UB-04 Data Files - NUBC

1 UB-04 data Files The UB-04 data File contains the complete set of nubc codes. Every code in the range of possible codes is accounted for sequentially. There are no gaps because all used and unused codes are identified. The file consists of an Excel workbook containing 14 worksheets sorted by data element (Form Locator (FL)): FL 04 - Type of Bill Facility Codes FL 04 - Type of Bill Frequency Codes FL 13 - Admission Hour FL 14 - Priority (Type) of Admission or Visit FL 15 - Point of Origin for Admission or Visit (includes Newborn and Non-newborn) FL 16 - Discharge Hour FL 17 - Patient Discharge Status FL 18-28 - Condition Codes FL 31-34 - Occurrence Codes and Dates FL 35-36 - Occurrence Span Codes and Dates FL 39-41 - Value Codes and Amounts FL 42 - Revenue Codes FL 66 - Diagnosis and Procedure Code Qualifier (ICD Version Indicator) FL 81 - Code-Code Field (for paper UB-04s only) The code values are in Column A and code titles (the short descriptors) are in Column C.

2 The full definitions (long descriptors) as well as revenue code standard abbreviations are excluded. A 1 in Column B indicates that the code is invalid for use as of 7/1/11; the majority of these are codes that are reserved for national assignment. Some of the codes labeled with a 1 have been approved, but become effective -- and therefore valid -- after 7/1/11. A sample layout for revenue codes: A B C 0200 INTENSIVE CARE UNIT - GENERAL CLASSIFICATION 0201 INTENSIVE CARE UNIT SURGICAL 0202 INTENSIVE CARE UNIT MEDICAL 0203 INTENSIVE CARE UNIT PEDIATRIC 0204 INTENSIVE CARE UNIT PSYCHIATRIC 0205 1 RESERVED FOR NATIONAL ASSIGNMENT 0206 INTENSIVE CARE UNIT - INTERMEDIATE ICU 0207 INTENSIVE CARE UNIT - BURN CARE 0208 INTENSIVE CARE UNIT TRAUMA 0209 INTENSIVE CARE UNIT - OTHER INTENSIVE CARE 0210 CORONARY CARE UNIT - GENERAL CLASSIFICATION 0211 CORONARY CARE UNIT - MYOCARDIAL INFARCTION 0212 CORONARY CARE UNIT - PULMONARY CARE 0213 CORONARY CARE UNIT - HEART TRANSPLANT 0214 CORONARY CARE UNIT - INTERMEDIATE CCU 0215 1 RESERVED FOR NATIONAL ASSIGNMENT A sample layout for the Type of Bill Facility codes.

3 A B C 000 1 RESERVED FOR ASSIGNMENT BY nubc 001 1 RESERVED FOR ASSIGNMENT BY nubc 002 1 RESERVED FOR ASSIGNMENT BY nubc 003 1 RESERVED FOR ASSIGNMENT BY nubc 004 1 RESERVED FOR ASSIGNMENT BY nubc 005 1 RESERVED FOR ASSIGNMENT BY nubc 006 1 RESERVED FOR ASSIGNMENT BY nubc 007 1 RESERVED FOR ASSIGNMENT BY nubc 008 1 RESERVED FOR ASSIGNMENT BY nubc 009 1 RESERVED FOR ASSIGNMENT BY nubc 010 1 RESERVED FOR ASSIGNMENT BY nubc 011 HOSPITAL INPATIENT (INCLUDING MEDICARE PART A) 012 HOSPITAL INPATIENT (MEDICARE PART B ONLY) 013 HOSPITAL OUTPATIENT 014 HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS