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. 2020 Dec 10;17(24):9255. doi: 10.3390/ijerph17249255

Table A2.

List of administrative claim codes for home healthcare in the National Health Insurance Research Database (NHIRD).

Code in NHIRD Definition
A. In common area
05307C Fee for physician visit (per time)—for the first to fourth patient visited by one physician on the same day
05309C Fee for physician visit (per time)—for the fifth to eighth patient visited by one physician on the same day
05301C Fee for nurse visit (per time)—RUG 1, within reasonable caseload
05328C Fee for nurse visit (per time)—RUG 1, beyond reasonable caseload
05303C Fee for nurse visit (per time)—RUG 2, within reasonable caseload
05330C Fee for nurse visit (per time)—RUG 2, beyond reasonable caseload
05305C Fee for nurse visit (per time)—RUG 3, within reasonable caseload
05332C Fee for nurse visit (per time)—RUG 3, beyond reasonable caseload
05321C Fee for nurse visit (per time)—RUG 4, within reasonable caseload
05334C Fee for nurse visit (per time)—RUG 4, beyond reasonable caseload
B. In specific rural area
05308C Fee for physician visit (per time)—for the first to fourth patient visited by one physician on the same day
05310C Fee for physician visit (per time)—for the fifth to eighth patient visited by one physician on the same day
05302C Fee for nurse visit (per time)—RUG 1, within reasonable caseload
05329C Fee for nurse visit (per time)—RUG 1, beyond reasonable caseload
05304C Fee for nurse visit (per time)—RUG 2, within reasonable caseload
05331C Fee for nurse visit (per time)—RUG 2, beyond reasonable caseload
05306C Fee for nurse visit (per time)—RUG 3, within reasonable caseload
05333C Fee for nurse visit (per time)—RUG 3, beyond reasonable caseload
05322C Fee for nurse visit (per time)—RUG 4, within reasonable caseload
05335C Fee for nurse visit (per time)—RUG 4, beyond reasonable caseload

RUG = Classification of resource utilization groups.