Ub 04 Value Code Descriptions

How to bill Value and Revenue codes in UB 04,a. Each code must be accompanie

d by an amount. b. All codes are two alphanumeric digits. c. Amounts may be up to ten numeric positions. (00000000.00)

Description : For Medicare Part A and B claims, enter the appropriate value

code (s) for Medicare Coinsurance and Deductible when Medicare is the primary payer. When Medicare coverage is present, it will normally be reported as "Payer A" on the UB-04.

Joy B. Hicks, PhD, MBA, is an expert on the health insurance industry with o

ver 15 years of experience in patient financial services. The UB-04 uniform billing form is the standard claim form that any institutional provider can use for the billing of medical and mental health claims. It's printed ...

Indicates arterial blood gas value at the beginning of each reporting period

for oxygen therapy. This value or value 59 is required on the initial bill for oxygen therapy and on the fourth month’s bill. The provider reports right justified in the cents area. (See note following code 59 for an example.) 59. Oxygen Saturation (02 Sat/ Oximetry)

AHA copyrighted materials including the UB-04 codes and descriptions may not

be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816.

According to the UB-04 manual, FL70a-c is used on outpatient claims to repor

t the ICD-9-CM diagnosis code describing the patient’s stated reason for seeking care (or as stated by the patient’s representative).

To navigate directly to a particular type of code, click on the type of code

from the following list: Condition Codes (ccs) (UB-04 FLs 18-28) Occurrence Codes (OCs) and Dates (UB-04 FLs 31 – 34) Value Codes (VCs) and Amounts (UB-04 FLs 39-41) Patient Relationship Codes (UB-04 FL 59A, B, C) Remarks

You can access the UB-04 billing information adopted by the NUBC by subscrib

ing to the Official UB-04 Data Specifications Manual. This manual, copyrighted by the American Hospital Association, is the only official source of UB Data. No other publication — governmental or private/commercial — can be considered authoritative. Learn More

Value codes and amounts. Value code 61 and the core based statistical area (

CBSA) code are required when billing routine (revenue code 0651) and/or continuous home care (revenue code 0652). Value code G8 and the CBSA code are required when billing respite (revenue code 0655) and/or general inpatient care (revenue code 0656).

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For a list of condition codes, occurrence codes, occurrence span codes, valu

e codes, revenue codes and all other required data reported on the UB-04, please visit the NUBC website for the official UB-04 data specifications manual or the UB-04 Form Locator Code Lookup on our website.

25/75/General Instructions for Completion of Form CMS-1450 (UB-04). R …. m

aximum number of the UB-04 codes (value codes ….. FL51 Provider Number. A. Medicare Claims Processing Manual Crosswalk – CMS. www.cms.gov. This form, also known as the UB-04, is a uniform institutional provider bill suitable for …. FL39 Value Code Amount a N …

UB-04 (CMS 1450) billing guidelines. The Centers for Medicare and Medicaid S

ervices (CMS) form 1450, referred to as the UB-04, is the standard claim form used to bill facility services to us and our affiliates. Submitting the claim form with all required fields will assist us in paying your claim in a timely manner.

National Standard Mapping: Electronic - 837I: X12 Loop: Ref. Des. Data Eleme

nt: Code: Description: Version 4050R: 2300: HI01-1: 1270: BE: Value Code Qualifier: HI01-2

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). Comments: Source: NCH. Claim Value Table.txt. Search form. Advanced Search. [email protected] Submit a question. 888-973-7322.

UB-04 Overview Medicare Part A Provider Outreach and Education June 2007 . .

.. Admission Type Examples Code Description Definition The patient requires immediate medical intervention as a result of 1 Emergency severe, life-threatening or potentially disabling conditions. ... Form Locators 39−41 Value Codes and Amounts Slide 28

UB-04 for Epic EHR customers. Health Language's UB-04 data file is your comp

lete source of electronic medical billing content. It includes the complete UB-04 code set from the American Hospital Association, including each of 81 form locators (FLs), all revenue codes and descriptions, and other code sets, such as type-of-bill codes; condition, occurrence, and value codes; admission source and ...

UB04 Charge Entry screen manages the entry and edit of UB04 charges. Some ke

y points related to UB04 Charge Entry are: 1. UB04 charge entry is used for institutional claims only. 2. There is no map…