Where do condition codes go on a UB04?

Where do condition codes go on a UB04?

CMS1450/UB04 Fields: 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, and 28 are places for Condition Codes.

What is Box 17 on a UB04?

17. * Patient Status Enter the 2-digit patient status code that best describes the patient’s discharge status. 05-Discharged/transferred to another type of institution for inpatient care or referred for outpatient services to another institution.

What are UB04 value codes?

Value Codes

Code Description Addtional Description
81 Non-Covered Days Effective 03/01/07 Hardcopy UB04 Claims
82 Coinsurance Days Effective 03/01/07 Hardcopy UB04 Claims
83 Lifetime Reserve Days Effective 03/01/07 Hardcopy UB04 Claims
84-99 Reserved for National Assignment

What box is the DRG code on a ub04?

Box 67
In addition, for claims that will be reimbursed under the DRG payment methodology: The primary reason for admission should be placed in the primary diagnosis field (Box 67) of the UB-04 claim form.

What are value codes?

The code indicating a monetary condition which was used by the intermediary to process an institutional claim. The associated monetary value is in the claim value amount field (CLM_VAL_AMT).

How to get the companion guide for 837i?

Comprehensive Hospital Abstract Reporting System (CHARS) Companion Guide for CHARS 837I 5010-R5 CHARS UB-04 to X12 837I 005010X233/005010X233A2 Page 4 2 CHARS Controls and References 2.1 CHARS Code Sets CHARS Code Set Values Code Table 1 – DOH Payer Codes

What does 837i stand for in health care?

The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims. electronically. The Form CMS-1450, also known as the UB-04, is the standard claim form to bill Medicare Administrative Contractors (MACs) when a paper claim is allowed.

Where can I find the Medicare 837i manual?

The National Uniform Billing Committee (NUBC) makes its UB-04 manual available through its website. This manual contains the updated specifications for the data elements and codes included on the CMS-1450 and used in the 837I transaction standard. MACs may include a crosswalk between the ASC X12N 837I and the CMS-1450 on their websites.

What are the 837i and the form cms-1450?

What Are the 837I and the Form CMS-1450? 837I The 837I (Institutional) is the standard format used by institutional providers to transmit health care claims electronically. Review the chart below for the American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12N 837P for more information about this claim format.