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Value Codes. When reporting numeric values that do not represent dollars and cents, put whole numbers to the left of the dollar/cents delimiter and tenths to the right of the delimiter. Search for a Code or Description. Last Updated Dec 09 , 2023.
Intellect™. CMS VALUE CODE LIST. NOTE: Codes 58 and 59 are not money amounts. They represent arterial blood gas or oxygen saturation levels. Round to two decimals or to the nearest whole percent.
Value codes are required on an institutional claim to identify data elements such as: Medicare lifetime reserve days, no-fault payments, and the number of days not covered by the primary payer. They can be easily added to the UB04.
MSP coding must be logical to the processing system. The type of coverage determines the appropriate value code and payer code. Payer codes identify the type of insurance coverage. The chart below lists the type of coverage, value code (VC), payer code and occurrence code (OC) if applicable.
CMS-1450, is being updated to include new condition and value codes approved by the National Uniform Billing Committee (NUBC) and to add all NUBC approved codes that were not previously in the Medicare instructions to be compliant with the HIPAA
This article includes tables of some of the most common Condition, Occurrence, Value, Patient Relationship, and Remarks Field Codes associated with MSP claims. Please note: these code lists are not all-inclusive. Complete code sets are available through the National Uniform Billing Committee (NUBC) website, www.nubc.org.
Value codes are codes and related dollar or unit amounts necessary for the processing of a claim. The codes are 2 alphanumeric digits, and each value allows up to 9 numeric digits (0000000.00). NUBC. When reporting value amounts, negative amounts aren't allowed except in FL 41.
In this chapter, each numerical value code is briefly described, and important details and billing tips are explained. General value codes are listed first, followed by a group of codes that are mostly specific to home health services or are payer-only codes.
P. Quick reference chart for billing Medicare secondary payer (MSP) claims. After the processing of the claim by the primary insurer, the claim should be submitted to Medicare for consideration of secondary benefits. The following chart provides guidance on the MSP data elements to report on your MSP claim. An MSP claim may be submitted:
Value Codes and Amounts. When entering a value code that represents a number rather than a monetary amount (e.g., value code 61, 85), enter the number followed by two zeros. For example, value code 61 represents the Core Based Statistical Area (CBSA) or geographical area where the home health services were provided.