18 April 2022 18:12

What are value codes in medical billing?

The code indicating a monetary condition which was used by the intermediary to process an institutional claim. The associated monetary value is in the claim value amount field (CLM_VAL_AMT).

What is a value code?

Value code means the value which is used to calculate the excise tax. In determining the value code, it may be a tax code, purchase price, assessor’s appraisal, or MSRP.

What is condition code in medical billing?

Condition codes refer to specific form locators in the UB-04 form that demand to describe the conditions applicable to the billing period. It is important to note that condition codes are situational. These codes should be entered in an alphanumeric sequence.

What is condition code F?

Condition Codes

Condition Code Short Description
D Serviceable (Test/Modification)
E Unserviceable (Limited Restoration)
F Unserviceable (Reparable)
G Unserviceable (Incomplete)

What is condition code D2?

D2 – Changes in revenue code/HCPC. D3 – Second or subsequent interim PPS bill. D4 – Change in Grouper input (DRG) D5 – Cancel only to correct a patient’s Medicare ID number or provider number.

What is condition code D3?

D3. Second or subsequent interim PPS bill. D4.

What is condition code A6?

Condition Codes. A6 – 100% payment (vaccinations only)