condition code 41 on a ub04



  • * condition code 41 is required
  • * medicare condition code 41
  • * does medicare pay for carotid artery screening
  • * does medicare part b cover carotid artery duplex us
  • * does medicare cover a carotid duplex scan
  • * does medicare cover carotid doppler ultrasounds
  • * does medicare cover carotid artery screening
  • * diagnosis that cover carotid doppler



  • condition code 41 on a ub04

    PDF download:

    CMS Manual System

    www.cms.gov

    Aug 3, 2004 … FIs shall not separate the occurrence code 31 and occurrence span …. claims
    containing condition code 41, all services billed on the same day …

    MM8048 – CMS

    www.cms.gov

    code 41, or 132, (Hospital, Outpatient, Interim – First Claim) and condition code
    41; … If a history claim with bill types 131 or 132 and condition code 41, 851, …

    CMS Manual System

    www.cms.gov

    25/75/General Instructions for Completion of Form CMS-1450 (UB-04). R ….
    maximum number of the UB-04 codes (value codes ….. FL41 Value Code –
    Amount a.

    Bulletin Number: xxxxxx – CMS

    www.cms.gov

    Feb 16, 2013 … The provider will use an occurrence span code 74 (Leave of Absence) on the ….
    In this instance, the claim should contain condition code 41.

    UB04 Billing Guide – Inpatient Hospitals 01-30-2017 – Pennsylvania …

    www.dhs.pa.gov

    Jan 30, 2017 … 41a, 39b through 41b, and lastly, 39d through 41d. For a complete listing and
    description of Value. Codes, please refer to the UB-04 Desk …

    UB-92 Desk Reference

    www.dhs.pa.gov

    Provider Handbook. 837 Institutional/UB-04 Claim Form. UB-04 Desk Reference
    for Hospitals … Condition Codes … (Form Locators 39–41). 06 Medicare Blood …

    UB-04 Claim filing instructions, Outpatient Hospital … – Dss.mo.gov

    dss.mo.gov

    an electronic version of the UB-04 claim form for outpatient services are … 39-41.
    Value Codes and Amounts. Leave blank. 42.** Revenue Codes. If billing for a …

    ODM Hospital Billing Guidelines – Ohio Department of Medicaid

    medicaid.ohio.gov

    Oct 1, 2015 … 39-41. Value Codes and Amounts. (See Appendix G for additional notes …. claim
    (bill types 131 and 135 on the UB-04 and 837i) that is billed to …

    UB–04 Claim Filing Instructions – Dss.mo.gov

    dss.mo.gov

    filed to MO HealthNet on a paper UB-04 claim form. … an electronic version of the
    UB-04 claim form for inpatient services are slightly …. 39-41* Value Codes &.

    UB04 Hospital Billing Instructions – Maryland Medicaid – Maryland.gov

    mmcp.dhmh.maryland.gov

    FL 39-41. Value Codes and Amounts. 38. FL 42. Revenue Codes. 42. FL 43 …
    UB04 HOSPITAL ADDENDUM INSTRUCTIONS – ADMINISTRATIVE DAY …

    UB-04 Claim – Mississippi Division of Medicaid

    medicaid.ms.gov

    May 3, 2017 … The following provider types should bill using the UB-04 claim form …. 39-41.
    Required if. Applicable. Value Codes and Amounts: Enter the …

    UB-04 Claim Form Instructions – Nevada Medicaid

    www.medicaid.nv.gov

    May 14, 2013 … Added instructions for outpatient providers for fields 39-41. Page 9 … with TPL,
    enter an occurrence code and associated date in Fields 31-34.

    Washington State Health Care Authority Medicaid Provider Guide …

    www.hca.wa.gov

    Mar 9, 2010 … Fee schedules, relative value units, conversion factors and/or related …. 41.)? …
    C.3. Where on the Form Do I Enter the Spenddown Amount …. Patient Status
    Code from the table below in form locator 22 on the UB-04.

    ND Health Enterprise MMIS UB-04 Claim Form Instructions

    www.nd.gov

    Sep 1, 2016 … UB-04 Claim Form Instructions …. Condition Codes: Enter conditions or events
    relating to this claim. 29. Situational … 39-41 Situational. Value …

    Inpatient/Outpatient Hospital Billing Manual – Colorado.gov

    www.colorado.gov

    Other Provider Preventable Conditions (OPPC) – FY2013 . …… Refer to the
    Colorado Medical Assistance Program UB-04 Revenue Code Table (Appendix Q
    ) for a complete listing of services and …. Form Locators 39-41, Value Codes. See
    the …

    Residential Care Home Billing Guide for the UB-04 – Mass.Gov

    www.mass.gov

    Dec 4, 2011 … Residential Care Home Billing Guide for the UB-04 ….. 39-41. Value Codes.
    Code/Amount. Enter value code 24 (Medicaid rate code) along …

    R – OK.gov

    www.ok.gov

    41. 42 REV. CD. 43 DESCRIPTION. 45 SERV. DATE. 46 SERV. UNITS. 47
    TOTAL …. If Occurrence Span Code entered a Corresponding date must be
    entered.

    ub-04 claim form instructions – eohhs – RI.gov

    www.eohhs.ri.gov

    Sep 16, 2016 … UB-04 CLAIM FORM INSTRUCTIONS. FIELD. NUMBER …. 39 – 41. Value Code
    and Amount. Enter up to three value codes to identify special.

    SOUTH CAROLINA HEALTHY CONNECTIONS – SCDHHS.gov

    www.scdhhs.gov

    Apr 1, 2005 … BILLING CODES REQUIRING PRIOR AUTHORIZATION . ….. o UB-04 Data
    Fields – field 67. 09-01- … 2014 – Provider Preventable Conditions Policy … 41-
    44. • Updated the following sections to reflect. Medicaid Bulletin dated …

    General Billing – Idaho Department of Health and Welfare

    healthandwelfare.idaho.gov

    To submit claims on paper, use original red UB-04 claim forms … Idaho Medicaid
    allows twenty-four (24) condition codes on an electronic …. 39-41. VALUE
    CODES. AMOUNT. Required,. AN Days. Value Codes and Amounts: See Section
    3.5, …




    You May Like