ID · guidance
Idaho Medicaid Provider Handbook, Home Health and Hospice Services, Appendix A
Home Health Billing Codes
a.
Revenue Codes
Covered Revenue Codes
Revenue
Codes
Description
Notes
0270
Home Health Supplies
Requires a CPT®/HCPCS. Nutritional
products are included.
0291
Rental Durable Medical Equipment
Requires a CPT®/HCPCS.
0421
Physical Therapy Visit
0431
Occupational Therapy Visit
0441
Speech- Language Pathology Visit
0470
Audiology - General
0471
Audiology - Diagnostic
0472
Audiology - Treatment
0551
Skilled Nurse Visit
Requires the skills of a Registered
Nurse or Licensed Practical Nurse.
0571
Aide Visit
Services performed by trained nurse
aides, licensed personnel or a home
health aide.
0771
Drugs Requiring Special Coding
Requires a CPT®/HCPCS with National
Drug Code (NDC). Refer to the Medical
Services, Idaho Medicaid Provider
Handbook, for reporting national drug
codes for physician administered drugs.
b.
Bill Types
Covered Home Health Bill Types
Code Description
0321
Home Health (Admit - Through - Discharge Claim) (Including Medicare Part A)
0322
Home Health (Interim - First Claim) (Including Medicare Part A)
0323
Home Health (Interim - Continuing Claim) (Including Medicare Part A)
0324
Home Health (Interim - Last Claim) (Including Medicare Part A)
0327
Home Health (Replacement of Prior Claim) (Including Medicare Part A)
0328
Home Health (Void or Cancellation of Prior Claim)
c.
Patient Status Codes
Accepted Patient Status Codes (Field 17)
Code Description
01
Discharge to Home or self care
02
Transfer to Hospital
03
Transfer to Nursing Home
04
Transfer to Intermediate Care Facility
05
Discharged to Another Type of health care institution not defined elsewhere in this
list
Accepted Patient Status Codes (Field 17)
Code Description
06
Discharge/Transfer to Home Under Care of Organized Home Health Service
Organization in Anticipation of Covered Skilled Care (Indicate in appropriate field
the status or location of patient and time they left the facility)
07
Left Against Medical Advice
08
Discharged/Transferred to Home Under Care of a Home IV Provider
20
Death
30
Not Discharged, Still A Patient
40
Expired at Home
41
Expired in an Institution
42
Expired, Place Unknown
43
Discharged/transferred to a Federal Health Care Facility
d.
Occurrence Codes
Accepted Occurrence Codes (Fields 31-34)
Code Description
01
Auto Accident
02
Auto Accident/No Fault
03
Accident/Tort
04
Accident/Employment Related
05
Other Accident
06
Crime Victim
24
Date Insurance Denied
25
Date Benefits Terminated by Primary Carrier
42
Date of Discharge
X0
Plan of Care on file
Provenance
- Source
- www.idmedicaid.com
- Retrieved
- 2026-10-02
- Edition
- handbook-hhh-2026-03-11
- Content hash
7e649e4d5b594e8075cac8c271df48f29651612913430e78ffe08ec22290a266
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