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US · guidance

CMS Pub. 100-04, ch. 3, § 190.10.7

Billing for Interrupted Stays

activein force · 2026-08-25 – presentas-observed

IPFs shall bill for the interrupted stay using Occurrence Span Code 74. The Occurrence

Span Code FROM date equals the day of discharge for the IPF and the THROUGH date is

the last day the patient was not present in the IPF at midnight. For example, the patient

leaves the IPF on 1/1 and returns to the IPF on 1/3. This is considered an interrupted stay

and the Occurrence Span Code 74 will show 1/1 - 1/2. Should the patient return to the IPF

on 1/4, two bills will be allowed. The accommodation Revenue Code 018X (RT 50, field

5), (SV 201), (leave of absence) will continue to be used in the current manner in terms of

Occurrence Span Code 74 (RT 40, field 22 - 27) and date range.

History

(Rev. 1101, Issued: 11-03-06, Effective: 01-01-05, Implementation: 12-04-06)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
88de21e8f3dd2f8bdc8ccb792830518e39698333b3c106e6e1c44892fefa3fb1
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