Claims · Decoder

Type of Bill Decoder & Builder

Break a Type of Bill into its three parts — facility, classification, frequency — or build one from scratch. Covers SNF, Home Health, Hospice, and swing bed.

Reference Only
Data statusReference Only
Status
Reference Only
Data year / effective
UB-04 / NUBC (current)
Last reviewed
June 2026
Last updated
June 2026
Known exclusions
  • Curated post-acute subset of the full NUBC / X12 code sets
  • Payer-specific edits vary
  • Confirm exact wording in the official NUBC manual

Published reference for the stated period — confirm the current figure and any corrections at the source before billing.

Decode

A 4-digit Type of Bill leads with a placeholder 0. The three meaningful digits are facility type, bill classification, then frequency. The frequency digit drives whether a claim is original, interim, a replacement, or a void.

Build one

Facility type

Bill classification

Frequency

Type of Bill
0211

Common post-acute bill types

TOBMeaning
0211SNF inpatient (Part A) — admit through discharge
0212SNF inpatient — interim, first claim
0214SNF inpatient — interim, last claim
0217SNF inpatient — replacement of prior claim
0181Hospital swing bed — admit through discharge
0322Home Health — interim, first claim
0327Home Health — replacement of prior claim
0329Home Health — final claim
0811Hospice (non-hospital based) — admit through discharge
0821Hospice (hospital based) — admit through discharge

The three-digit structure and meanings follow the public-domain CMS Medicare Claims Processing Manual (Pub. 100-04) and are summarized here. The official Type-of-Bill code descriptions are maintained by the NUBC — verify against the NUBC manual or your MAC before billing.

PostAcuteTools

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