Introduction
The UB04 Code code signifies meaning within the institutional billing framework. This code is used in Field 14: Admission/Visit Type to provide payers with specific information regarding the nature of the patient's encounter.
Usage
When billing with UB04 Code code, the provider must ensure the medical documentation supports the 'meaning' designation. This code should be entered into Form Locator 14 (FL 14) on the UB-04 claim form. It is critical for determining the priority of the admission or visit, which can directly impact reimbursement rates and the adjudication process for inpatient and outpatient facility claims.
Related Codes
While code is used specifically for meaning, it is part of a standardized set of values for Field 14. Other codes in this category range from emergency and urgent admissions to elective and newborn types, all of which are essential for accurate data collection and claim processing.
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Last Updated: 2026-09-05
Sources: CMS Pub. 100-04 Chapter 25, NUBC Official UB-04 Manual, Medicare Contractor Bulletins (Noridian, Palmetto, CGS)