US · guidance
CMS Pub. 100-04, ch. 18, § 170.4
Types of Bill (TOBs) and Revenue Codes
The applicable types of bill (TOBs) for HIBC screening, HCPCS code G0445, are: 13X, 71X,
77X, and 85X.
On institutional claims, TOBs 71X and 77X, use revenue code 052X to ensure coinsurance and
deductible are not applied.
Critical access hospitals (CAHs) electing the optional method of payment for outpatient services
report this service under revenue codes 096X, 097X, or 098X.
History
(Rev. 2476, Issued: 05-23-12, Effective: 11-08-11, Implementation: 02-27-12)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ea83beae36d8ceaedfc075bf40a58855ce768c6fdd3397af0a5f89937b9d45d0
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