UB04 Reference

UB04 Type of Bill Code 0118: Hospital Inpatient (Including Medicare Part A) - Void/Cancel of Prior Claim

Introduction

Type of Bill Code 0118 represents a Hospital Inpatient (Including Medicare Part A) - Void/Cancel of Prior Claim. This code is reported in Field 4: Type of Bill.

Usage

This code is utilized by acute care hospitals to completely nullify a previously submitted and processed inpatient claim. It is specifically used when a claim was submitted in error, such as for the wrong patient or duplicate billing, and must be removed from the payer's system entirely rather than just adjusted.

Billing Impact

Submitting this code results in a full reversal of any prior payments or DRG-based reimbursements associated with the original claim, effectively resetting the patient's utilization days.

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FormJuicer Data Insights

This guide was developed by the FormJuicer Billing Research Team using official CMS and NUBC guidelines, combined with patterns observed from processing thousands of real UB-04 documents through our system.

Last Updated: April 30, 2026

Sources: CMS Pub. 100-04 Chapter 25, NUBC Official UB-04 Manual, Medicare Contractor Bulletins (Noridian, Palmetto, CGS)