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Hospice Occurrence Code 27 Calculator

Hospices must report occurrence code (OC) 27 and the certification or recertification date for each hospice benefit period, beginning with the first two initial 90-day benefit periods, and the subsequent 60-day benefit periods. If OC 27 is missing, or reported with an incorrect date, the NOE or claim will Return to Provider (RTP) with reason code U5181.

Enter the dates below to determine the correct OC 27 date for the following:

  • Notice of Election (NOE)
  • Initial claim following a beneficiary's hospice election
  • Subsequent claims with From and To dates that overlap the first day of the next benefit period and a timely certification
Admission Date:
From Date:
To Date:

NOTE: This calculator does NOT apply to these special billing situations:

  • A beneficiary's discharge/readmission to hospice or transfer
  • Untimely recertifications

For additional billing guidance, search U5181 in the Reason Code Search and Resolution tool.

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