Skip to main content

Point of Origin Code Change and Update

Last updated on 4/29/2021

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

Effectively May 15, 2021, the value Point of Origin for Admission or Visit Code “B” must no longer be used. This code has been discontinued. Providers should use “Condition Code 47” to replace Point of Origin for Admission or Visit Code “B.”

The following National Uniform Billing Committee (NUBC) code was discontinued effective July 1, 2010, and the following types of admissions will no longer be valid with Point of Origin “B”:

Type of Admission

Type of Admission Description

Point of Origin for Admission or Visit

Point of Origin for Admission or Visit Description

1

 Emergency

B

Transfer from Another Home Health Agency

2

 Urgent

B

Transfer from Another Home Health Agency

3

Elective

B

Transfer from Another Home Health Agency

5

Trauma

B

Transfer from Another Home Health Agency

9

Information Not Available

B

Transfer from Another Home Health Agency

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.