What is Medicare condition code 04?
Condition code 04 (information only bill) Condition code 69 (teaching hospitals only – code indicates a request for a supplemental payment for Indirect Medical Education/Graduate Medical Education/Nursing and Allied Health)
Where does a condition code go on UB-04?
Hospitals should report condition code G0 in Form Locators 24-30 on the UB-04 claim form, the electronic equivalent, when multiple medical visits occur on the same day in the same revenue center, but the visits were distinct and independent visits.
What are UB-04 value codes?
Value Codes
| Code | Description |
|---|---|
| 04 | Inpatient Professional Component Charges Which Are Combined Billed – (Used only by some all- inclusive rate hospitals) |
| 05 | Professional component included in charges and billed separately to carrier – (Applies to Part B bills only) |
What is a condition code on a claim?
Currently, Condition Codes are designed to allow the collection of information related to the patient, particular services, service venue and billing parameters which impact the processing of an Institutional claim.
What is condition code D1?
Condition code D1. Only use when changing total charges. Do not use when adding a modifier; it makes a non-covered charge, covered.
What are the occurrence codes?
Occurrence Codes
| Code | Description | Additional Information |
|---|---|---|
| 05 | Accident/No Medical or Liability Coverage | Code indicating accident related injury for which there is no medical payment or third-party liability coverage. Provide date of accident or injury. |
| 06 | Crime Victim | |
| 09 | Start of Infertility Treatment Cycle | |
| 10 | Last Menstrual Period |
What is a 50 occurrence code?
Occurrence Code 50: Assessment Date Definition: Code indicating an assessment date as defined by the assessment instrument applicable to this provider type (e.g. Minimum Data Set (MDS) for skilled nursing). (For IRFs, this is the date assessment data was transmitted to the CMS National Assessment Collection Database).