Traditional MedicareBilling CodesHigh impact
Chapter K-200, Handbook for Hospice Agencies Hospice Billing Change Regarding CBSA Code 14 Effective with Dates of Service on and after November 1, 2019
Illinois Medicaid - HFS·IL · Palliative Care·Provider Notice
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Summary
Illinois hospice agencies must now use CBSA code 99914 instead of variations like 14, 1400, or 14000 when billing for rural hospice services. Claims submitted with the old code formats will be rejected with error code K21.
Action Required
By November 1, 2019: Hospice billing teams must update all billing systems and claim forms to use CBSA code 99914 in Form Locators 39-41 for rural Illinois counties (previously coded as 14, 1400, or 14000). Update billing software to prevent submission of old code formats. Claims with incorrect CBSA codes will be rejected with error K21.