Title: NUBC Codes Reserved for State Use


Al,
I must say I'm totally dumb founded.  This was not what I was expecting when I asked the question.  This seems to go totally against the HIPAA spirit.  No I'll have to produce different claims based on what state the patient is in.  This will REALLY hurt the Long-term care segment we service.  Is SNIP helping out with this?
Mike

 
 -----Original Message-----
From: Pinard, Allan [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, May 22, 2002 8:10 AM
To: 'mdgarrett'
Subject: RE: NUBC Codes Reserved for State Use

Mike, I asked a similar question to Todd Omundson of AHA / NUBC. I cut and pasted the e-mails we exchanged for your review and comment. Please give me your reaction.

Al Pinard

Connecticut Hospital Association

203-294-7281

 

 

 

 

To: 'Omundson, Todd'    of AHA

Subject: NUBC CLARIFICATION

 

Todd,

 

I know I have asked this question in a general form before, but since the Connecticut Uniform Billing Committee is currently performing a review of the States UB-92 manual in conjunction to HIPAA activity I need to re-ask and be specific.

 

I have identified 16 fields that currently appear on the UB-92 (1450) where a provider is required to select a value from a table or manual. It is my understanding that NUBC is the responsible / governing party for these fields unless another organization is identified (e.g., CPT codes by AMA, HCPCS by CMS, ICD-9-CM by DHHS, etc.). The values for these fields will be controlled at a national level for the UB-92 and 837 effective 10/1/03. Is everything I stated correct? If not, can you provide clarification or point me in the right direction?

 

The attached file identifies the 16 fields I refer too.

       

Thanks

Al Pinard

Connecticut Hospital Association

[EMAIL PROTECTED]

203-294-7281

 

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

 

From: Omundson, Todd [mailto:[EMAIL PROTECTED]]

To: 'Pinard, Allan'

Subject: RE: NUBC CLARIFICATION

 

Al:

You're basically right.  These fields will be controlled at the national level at some time, but it's not 100% clear when.  The state use fields and codes are going away, but the definition of "local codes" in HIPAA covers procedure codes, but there is some debate over whether local billing codes are included.

--Todd

 

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

 

Todd:

Can  you give me an example of a "local billing code"?

Al

 

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

 

Al:

A state use condition code in the "reserved for state use" series 80-99.

--Todd

 

-----Original Message-----
From: mdgarrett [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, May 22, 2002 10:53 AM
To: '[EMAIL PROTECTED]'
Subject: NUBC Codes Reserved for State Use



Are the NUBC codes (Revenue, Orccurrence, Condition Codes etc.)  which each state has assigned HIPAA compliant codes?  Or are these codes just like local HCPCS codes and they are going away?  If they are going away, does anyone now if, or when the replacement codes will be released?

Thanks for your help!
Mike Garrett
Director of Product Management
Shared Healthcare Systems


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