Box 44 - HCPCS/Rate/HIPPS Code

Box Definition 

Box 44 provides the relevant HCPCS codes for ancillary services, the accommodation rates for inpatient service bills, and the Health Insurance Prospective Payment System rate codes for specific patient groups that serve as the basis for payments under a PPS (Prospective Payment System). 

In Kipu RCM

Let's review how to update Box 44 in the RCM!

• Procedure codes are managed in the Service Billing Profile. To learn more about updating the billing profile, click here. 
• A Servicing Grouping Rule can be used to update the billing profile with which the claim is created.
• The HCPCS/CPT can be altered on a claim before submitting it using our Claim Edits feature. To learn more about this feature, click here.

EDI Loop and Segment

Loop 2400, Segment SV2. For additional information on loops and segments, click here.