What is Facility Type Code?
Medical billing uses three-digit codes on a claim form to describe the type of bill a provider is submitting to a payor. The first digit of the facility code indicates the type of facility; i.e., 1 = Hospital, 2 = Skilled Nursing Facility, etc.
What is a facility code qualifier?
Facility Code Qualifier. Type: Data Element. Definition: Code identifying the type of facility referenced.
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 is value code 80 on ub04?
The number of covered days (value code 80) must match the number of units and charges reported for the covered room and board days. Claims to be paid by Per Diem reimbursement should have the appropriate covered days reported to match the authorization.
What is condition code E0?
Change in patient status
Condition codes
| Condition Code | Description |
|---|---|
| D7 | Change to make Medicare the secondary payer |
| D8 | Change to make Medicare the primary payer |
| D9 | Any other change |
| E0 | Change in patient status |
What is a Type 1 facility?
TYPE I FACILITY A local detention facility used for the detention of persons for not more than 96 hours, excluding holidays, after booking.
What is a ub04 code on a medical bill?
UB04 FACILITY TYPE CODE Medical billing uses three-digit codes on a claim form to describe the type of bill a provider is submitting to a payor. Each digit has a specific purpose and is required on all UB-04 claims. See also Claim Frequency Code in this documentation.
What codes must be used to identify surgical procedures billed on UB-04?
ICD-10 codes must be used to identify surgical procedures billed on the UB-04. CPT/HCPCS codes and modifiers must be used to identify other services rendered.
Why does my UB-04 claim code have 3 digits?
Each digit has a specific purpose and is required on all UB-04 claims. See also Claim Frequency Code in this documentation. The 3-digit code includes a two-digit facility type code followed by a one-character claim frequency code.
Where can I find uubub-04 instructions and forms?
UB-04 instructions and forms can be downloaded free of charge from the Web site for the Centers for Medicare and Medicaid Services (CMS) at http://www.cms.hhs.gov/transmittals/downloads/R1104CP.pdf.