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Point of Origin Codes Update to the UB-04 (CMS-1450) Manual Code List

This article explains the addition of two new valid point of origin codes to the valid
list of acceptable UB-04 codes. The new codes are E, Transfer from Ambulatory
Surgical Center; and F, Transfer from Hospice and is Under a Hospice Plan of
Care or Enrolled in a Hospice Program. These codes must be used to complete
Form CMS-1450 Data Set, described in the Medicare Claims Processing Manual,
Chapter 25 (Completing and Processing the Form CMS-1450 Data Set).

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 25, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.