MN · guidance
MHCP Provider Manual, Hospice Services, Pediatric Residential Hospice Facility Billing
Pediatric Residential Hospice Facility Billing
Pediatric residential hospice facility providers must use the following billing codes and criteria.
• Use claim type: 837I transaction set for hospice claims
• Bill type: 89X
• Revenue code: 0679
• Value code: 61
• Value code amount: 33,460.00
• Bill each date of service on a separate line up to 24 maximum units (1 unit equals one hour).
Billing for pediatric residential hospice is 100% state funded.
Provenance
- Source
- www.dhs.state.mn.us
- Retrieved
- 2026-10-02
- Edition
- mhcp-hospice-2025-05-09
- Content hash
09a9409ebeb9c39a6ea72ee87ca3d4b898456667d5727974eadaa20e016e9913
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.