Box 48 - Non-Covered Charges

Box Description

Box 48 indicates charges that are non-covered charges by the payer as related to the revenue code.


Medicare Part B requires a private room must be medically necessary and the medical need must be documented in the patient's medical records unless the hospital has only private rooms. The private room rate multiplied by the number of days is entered as the charge. If the patient requested a private room, which is non-covered, multiply the private room rate by the number of days for the total charge in field 47. Enter the difference between the private room total charge and the semi-private room total charge in field 48, "non-covered charges."

In AveaOffice

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EDI Loop/Segment

2400 SV207


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