Section title: Requests for Interpretation
RFI #
1534
HIPPS codes for HH/IRF
Description

Qualifier HP for SV202-01 element has a name and note defining it as a HIPPS code for skilled nursing facilities.
Is it compliant with TR3 to send HIPPS codes for home health and IRF in SV202?

RFI Response

The note in SV202-1 refers to the name of the external code set, Health Insurance Prospective Payment System (HIPPS) Rate Code for Skilled Nursing Facilities. To be compliant with the TR3 the code in the SV202 must be on the referenced code list.

DOCUMENT ID
005010X223A2