Intellect™
OCCURRENCE SPAN CODES
70 Qualifying Stay Dates (SNF)/Non-Utilization Dates: Dates represent at least a three-day hospital stay that qualifies the client for Medicare payment of SNF services billed. Code can be used only by SNF for billing.
71 Prior Stay Dates: Dates represent a client hospital stay that ended within 60 days of this hospital or SNF admission.
72 First/Last Visit (Current Visit): Dates represent the outpatient services. For use on outpatient bills only where the entire billing record is not represented by the actual From/Through service dates of locator 6 (Statement Covers Period).
73 Benefit Eligibility Period: Dates represent the period during which CHAMPUS medical benefits are available to a sponsor’s beneficiary as shown on the beneficiary’s ID card.
74 Non-Covered Level of Care: Dates represent the period at a non-covered level of care in an otherwise covered stay, excluding any period reported by occurrence span code 76, 77, or 79.
75 SNF Level of Care: Dates represent SNF level of care during an inpatient hospital stay. Code should be used only when the PSRO/QIO has approved the patient remaining in the hospital because of the non-availability of an SNF bed. Code is not applicable to swing-bed cases. For hospitals under prospective payment, this code is needed in day outlier cases only.
76 Client Liability: Dates represent non-covered care for which the hospital is permitted to charge the Medicare beneficiary. Code should be used only where the QIO or intermediary has approved such charges in advance and client has been notified in writing at least three days prior to the start date of this period.
77 Provider Liability – Utilization: Dates of non-covered care for which the provider is liable. Utilization is charged.
78 SNF Prior Stay Dates: Dates represent any SNF or nursing home stay that ended within 60 days of this hospital or SNF admission.
79 Set aside for Payer use only. Providers do not use this code.
80-99 Reserved for State Assignment.
M0 QIO Approved. Dates represent days that were approved when not all of the stay was approved.
M1-W9 Reserved for national assignment.
X0-Z9 Home Health Certification Begin and End Dates.