Ub 04 cms 1450 pdf

This site sure has helped me out alot to answering my questions. I am just getting into medical billing and coding, this is ub 04 cms 1450 pdf life saver.


Just wanted to say “THANK YOU”. Thanks for visiting the site – glad it’s helped you. Although these forms look similar, they can’t be used interchangeably. I understand the CMS-1450 is based on the CMS-1500.

The UB-04 replaced the UB-92 back in 2007. Because of the complexities of hospital billing, the UB-04 has over twice as many field or blocks for all the different codes and services.

The CMS-1500 form is the health insurance claim form used for submitting physician and professional claims for providers. When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services.

This would include things like surgery, radiology, laboratory, or other facility services. The CMS-1500 is used to submit charges covered under Medicare Part B. The UB-04 or CMS-1450 to submit charges under Medicare Part A. The Centers for Medicare and Medicaid Services is the government entity which mandates use of these forms.