UB04 codes and uses

Question 1

This is a 2 digit code that clarifies an EVENT or CONDITION related to the bill that may affect payer processing

1. occurrence span code
2. condition code
3. Occurrence code
4. Revenue code

Answer 1

(2) Condition - recording a condition

Question 2

This code is a 2 digit code and a date that together clarify a significant EVENT or CONDITION related to a claim eg, 11 onset of symptoms/illness, 24 date insurance denied, 32 date that an ABN was given.
1. Occurrence Span Code
2. Conditional Code
3. Value Code
4. Occurrence Code

Answer 2

(4. Occurrence Code

Question 3

This 2 digit code followed by 2 dates that is a span of time:
1. Occurrence Code
2. Occurrence Span Code
3. Revenue Code
4. Type of Bill Code

Answer 3

(2. Occurrence Span Code

Question 4

This 2 digit code and its related amount or value that together clarify an event or condition related to a claim
1. Revenue Code
2. Type of Bill code
3. Value code
4. Occurrance Span code

Answer 4

(3. Value code

Question 5

This 4 Digit code that specifies an accommodation or ancillary service.
1. Value code
2. Revenue code
3. Condition code
4. Type of Bill Code

Answer 5

(2) Revenue code

Question 6

This 3 digit code (excluding leading 0’s) in field locator 4 that describes the type of bill the hospital is submitting to the payer
1. Bill Type code
2. Value code
3. Occurrence code
4. Type of Bill code

Answer 6

4. Type of Bill code

Question 7

The 1ST digit of the Bill Code is
1. Bill Classification Speciality Facilities
2. Type of Facility
3. Bill Class except clinics and Special Facility
4. Frequency

Answer 7

(2 Type of Facility

Question 8

The 2nd Digit of the Bill Code, When the first digit is 1-5
1. Bill Classification - special facilities only
2. Bill classification - except cllinics and Special facilities, Inpatient/outpatient intermediate care…
3. Bill classification - clinic only

Answer 8

(2. Bill classification - except cllinics and Special facilities, Inpatient/outpatient intermediate care…

Question 9

The 1st digit of the type of bill code
when the 1st digit = 7

1. Bill Classification - special facilities only
2. Bill classification - except cllinics and Special facilities, Inpatient/outpatient intermediate care…
3. Bill classification - clinic only

Answer 9

3. Bill classification - clinic only

Question 10

The 1st digit of the type of bill code
when the 1st digit = 8

1. Bill Classification - special facilities only
2. Bill classification - except cllinics and Special facilities, Inpatient/outpatient intermediate care…
3. Bill classification - clinic only

Answer 10

1. Bill Classification - special facilities only

Question 11

The 3rd digit (Alpha/numeric) of the Bill code,
1. Frequency
2. Facility
3. Bill Classification

Answer 11

(1 Frequency