MLTSS Bed Type Revenue Codes

Before you submit your next nursing home claim to us, please check that you’re using the right revenue codes. This will help reduce the number of denials you might receive on your claims submissions.

Bed/Room Type Description Revenue Codes
NH MLTSS member in a Nursing Home (Custodial Services) 0100, 0119, 0129, 0139, 0149, 0159, 0169 with Bill Type 21X
MN Non-MLTSS member in a Nursing Home (Custodial services) 0101- Bill Type 21X
R7 Respite Care for an MLTSS/Non 0663
SK Skilled Nursing services 0191
RS Sub-Acute Care Services 0192
OS MLTSS member in a Skilled Care Nursing Facility (SCNF) 0100, 0119, 0129, 0139, 0149, 0159, 0169 with Bill type
NM Non MLTSS member in a SCNF 0160 - Bill type 65X or 66X

We hope you find this chart helpful. For other information and tools that help ease your administrative burden, review ourResourcessection.

If you have any questions or concerns, please email Denice Berrios atDenice_Berrios@HorizonBlue.com.