UB04 Condition Codes Code 32: Patient is Student (Cooperative/Work Study Program)

Overview

Condition codes on the UB‑04 claim form provide additional information about a patient’s circumstances that may affect billing, coverage, or reimbursement. ^[1] notes that code sets (including condition codes) are used to complete the form. Condition code 32 is defined as “Patient is a student (cooperative/work study program).” ^[2] This code indicates that the patient is enrolled in a cooperative education or work‑study program, which may have implications for insurance coordination (e.g., student health plans or employment‑related coverage). Providers should enter condition code 32 in one of the condition‑code fields (fields 18–28) on the UB‑04 when the patient meets this definition.

When to Use

Use condition code 32 only when the patient is actively participating in a cooperative (co‑op) or work‑study program at the time of service. ^[2] The code applies to both undergraduate and graduate students who are engaged in a structured work‑study arrangement that is part of their academic program. This code is distinct from other student status codes (e.g., full‑time day, full‑time night, part‑time) because it specifically flags the cooperative/work‑study component. ^[2] Providers should verify with their billing or compliance team that the patient’s enrollment qualifies as a cooperative/work‑study program according to payer guidelines.

Step‑by‑Step Claim Example

Scenario: Jane Doe, a 19‑year‑old college student, is treated in an outpatient hospital clinic. She is enrolled in a federally funded work‑study program and works 15 hours per week on campus. The hospital submits a UB‑04 paper claim (or electronic equivalent) to MassHealth.

Step 1: Complete patient identification information and service details per the MassHealth UB‑04 instructions. ^[1]
Step 2: Locate the condition‑code fields (fields 18–28) on the UB‑04 form.
Step 3: Enter 32 in one of those fields. Because Jane is a student in a work‑study program, code 32 is appropriate. ^[2]
Step 4: If other condition codes apply (e.g., code 31 for full‑time student status if also a full‑time day student), include them in separate fields—ensure each code is accurately assigned.

Common Mistakes & Audit Red Flags

• Using code 32 for non‑cooperative/work‑study students: The code should not be used for students who simply have a part‑time job unrelated to their academic program. Only cooperative education or formal work‑study programs qualify. ^[2]
• Confusing code 32 with code 31 (full‑time day student), code 33 (full‑time night), or code 34 (part‑time): Each code has a distinct meaning; using the wrong code may lead to claim denials or delayed payment. ^[2]
• Entering code 32 in a field already occupied by another condition code: Each condition‑code field on the UB‑04 accepts one code only. Overwriting or mixing codes can cause processing errors. Follow the form’s layout as described in the MassHealth guide. ^[1]
• Failing to update condition codes when status changes: If a patient’s work‑study program ends during an episode of care, the condition code may need to be revised for subsequent claims.

Related Codes / Fields

Condition codes related to student status are listed below. All codes are entered in fields 18–28 of the UB‑04. ^[1]

Code	Meaning	Source
31	Patient is a student (full time day)	[2]
32	Patient is a student (cooperative/work study program)	[2]
33	Patient is a student (full‑time night)	[2]
34	Patient is student (part‑time)	[2]

Note: The UB‑04 condition‑code field (18–28) can accommodate up to 10 codes; multiple codes may be reported when applicable. Refer to your specific payer’s guidelines for additional requirements.

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References

[1] MassHealth UB-04 Guide — https://www.mass.gov/doc/ub-04-billing-guide-0/download

[2] Noridian Condition Codes — https://med.noridianmedicare.com/web/jea/topics/claim-submission/condition-codes