Hospital Billing Codes

Revenue Codes: 

• These codes describe the type & the location of the service.
• For example: 0450 - Emergency Room General Services, 0300 – Laboratory General Services, etc.
• These are 4 digis codes.
• It is used in locator 42 on UB-04 form.

Condition Codes:

• These codes describe specific circumstances or situations of patient's care.
• For example: 02 - Condition is employment related, 17 - Patient is homeless, etc.
• These are 2 digits codes.
• It is used in locators 18-28 on UB-04 form.

Occurrence Codes:

• These codes describe specific dates & events that occurred during patient treatment.
• For example: 01 - Auto Accident Date, 02 - Date of illness or injury, etc.
• These are 2 digits codes.
• It is used in locators 31-34 on UB-04 form.

Occurrence Span Codes:

• These codes describe the span of the particular service or events provided to the patient.
• For example: 77 - Hospital stay start date, 78 - Hospital stay end date, etc.
• These are 2 digits codes.
• It is used in locators 35-36 on UB-04 form.

Value Codes:

• These codes provide additional monetary information related to a patient's care or services.
• For example: 01 - Patient's age, 18 - Number of covered days, etc.
• These are 2 digits codes.
• It is used in locators 39-41 on UB-04 form. 

TOB (Type Of Bill):

• TOB helps payers to quickly identify the claim type for processing and reimbursement.
• These are 4 digits codes and each digit has a specific reason which is very important while submission.
• 1st digit: It is always 0.
• 2nd digit: Indicates type of facility. Examples - Hospital, RHC, SNF etc.
• 3rd digit: Type of care. Examples - Inpatient, outpatient etc.
• 4th digit: Indicates claim frequency. Examples - Original, adjustment etc.
• It is used in locator 4 on UB-04 form.