Unformatted text preview: 6 codes 3. On the UB-04 form, how many ICD-10-CM codes can be reported? 16 codes 4. On the UB-04 form, how many ICD-10-PCS codes can be reported? 6 codes 5. What are the differences between the CMS-1500 and UB-04 claim form? The UB-04 claim form is used by hospitals, nursing facilities, in-patient, and other facility provides. While the CMS-1500 form is used by doctors and their practices, nurses, therapists, chiropractors and other professionals. The CMS-1500 isn’t typically hospital-orientated....
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- Winter '16
- Physician, CLAIMS FORMS PROCESSING