CA · guidance
Medi-Cal Provider Manual, Part 2, Hospice Care: General Billing Instructions, Billing Procedures
Billing Procedures
If the recipient is receiving care for more than one day in a month, use the “from-through”
billing method to bill per-diem service and room and board codes, indicated above. If the
recipient is receiving care for only one day, bill that day on one line with a single date of
service. Do not bill per diem codes on a single line with a quantity greater than one, or the
claim will be denied. An explanation of how to bill using the “from-through” method is
included in the UB-04 Special Billing Instructions for Outpatient Services section of this
manual.
Medi-Cal requires that hospices document all coexisting or additional diagnoses related to
the recipient’s terminal illness on hospice claims. Hospices should not report coexisting or
additional diagnoses unrelated to the terminal illness.
Provenance
- Source
- mcweb.apps.prd.cammis.medi-cal.ca.gov
- Retrieved
- 2026-10-01
- Edition
- mcpm-hospicge-2025-02-01
- Content hash
ada1d0edcf232b6ec653ef44f8c3057bb232273eccdee0ec8f74421a87a6ad3e
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