B9
Patient is enrolled in a Hospice
What This Code Means
The patient’s hospice enrollment affects coverage for this claim; certain services are bundled into the hospice benefit.
Common Causes
- Service falls under the hospice benefit and isn't separately payable
- Hospice enrollment status not checked before billing
How to Resolve or Appeal
- Confirm hospice enrollment status and dates for the patient
- Bill through the hospice provider if the service is bundled, or confirm it qualifies as unrelated to the terminal diagnosis
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.