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Provider News Occurrence code 55 required when reporting date of death

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Centers for Medicare & Medicaid Services (CMS) require the occurrence code 55 and the date of death to be included when billing an institutional claim with the following patient discharge status codes:

  • 20 (expired)
  • 40 (expired at home)
  • 41 (expired in a medical facility)
  • 42 (expired – place unknown)

For additional information on the use of code 55, refer to the CMS Manual System - Change Request.

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