Examples: 011x and 012x= inpatient hospital (where “x” is any digit in the 4th position) 1st Digit = 0 2nd Digit — Type of Facility 1 = Hospital 2 = Skilled Nursing 3 = Home Health 4 = Religious Nonmedical (Hospital) 5 = Reserved for national assignment (discontinued effective 10/1/05). 6 = Intermediate Care 7 = Clinic or Hospital Based Renal Dialysis Facility (requires special information in second digit below). 8 = Special facility or hospital ASC surgery (requires special information in second digit below). 9 = Reserved for National Assignment 3rd Digit — Bill Classification (Except Clinics and Special Facilities) 1 = Inpatient 2 = Inpatient 3 = Outpatient 4 = Other 5 = Intermediate Care — Level I 6 = Intermediate Care — Level II 7 = Reserved for national assignment (discontinued effective 10/1/05). 8 = Swing Bed (may be used to indicate billing for SNF level of care in a hospital with an approved swing bed agreement). 9 = Reserved for National Assignment 3rd Digit — Classification (Clinics Only) 1 = Rural Health Clinic (RHC) 2 = Hospital Based or Independent Renal Dialysis Facility 3 = Free Standing Provider-Based Federally Qualified Health Center (FQHC) 4 = Other Rehabilitation Facility (ORF) 5 = Comprehensive Outpatient Rehabilitation Facility (CORF) 6 = Community Mental Health Center (CMHC) 7 = Federally Qualified Health Center (FQHC) 8 = Licensed Freestanding Emergency Medical Facility 9 = Other 3rd Digit — Classification (Special Facilities Only) 1 = Hospice (Nonhospital Based) 2 = Hospice (Hospital Based) 3 = Ambulatory Surgical Center Services to Hospital Outpatients 4 = Free Standing Birthing Center 5 = Critical Access Hospital 6 = Residential Facility 7 = Freestanding Non-residential Opioid Treatment Program (effective 1/1/21) 8 = Reserved for National Assignment 9 = Other 4th Digit — Frequency A = Admission/Election Notice B = Hospice/Medicare Coordinated Care Demonstration/Religious Nonmedical Health Care Institution Termination/Revocation Notice C = Hospice Change of Provider Notice D = Hospice/Medicare Coordinated Care Demonstration/Religious Nonmedical Health Care Institution Void/Cancel E = Hospice Change of Ownership F = Beneficiary Initiated Adjustment Claim G = CWF Initiated Adjustment Claim H = CMS Initiated Adjustment Claim I = FI Adjustment Claim (Other than QIO or Provider J = Initiated Adjustment Claim — Other K = OIG Initiated Adjustment Claim M = MSP Initiated Adjustment Claim P = QIO Adjustment Claim 0 = Nonpayment/Zero Claims 1 = Admit Through Discharge Claim 2 = Interim — First Claim 3 = Interim — Continuing Claims (Not valid for PPS Bills) 4 = Interim — Last Claim (Not valid for PPS Bills) 5 = Late Charge Only 7 = Replacement of Prior Claim 8 = Void/Cancel of a Prior Claim 9 = Final Claim for a Home Health PPS Episode Null/missing = source value is missing or unknown