Z	Clinic; Rural health; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0720	Clinic; Hospital-based or independent renal dialysis center; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0721	Clinic; Hospital-based or independent renal dialysis center; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0722	Clinic; Hospital-based or independent renal dialysis center; Interim First Claim	OP	18-FEB-98		18-FEB-98
0723	Clinic; Hospital-based or independent renal dialysis center; Interim Continuing Claim	OP	18-FEB-98		18-FEB-98
0724	Clinic; Hospital-based or independent renal dialysis center; Interim-Last Claim	OP	18-FEB-98		18-FEB-98
0725	Clinic; Hospital-based or independent renal dialysis center; Late charge (s) only	OP	18-FEB-98		18-FEB-98
0727	Clinic; Hospital-based or independent renal dialysis center; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0728	Clinic; Hospital-based or independent renal dialysis center; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
072F	Clinic; Hospital-based or independent renal dialysis center; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
072G	Clinic; Hospital-based or independent renal dialysis center; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
072H	Clinic; Hospital-based or independent renal dialysis center; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
072I	Clinic; Hospital-based or independent renal dialysis center; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
072J	Clinic; Hospital-based or independent renal dialysis center; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
072K	Clinic; Hospital-based or independent renal dialysis center; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
072M	Clinic; Hospital-based or independent renal dialysis center; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
072N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
072O	Clinic; Hospital-based or independent renal dialysis center; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
072P	Clinic; Hospital-based or independent renal dialysis center; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
072Q	Clinic; Hospital-based or independent renal dialysis center; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
072X	Clinic; Hospital-based or independent renal dialysis center; Void/Cancel a prior abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
072Y	Clinic; Hospital-based or independent renal dialysis center; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
072Z	Clinic; Hospital-based or independent renal dialysis center; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0730	Clinic; Freestanding; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0731	Clinic; Freestanding; Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0732	Clinic - Freestanding: Interim-First Claim	OP	18-FEB-98		18-FEB-98
0733	Clinic - Freestanding: Interim  - Continuing Claim	OP	18-FEB-98		18-FEB-98
0734	Clinic - Freestanding: Interim - Last Claim	OP	18-FEB-98		18-FEB-98
0735	Clinic; Freestanding; Late Charge (s) only	OP	18-FEB-98		18-FEB-98
0737	Clinic; Freestanding; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0738	Clinic; Freestanding; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
073F	Clinic; Freestanding; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
073G	Clinic; Freestanding; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
073H	Clinic; Freestanding; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
073I	Clinic; Freestanding; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
073J	Clinic; Freestanding; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
073K	Clinic; Freestanding; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
073M	Clinic; Freestanding; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
073N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
073O	Clinic; Freestanding; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
073P	Clinic; Freestanding; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
073Q	Clinic; Freestanding; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
073X	Clinic; Freestanding; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
073Y	Clinic; Freestanding; Replacement of prior abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
073Z	Clinic; Freestanding; New abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
0740	Clinic; Outpatient rehabilitation facility (ORF); Non-payment/zero claim	OP	09-SEP-08		09-SEP-08
0741	Clinic; Outpatient rehabilitation facility (ORF); Admit thru discharge claim	OP	09-SEP-08		09-SEP-08
0742	Clinic; Outpatient rehabilitation facility (ORF); Interim - First claim	OP	09-SEP-08		09-SEP-08
0743	Clinic; Outpatient rehabilitation facility (ORF); Interim - Continuing claims	OP	09-SEP-08		09-SEP-08
0744	Clinic; Outpatient rehabilitation facility (ORF); Interim - Last claim	OP	09-SEP-08		09-SEP-08
0745	Clinic; Outpatient rehabilitation facility (ORF); Late charge (s) only	OP	09-SEP-08		09-SEP-08
0747	Clinic; Outpatient rehabilitation facility (ORF); Replacement of prior claim	OP	09-SEP-08		09-SEP-08
0748	Clinic; Outpatient rehabilitation facility (ORF); Void/cancel of prior claim	OP	09-SEP-08		09-SEP-08
074F	Clinic; Outpatient rehabilitation facility (ORF); Beneficiary initiated adjustment claim	OP	09-SEP-08		09-SEP-08
074G	Clinic; Outpatient rehabilitation facility (ORF); CWF initiated adjustment claim	OP	09-SEP-08		09-SEP-08
074H	Clinic; Outpatient rehabilitation facility (ORF); CMS initiated adjustment claim	OP	09-SEP-08		09-SEP-08
074I	Clinic; Outpatient rehabilitation facility (ORF); Intermediary adjustment claim	OP	09-SEP-08		09-SEP-08
074J	Clinic; Outpatient rehabilitation facility (ORF); Initiated adjustment claim - other	OP	09-SEP-08		09-SEP-08
074K	Clinic; Outpatient rehabilitation facility (ORF); OIG initiated adjustment claim	OP	09-SEP-08		09-SEP-08
074M	Clinic; Outpatient rehabilitation facility (ORF); MSP initiated adjustment claim	OP	09-SEP-08		09-SEP-08
074N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
074O	Clinic; Outpatient rehabilitation facility (ORF); Non-payment/zero claim	OP	01-MAR-07		01-MAR-07
074P	Clinic; Outpatient rehabilitation facility (ORF); QIO adjustment claim	OP	01-MAR-07		01-MAR-07
074Q	Clinic; Outpatient rehabilitation facility (ORF); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	09-SEP-08		01-APR-15
074X	Clinic; Outpatient rehabilitation facility (ORF); Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
074Y	Clinic; Outpatient rehabilitation facility (ORF); Replacement of prior abbreviated encounter submission  (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
074Z	Clinic; Outpatient rehabilitation facility (ORF); New abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
0750	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Non-payment/zero claim	OP	09-SEP-08		09-SEP-08
0751	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Admit thru discharge claim	OP	09-SEP-08		09-SEP-08
0752	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Interim-First claim	OP	09-SEP-08		09-SEP-08
0753	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Interim-Continuing claim	OP	09-SEP-08		09-SEP-08
0754	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Interim-Last claim	OP	09-SEP-08		09-SEP-08
0755	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Late Charge (s) only	OP	01-MAR-07		01-MAR-07
0757	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Replacement of prior claim	OP	09-SEP-08		09-SEP-08
0758	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Void/cancel of prior claim	OP	09-SEP-08		09-SEP-08
075F	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Beneficiary initiated adjustment claim	OP	09-SEP-08		09-SEP-08
075G	Clinic; Comprehensive outpatient rehabilitation facility (CORF); CWF initiated adjustment claim	OP	09-SEP-08		09-SEP-08
075H	Clinic; Comprehensive outpatient rehabilitation facility (CORF); CMS initiated adjustment claim	OP	09-SEP-08		09-SEP-08
075I	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Intermediary adjustment claim	OP	09-SEP-08		09-SEP-08
075J	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Initiated adjustment claim - other	OP	09-SEP-08		09-SEP-08
075K	Clinic; Comprehensive outpatient rehabilitation facility (CORF); OIG initiated adjustment claim	OP	09-SEP-08		09-SEP-08
075M	Clinic; Comprehensive outpatient rehabilitation facility (CORF); MSP initiated adjustment claim	OP	09-SEP-08		09-SEP-08
075N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
075O	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Non-payment/zero claim	OP	01-MAR-07		01-MAR-07
075P	Clinic; Comprehensive outpatient rehabilitation facility (CORF); QIO adjustment claim	OP	01-MAR-07		01-MAR-07
075Q	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	09-SEP-08		01-APR-15
075X	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
075Y	Clinic; Comprehensive outpatient rehabilitation facility (CORF); Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
075Z	Clinic; Comprehensive outpatient rehabilitation facility (CORF); New abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
0760	Clinic; Community mental health center; Non-payment/zero claim	OP	09-SEP-08		09-SEP-08
0761	Clinic; Community mental health center; Admit thru discharge claim	OP	09-SEP-08		09-SEP-08
0762	Clinic; Community mental health center; Interim, First Claim	OP	01-JAN-13		01-JAN-13
0763	Clinic; Community mental health center; Interim, Continuing Claim	OP	01-JAN-13		01-JAN-13
0764	Clinic; Community mental health center; Interim, Last Claim	OP	01-JAN-13		01-JAN-13
0765	Clinic; Community mental health center; Late Charge (s) only	OP	01-MAR-07		01-MAR-07
0767	Clinic; Community mental health center; Replacement of prior claim	OP	09-SEP-08		09-SEP-08
0768	Clinic; Community mental health center; Void/cancel of prior claim	OP	09-SEP-08		09-SEP-08
076F	Clinic; Community mental health center; Beneficiary initiated adjustment claim	OP	09-SEP-08		09-SEP-08
076G	Clinic; Community mental health center; CWF initiated adjustment claim	OP	09-SEP-08		09-SEP-08
076H	Clinic; Community mental health center; CMS initiated adjustment claim	OP	09-SEP-08		09-SEP-08
076I	Clinic; Community mental health center; Intermediary adjustment claim	OP	09-SEP-08		09-SEP-08
076J	Clinic; Community mental health center; Initiated adjustment claim - other	OP	09-SEP-08		09-SEP-08
076K	Clinic; Community mental health center; OIG initiated adjustment claim	OP	09-SEP-08		09-SEP-08
076M	Clinic; Community mental health center; MSP initiated adjustment claim	OP	09-SEP-08		09-SEP-08
076N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
076O	Clinic; Community mental health center; Non-payment/zero claim	OP	01-MAR-07		01-MAR-07
076Q	Clinic; Community mental health center; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	09-SEP-08		01-APR-15
076X	Clinic; Community mental health center; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
076Y	Clinic; Community mental health center; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
076Z	Clinic; Community mental health center; New abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
0770	Clinic; Federally Qualified Health Center (FQHC); No payment claim	OP	01-APR-10		01-APR-10
0771	Clinic; Federally Qualified Health Center (FQHC); Admit to discharge claim	OP	01-APR-10		01-APR-10
0777	Clinic; Federally Qualified Health Center (FQHC); Replacement of a prior claim (adjustment)	OP	01-APR-10		01-APR-10
0778	Clinic; Federally Qualified Health Center (FQHC); Void/cancel of a prior claim (cancellation)	OP	01-APR-10		01-APR-10
077G	Clinic; Federally Qualified Health Center (FQHC); CWF initiated adjustment claim	OP	01-APR-10		01-APR-10
077H	Clinic; Federally Qualified Health Center (FQHC);  CMS initiated adjustment claim	OP	01-APR-10		01-APR-10
077J	Clinic; Federally Qualified Health Center (FQHC); Initiated adjustment claim - other	OP	01-APR-10		01-APR-10
077K	Clinic; Federally Qualified Health Center (FQHC); OIG initiated adjustment claim	OP	01-APR-10		01-APR-10
077M	Clinic; Federally Qualified Health Center (FQHC);  MSP initiated adjustment claim	OP	01-APR-10		01-APR-10
077O	Clinic; Federally Qualified Health Center (FQHC); Non-payment/zero claim	OP	01-APR-10		01-APR-10
077Q	Clinic; Federally Qualified Health Center (FQHC); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	01-APR-10		01-APR-15
077Z	Clinic; Federally Qualified Health Center (FQHC); New abbreviated encounter submission (Medicare Advantage only)	OP	01-APR-10		01-APR-10
0780	Licensed Freestanding Emergency Medical Facility; Non-payment/zero claim	OP	09-SEP-08		01-JUL-12
0781	Licensed Freestanding Emergency Medical Facility; Admit to discharge claim	OP	09-SEP-08		01-JUL-12
0785	Licensed Freestanding Emergency Medical Facility; Late Charge (s) only	OP	09-SEP-08		01-JUL-12
0787	Licensed Freestanding Emergency Medical Facility; Replacement of prior claim	OP	09-SEP-08		01-JUL-12
0788	Licensed Freestanding Emergency Medical Facility; Void/cancel of prior claim	OP	09-SEP-08		01-JUL-12
078F	Licensed Freestanding Emergency Medical Facility; Beneficiary initiated adjustment claim	OP	01-JUL-12		01-JUL-12
078G	Licensed Freestanding Emergency Medical Facility;  CWF initiated adjustment claim	OP	01-JUL-12		01-JUL-12
078H	Licensed Freestanding Emergency Medical Facility;  CMS initiated adjustment claim	OP	01-JUL-12		01-JUL-12
078I	Licensed Freestanding Emergency Medical Facility; Intermediary adjustment claim (other then QIO or provider)	OP	01-JUL-12		01-JUL-12
078J	Licensed Freestanding Emergency Medical Facility;  Initiated adjustment claim - other	OP	01-JUL-14		01-JUL-14
078K	Licensed Freestanding Emergency Medical Facility;  OIG initiated adjustment claim	OP	01-JUL-12		01-JUL-12
078M	Licensed Freestanding Emergency Medical Facility;  MSP initiated adjustment claim	OP	01-JUL-12		01-JUL-12
078O	Licensed Freestanding Emergency Medical Facility;  Nonpayment/zero claim	OP	01-JUL-12		01-JUL-12
078P	Licensed Freestanding Emergency Medical Facility; QIO adjustment claim	OP	01-JUL-12		01-JUL-12
078Q	Licensed Freestanding Emergency Medical Facility; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits	OP	01-JUL-12		01-APR-15
078X	Licensed Freestanding Emergency Medical Facility; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-JUL-12		01-JUL-12
078Y	Licensed Freestanding Emergency Medical Facility; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-JUL-12		01-JUL-12
078Z	Licensed Freestanding Emergency Medical Facility; New abbreviated encounter submission (Medicare Advantage only)	OP	01-JUL-12		01-JUL-12
0790	Clinic; other; Non-payment/zero claim	OP	09-SEP-08		09-SEP-08
0791	Clinic; other; Admit thru discharge claim	OP	09-SEP-08		09-SEP-08
0792	Clinic-other; Interim-First claim	OP	09-SEP-08		09-SEP-08
0793	Clinic-other; Interim-Continuing claim	OP	09-SEP-08		09-SEP-08
0794	Clinic-other; Interim-Last claim	OP	09-SEP-08		09-SEP-08
0795	Clinic; other; Late charge (s) only	OP	09-SEP-08		09-SEP-08
0797	Clinic; other; Replacement of prior claim	OP	09-SEP-08		09-SEP-08
0798	Clinic; other; Void/cancel of prior claim	OP	09-SEP-08		09-SEP-08
079F	Clinic; other; Beneficiary initiated adjustment claim	OP	09-SEP-08		09-SEP-08
079G	Clinic; other; CWF initiated adjustment claim	OP	09-SEP-08		09-SEP-08
079H	Clinic; other; CMS initiated adjustment claim	OP	09-SEP-08		09-SEP-08
079I	Clinic; other; Intermediary adjustment claim	OP	09-SEP-08		09-SEP-08
079J	Clinic; other; Initiated adjustment claim - other	OP	09-SEP-08		09-SEP-08
079K	Clinic; other; OIG initiated adjustment claim	OP	09-SEP-08		09-SEP-08
079M	Clinic; other; MSP initiated adjustment claim	OP	09-SEP-08		09-SEP-08
079N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
079O	Clinic; other; Non-payment/zero claim	OP	01-MAR-07		01-MAR-07
079P	Clinic; other; QIO adjustment claim	OP	01-MAR-07		01-MAR-07
079Q	Clinic; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	09-SEP-08		01-APR-15
079X	Clinic; other; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
079Y	Clinic; other; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
079Z	Clinic; other; New abbreviated encounter submission (Medicare Advantage only)	OP	09-SEP-08		09-SEP-08
0810	Hospice (non-hospital based); Non-payment/zero claim	OP	18-FEB-98		01-APR-10
0811	Hospice (non-hospital based); Admit thru discharge claim	OP	18-FEB-98		01-APR-10
0812	Hospice (non-hospital based); Interim - First claim	OP	18-FEB-98		01-APR-10
0813	Hospice (non-hospital based); Interim - Continuing claim	OP	18-FEB-98		01-APR-10
0814	Hospice (non-hospital based); Interim - Last claim	OP	18-FEB-98		01-APR-10
0815	Hospice (non-hospital based); Late charge (s) only	OP	18-FEB-98		01-APR-10
0817	Hospice (non-hospital based); Replacement of prior claim	OP	18-FEB-98		01-APR-10
0818	Hospice (non-hospital based); Void/cancel of prior claim	OP	18-FEB-98		01-APR-10
081A	Hospice (non-hospital based); Admission/election notice	OP	18-FEB-98		01-APR-10
081B	Hospice (non-hospital based); Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/Centers of Excellence Demonstration/Provider Partnerships Demonstration - Termination/Revocation Notice	OP	01-JUL-00		01-APR-10
081C	Hospice (non-hospital based); Hospice change of provider notice	OP	01-JUL-00		01-APR-10
081D	Hospice (non-hospital based); Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/ Centers of Excellence Demonstration/ Provider Partnerships Demonstration - Void/Cancel	OP	01-JUL-00		01-APR-10
081E	Hospice (non-hospital based); Hospice change of ownership	OP	01-JUL-00		01-APR-10
081F	Hospice (non-hospital based); Beneficiary initiated adjustment claim	OP	01-JUL-00		01-APR-10
081G	Hospice (non-hospital based) CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-10
081H	Hospice (non-hospital based); CMS initiated adjustment claim	OP	01-JUL-00		01-APR-10
081I	Hospice (non-hospital based); Intermediary adjustment claim	OP	01-JUL-00		01-APR-10
081J	Hospice (non-hospital based); Initiated adjustment claim - other	OP	01-JUL-00		01-APR-10
081K	Hospice (non-hospital based); OIG initiated adjustment claim	OP	01-JUL-00		01-APR-10
081M	Hospice (non-hospital based); MSP initiated adjustment claim	OP	01-JUL-00		01-APR-10
081N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
081O	Hospice (non-hospital based); Non-payment/zero claim	OP	01-JUL-00		01-APR-10
081P	Hospice (non-hospital based); QIO adjustment claim	OP	01-MAR-07		01-APR-10
081Q	Hospice (non-hospital based); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
081X	Hospice (non-hospital based); Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
081Y	Hospice (non-hospital based); Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
081Z	Hospice (non-hospital based); New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
0820	Hospice (hospital based); Non-payment/zero claim	OP	18-FEB-98		01-APR-10
0821	Hospice (hospital based); Admit thru discharge claim	OP	18-FEB-98		01-APR-10
0822	Hospice (hospital based); Interim - First claim	OP	18-FEB-98		01-APR-10
0823	Hospice (hospital based); Interim - Continuing claim	OP	18-FEB-98		01-APR-10
0824	Hospice (hospital based); Interim - Last claim	OP	18-FEB-98		01-APR-10
0825	Hospice (hospital based); Late charge (s) only	OP	18-FEB-98		01-APR-10
0827	Hospice (hospital based); Replacement of prior claim	OP	18-FEB-98		01-APR-10
0828	Hospice (hospital based); Void/cancel of prior claim	OP	18-FEB-98		01-APR-10
082A	Hospice (hospital based); Admission/election notice	OP	18-FEB-98		01-APR-10
082B	Hospice (hospital based); Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/Centers of Excellence Demonstration/Provider Partnerships Demonstration - Termination/Revocation Notice	OP	01-JUL-00		01-APR-10
082C	Hospice (hospital based); Hospice change of provider notice	OP	01-JUL-00		01-APR-10
082D	Special facility; Hospice (hospital based); Hospice/Medicare Coordinated Care Demonstration/Religious Non-Medical Health Care Institution/ Centers of Excellence Demonstration/ Provider Partnerships Demonstration - Void/Cancel	OP	01-JUL-00		10-APR-10
082E	Hospice (hospital based); Hospice change of ownership	OP	01-JUL-00		01-APR-10
082F	Special facility; Hospice (hospital based); Beneficiary initiated adjustment claim	OP	01-JUL-00		01-APR-10
082G	Hospice (hospital based); CWF initiated adjustment claim	OP	01-JUL-00		01-APR-10
082H	Hospice (hospital based); CMS initiated adjustment claim	OP	01-JUL-00		01-APR-10
082I	Hospice (hospital based); Intermediary adjustment claim	OP	01-JUL-00		01-APR-10
082J	Hospice (hospital based); Initiated adjustment claim - other	OP	01-JUL-00		01-APR-10
082K	Hospice (hospital based); OIG initiated adjustment claim	OP	01-JUL-00		01-APR-10
082M	Hospice (hospital based); MSP initiated adjustment claim	OP	01-JUL-00		01-APR-10
082N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
082O	Hospice (hospital based); Non-payment/zero claim	OP	01-JUL-00		01-APR-10
082P	Hospice (hospital based); QIO adjustment claim	OP	01-MAR-07		01-APR-10
082Q	Hospice (hospital based); Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
082X	Hospice (hospital based); Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
082Y	Hospice (hospital based); Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
082Z	Hospice (hospital based); New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
0830	Ambulatory surgery center; Non-payment/zero claim	OP	18-FEB-98		01-APR-10
0831	Ambulatory surgery center; Admit thru discharge claim	OP	18-FEB-98		01-APR-10
0832	Ambulatory surgery center; Interim-First Claim	OP	18-FEB-98		01-APR-10
0833	Ambulatory surgery center; Interim-Continuing Claim	OP	18-FEB-98		01-APR-10
0834	Ambulatory surgery center; Interim-Last Claim	OP	18-FEB-98		18-FEB-98
0835	Ambulatory surgery center; Late Charge (s) only	OP	18-FEB-98		01-APR-10
0837	Ambulatory surgery center; Replacement of prior claim	OP	18-FEB-98		01-APR-10
0838	Ambulatory surgery center; Void/cancel of prior claim	OP	18-FEB-98		01-APR-10
083F	Ambulatory surgery center; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-APR-10
083G	Ambulatory surgery center; CWF initiated adjustment claim	OP	01-JUL-00		01-APR-10
083H	Ambulatory surgery center; CMS initiated adjustment claim	OP	01-JUL-00		01-APR-10
083I	Ambulatory surgery center; Intermediary adjustment claim	OP	01-JUL-00		01-APR-10
083J	Ambulatory surgery center; Initiated adjustment claim - other	OP	01-JUL-00		01-APR-10
083K	Ambulatory surgery center; OIG initiated adjustment claim	OP	01-JUL-00		01-APR-10
083M	Ambulatory surgery center; MSP initiated adjustment claim	OP	01-JUL-00		01-APR-10
083N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
083O	Ambulatory surgery center; Non-payment/zero claim	OP	01-JUL-00		01-APR-10
083Q	Ambulatory surgery center; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
083X	Ambulatory surgery center; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
083Y	Ambulatory surgery center; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
083Z	Ambulatory surgery center; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
0840	Freestanding birthing center; Non-payment/zero claim	OP	18-FEB-98		01-APR-10
0841	Freestanding birthing center; Admit thru discharge claim	OP	18-FEB-98		01-APR-10
0845	Freestanding birthing center; Late charge (s) only	OP	18-FEB-98		01-APR-10
0847	Freestanding birthing center; Replacement of prior claim	OP	18-FEB-98		01-APR-10
0848	Freestanding birthing center; Void/cancel of prior claim	OP	18-FEB-98		01-APR-10
084G	Freestanding birthing center; CWF initiated adjustment claim	OP	01-JUL-00		01-APR-10
084Q	Freestanding birthing center;  Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	01-AUG-00		01-APR-15
084X	Freestanding birthing center; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
084Y	Freestanding birthing center; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
084Z	Freestanding birthing center; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
0850	Critical access hospital; Non-payment/zero claim	OP	18-FEB-98		01-APR-10
0851	Critical access hospital; Admit through discharge claim	OP	18-FEB-98		01-APR-10
0852	Critical access hospital; Interim, First Claim	OP	01-JAN-13		01-JAN-13
0853	Critical access hospital; Interim, Continuing Claim	OP	01-JAN-13		01-JAN-13
0854	Critical access hospital; Interim, Last Claim	OP	01-JAN-13		01-JAN-13
0855	Critical access hospital; Late charge (s) only	OP	18-FEB-98		01-APR-10
0857	Critical access hospital; Replacement of prior claim	OP	18-FEB-98		01-APR-10
0858	Critical access hospital; Void/cancel of prior claim	OP	18-FEB-98		01-APR-10
085F	Critical access hospital; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-APR-10
085G	Critical access hospital; CWF initiated adjustment claim	OP	01-JUL-00		01-APR-10
085H	Critical access hospital; CMS initiated adjustment	OP	01-JUL-00		01-APR-10
085I	Critical access hospital; Intermediary adjustment claim	OP	01-JUL-00		01-APR-10
085J	Critical access hospital; Initiated adjustment claim - other	OP	01-JUL-00		01-APR-10
085K	Critical access hospital; OIG initiated adjustment claim	OP	01-JUL-00		01-APR-10
085M	Critical access hospital; MSP initiated adjustment claim	OP	01-JUL-00		01-APR-10
085N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
085O	Critical access hospital; Non-payment/zero claim	OP	01-AUG-00		01-APR-10
085P	Critical access hospital; QIO adjustment claim	OP	01-MAR-07		01-APR-10
085Q	Critical access hospital; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
085X	Critical access hospital; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
085Y	Critical access hospital; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
085Z	Critical access hospital; New abbreviated encounter submission (Medicare Advantage only)	OP	01-AUG-00		01-APR-10
0860	Residential facility; Non-payment/zero claim	IP	18-FEB-98		01-APR-10
0861	Residential facility; Admit through discharge claim	IP	18-FEB-98		01-APR-10
0862	Residential facility; Interim - First claim	IP	18-FEB-98		01-APR-10
0863	Residential facility; Interim - Continuing claim	IP	18-FEB-98		01-APR-10
0864	Residential facility; Interim - Last claim	IP	18-FEB-98		01-APR-10
0865	Residential facility; Late charge (s) only	IP	18-FEB-98		01-APR-10
0867	Residential facility; Replacement of prior claim	IP	18-FEB-98		01-APR-10
0868	Residential facility; Void/cancel of prior claim	IP	18-FEB-98		01-APR-10
086F	Residential facility; Beneficiary initiated adjustment claim	IP	01-JUL-00		01-APR-10
086G	Residential facility; CWF initiated adjustment claim	IP	01-JUL-00		01-APR-10
086H	Residential facility; CMS initiated adjustment	IP	01-JUL-00		01-APR-10
086I	Residential facility; Intermediary adjustment claim	IP	18-FEB-98		01-APR-10
086J	Residential facility; Initiated adjustment claim - other	IP	01-JUL-00		01-APR-10
086K	Residential facility; OIG initiated adjustment claim	IP	01-JUL-00		01-APR-10
086M	Residential facility; MSP initiated adjustment claim	IP	01-JUL-00		01-APR-10
086N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
086O	Residential facility; Non-payment/zero claim	IP	01-JUL-00		01-APR-10
086P	Residential facility; QIO adjustment claim	IP	01-MAR-07		01-APR-10
086Q	Residential facility; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	IP	10-AUG-05		01-APR-15
086X	Residential facility; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-APR-10
086Y	Residential facility; Replacement of prior abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-APR-10
086Z	Residential facility; New abbreviated encounter submission (Medicare Advantage only)	IP	01-AUG-00		01-APR-10
0870	Freestanding Non-residential Opioid Treatment Program; Non-payment/zero claim	OP	01-JAN-21		01-JAN-21
0871	Freestanding Non-residential Opioid Treatment Program; Admit thru discharge claim	OP	01-JAN-21		01-JAN-21
0872	Freestanding Non-residential Opioid Treatment Program; Interim-first claim	OP	01-JAN-21		01-JAN-21
0873	Freestanding Non-residential Opioid Treatment Program; Interim continuing claim	OP	01-JAN-21		01-JAN-21
0874	Freestanding Non-residential Opioid Treatment Program; Interim last claim	OP	01-JAN-21		01-JAN-21
0875	Freestanding Non-residential Opioid Treatment Program; Late charge only claim	OP	01-JAN-21		01-JAN-21
0877	Freestanding Non-residential Opioid Treatment Program; Replacement of prior claim	OP	01-JAN-21		01-JAN-21
0878	Freestanding Non-residential Opioid Treatment Program; Void/cancel of prior claim	OP	01-JAN-21		01-JAN-21
087F	Freestanding Non-residential Opioid Treatment Program; Beneficiary initiated adjustment claim	OP	01-JAN-21		01-JAN-21
087G	Freestanding Non-residential Opioid Treatment Program; CWF initiated adjustment claim	OP	01-JAN-21		01-JAN-21
087H	Freestanding Non-residential Opioid Treatment Program; CMS initiated adjustment claim	OP	01-JAN-21		01-JAN-21
087I	Freestanding Non-residential Opioid Treatment Program; Intermediary adjustment claim	OP	01-JAN-21		01-JAN-21
087J	Freestanding Non-residential Opioid Treatment Program; Initiated adjustment claim - other	OP	01-JAN-21		01-JAN-21
087K	Freestanding Non-residential Opioid Treatment Program; OIG initiated adjustment claim	OP	01-JAN-21		01-JAN-21
087M	Freestanding Non-residential Opioid Treatment Program; MSP initiated adjustment claim	OP	01-JAN-21		01-JAN-21
087N	Reserved for assignment by the NUBC	OP	01-JAN-21		01-JAN-21
087O	Freestanding Non-residential Opioid Treatment Program; Non-payment/zero claim	OP	01-JAN-21		01-JAN-21
087Q	Freestanding Non-residential Opioid Treatment Program; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits	OP	01-JAN-21		01-JAN-21
087X	Freestanding Non-residential Opioid Treatment Program; Void/Cancel a prior abbreviated encounter submission (Medicare Advantage only)	OP	01-JAN-21		01-JAN-21
087Y	Freestanding Non-residential Opioid Treatment Program; Replacement of prior abbreviated encounter submission (Medicare Advantage Only)	OP	01-JAN-21		01-JAN-21
087Z	Freestanding Non-residential Opioid Treatment Program; New abbreviated encounter submission (Medicare Advantage only)	OP	01-JAN-21		01-JAN-21
0890	Special facility; other; Non-payment/zero claim	OP	18-FEB-98		18-FEB-98
0891	Special facility; other;  Admit thru discharge claim	OP	18-FEB-98		18-FEB-98
0892	Special facility-other: Interim-first claim	OP	18-FEB-98		18-FEB-98
0893	Special facility-other: Interim continuing claim	OP	18-FEB-98		18-FEB-98
0894	Special facility-other: Interim last claim	OP	18-FEB-98		18-FEB-98
0895	Special facility; other; Late charge only claim	OP	18-FEB-98		18-FEB-98
0897	Special facility; other; Replacement of prior claim	OP	18-FEB-98		18-FEB-98
0898	Special facility; other; Void/cancel of prior claim	OP	18-FEB-98		18-FEB-98
089F	Special facility; other; Beneficiary initiated adjustment claim	OP	01-JUL-00		01-JUL-00
089G	Special facility; other; CWF initiated adjustment claim	OP	01-JUL-00		01-JUL-00
089H	Special facility; other; CMS initiated adjustment claim	OP	01-JUL-00		01-JUL-00
089I	Special facility; other; Intermediary adjustment claim	OP	01-JUL-00		01-JUL-00
089J	Special facility; other; Initiated adjustment claim - other	OP	01-JUL-00		01-JUL-00
089K	Special facility; other; OIG initiated adjustment claim	OP	01-JUL-00		01-JUL-00
089M	Special facility; other; MSP initiated adjustment claim	OP	01-JUL-00		01-JUL-00
089N	Reserved for assignment by the NUBC	N/A	09-SEP-08		09-SEP-08
089O	Special facility; other; Non-payment/zero claim	OP	01-JUL-00		01-JUL-00
089Q	Special facility; other; Claim Submitted for Reconsideration/Reopening Outside of Timely Limits.	OP	10-AUG-05		01-APR-15
089X	Special facility; other; Void/Cancel a prior abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
089Y	Special facility; other; Replacement of prior abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
089Z	Special facility; other; New abbreviated encounter submission  (Medicare Advantage only)	OP	01-AUG-00		01-AUG-00
