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The information in this section pertains to Medicare fee-for-service (also known as original or traditional Medicare) institutional claims. Institutional claims include any claim submitted using the HIPAA-mandated transaction ASC X12N 837 – Health Care Claim: Institutional or the UB-04 paper claim form format.

NOTE: For information related to claims for home health and hospice services, please reference the J15 HHH Claims page.

Additional guidance can be found in the various chapters of the CMS Medicare Claims Processing Manual (Pub. 100-04)External Website.


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