UB-04 Claim Form | PDF Sponsored Links TheUB-04 claim formmay be used by institutional healthcare providers for submitting insurance claims. Also known as the CMS-1450 form, this is the industry standard for paper billing of all insurance carriers. ...
UB04/CMS1450 Claim Form, Codes & Information About UB04/CMS1450 Claim Form Code Sets Diagnosis (Dx) ICD-10-CM Codes DRG - Diagnosis Related Groups ICD-9-CM - Volume 1 Procedure (Tx) CPT® - Level I Codes & Modifiers HCPCS - Level II Codes & Modifiers ICD-10-PCS - Codes...