What are the value codes for UB04?
Value Codes
| Code | Description | Addtional Description |
|---|---|---|
| 80 | Covered Days | Effective 03/01/07 Hardcopy UB04 Claims |
| 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 |
What is value code 50 on UB04?
Background: This instruction removes the requirement for providers to report the total number of therapy visits using value code 50 – physical therapy, 51 – occupational therapy, 52 – speech therapy, and 53 – cardiac rehab.
What is value code 81 on UB04?
Denial/Rejection Reason Incorrect/Missing Non-covered days Inpatient claim submitted where difference between Statement From Date and Through Date for Occurrence Span doesn’t match with Non- Covered Days Value Code submitted, or, when Value Code 81 / amount not submitted for the days that were not covered.
What is an A3 value code?
A3. Estimated Responsibility Payer A. Amount the provider estimates will be paid by the indicated payer. A4.
What is Box 72 on a UB04?
72. External Cause of Injury Code Enter the ICD-9-CM diagnosis code pertaining to external cause of injuries. 74. Principal Procedure Code and Date Enter the ICD code that identifies the principal procedure performed.
What is Box 72 on a ub04?
What does value code 76 mean?
76 Patient Liability Code indicates the From/Through dates for a period of noncovered care for which the hospital is permitted to charge the beneficiary.
What does value code 82 mean?
Medicare Co-Insurance Days
Value Code 82 (Medicare Co-Insurance Days) Value Code 82 should be used when primary insurer is Medicare and indicates the total number of Medicare co-insurance days claimed during the service period.
What is value code amount?
Value code 44 is defined as the amount a provider agreed to accept from a primary insurer as payment in full. You may also see this referred to as “Obligated to Accept as Payment in Full, or OTAF. Higher than the payment received from the primary insurer.
What does condition code 09 mean?
Neither patient nor spouse employed
FLs 24 thru 30 – Condition Codes.–The following condition codes must be completed where. applicable: 08 – Beneficiary would not provide information concerning other insurance coverage. 09 – Neither patient nor spouse employed. 10 – Patient and/or spouse is employed, but no GHP.
What box is discharge status on ub04?
Box 17 – Patient Discharge Status: (Required if applicable) This field indicates the discharge status of the patient when service is ended/complete.
What are value codes in billing?
Value codes are a vital part of medical billing, especially when it comes to Medicare. Since Medicare can serve as a primary or secondary insurance provider, value codes establish the amount of money each insurance company is required to pay. Value Codes for Billing.
What are condition codes ub04?
UB04/CMS1450 Condition Codes – Group 7 70 Code indicates the billing is for a home dialysis patient who self administers an anemia management drug such as erythropoetin alpha (EPO) or darbe 71 The billing is for a patient who received staff-assisted dialysis services in a hospital or renal dialysis facility.
What is value Code 39?
Code 39. Code 39 (also known as Alpha39, Code 3 of 9, Code 3/9, Type 39, USS Code 39, or USD-3) is a variable length, discrete barcode symbology. The Code 39 specification defines 43 characters, consisting of uppercase letters (A through Z), numeric digits (0 through 9) and a number of special characters (-, ., $, /, +, %, and space).
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