Leave of Absence

Billing and Reimbursement
Policy Number: RP-I-004

Last Updated: Nov. 1, 2021

When a Leave of Absence is incurred, record the applicable number of leave days in Form Locator 8 (non-covered days) using Revenue Code 018X. Record the number of covered (billable) days in Form Locator 7. The total of the days in Form Locators 7 and 8 must equal the span of days in Form Locator 6. A charge for the leave day(s) is not reimbursable.