Feb 19, 2025 · These codes report conditions or events related to the bill that may impact its processing. Condition codes should be entered in a two-character alphanumeric or numeric sequence and can …

Jan 27, 2024 · What are Medicare Condition Codes? Medicare condition codes (UB04 Condition Codes) are a set of codes used in billing to provide additional information about the circumstances or …

Oct 25, 2024 · Condition codes are 2-digit numerical or alphanumeric representations of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact a …

"The UB-04 Data File contains the complete set of NUBC codes. Every code in the range of possible codes is accounted for sequentially. There are no gaps because all used and unused codes are …

Dec 14, 2025 · Condition codes are reported primarily on the institutional claim form, the UB-04 (CMS-1450). This form contains designated fields, Form Locators (FL) 18 through 28, allowing entry of up …

Using a two-digit explanation code from chart below, report reason primary payer did not make payment on first line of Remarks. If additional information is required, enter it one space over.

You can select one Condition Code for field locators 18 - 28, or up to ten (11) codes per encounter. Example: When you select 02 (Condition is Employment Related) in row 18, the condition code 02 …

Jul 19, 2025 · These codes, entered in Form Locators 18–28 on the UB-04 form, inform payers about exceptions, such as hospice exclusions, inpatient-to-outpatient changes, disaster-related billing, or …

5 days ago · UB04 Condition Codes are used for patient condition coding on the UB04 or CMS1450 form.

Form Locators 18-28 (Condition Codes) — Enter Condition Codes X4 and X5 in Form Locators 18 and 19 (Condition Codes). Use Form Locators 20 through 28 for any other applicable condition codes. …