UB04 Condition Codes

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FLs 18 - 28 - Condition Codes

Situational. The provider enters the corresponding code (in numerical order) to describe any of the following conditions or events that apply to this billing period.

Codes used for Medicare claims are available from Medicare contractors. Codes are also available from the NUBC (www.nubc.org) via the NUBC's Official UB-04 Data Specifications Manual.

Source: Medicare Claims Processing Manual Chapter 25 - Completing and Processing the Form CMS-1450 (UB04) Data Set
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