Field 10 d - Claim Codes
The “Claim Codes” identify additional information about the patient’s condition or the claim.
NUCC INSTRUCTIONS: When applicable, use to report
appropriate claim codes. Applicable claim codes are designated by the NUCC.
Please refer to the most current instructions from the public or private payer
regarding the need to report claim codes.
When required by payers to provide the sub-set of Condition Codes approved by
the NUCC, enter the Condition Code in this field. The Condition Codes approved
for use on the 1500 Claim Form are available at www.nucc.org under Code Sets.
When reporting more than one code, enter three blank spaces and then the next
code.
FOR WORKERS COMPENSATION CLAIMS: Condition Codes are required when submitting a
bill that is a duplicate or an appeal. (Original Reference Number must be
entered in Box 22 for these situations). Note: Do not use Condition Codes when
submitting a revised or corrected bill.
MEDICARE INSTRUCTIONS - Use this item exclusively for Medicaid (MCD) information. If the patient is entitled to Medicaid, enter the patient's Medicaid number preceded by MCD.
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