The Record - for physicians and other health care providers to share with their office staffs

October 2013

New occurrence code 55, condition codes 81-83 added for facility claims

The National Uniform Billing Committee is adding three new condition codes on Oct. 1, 2013, and one new occurrence code.

Occurrence code 55 – Date of death (form locaters 31-34)
Condition code 81 – C-sections or inductions performed at less than 39 weeks gestation for medical necessity
Condition code 82 – C-sections or inductions performed at less than 39 weeks gestation electively
Condition 83 – C-sections or inductions performed at 39 weeks gestation or greater

Condition codes are reported on the UB-04 claim in form locator 18-28. For information about completing any of the locators on the claim form, please refer to your UB-04 Manual.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.