The 'Principal Diagnosis Code/Other Diagnosis Codes' uses which Form Locator?

The 'Principal Diagnosis Code/Other Diagnosis Codes' uses which Form Locator?

• A. FL60
• B. FL61
• C. FL65
• D. FL67

Answer: (D)

The form locator used for entering diagnosis codes is the one designated for diagnoses on the UB-04. This area collects ICD-10-CM diagnosis codes and includes the principal diagnosis (the main reason for the admission) plus any additional diagnoses that affected care. The other form locators refer to different data elements on the claim (such as patient information or procedures), so they aren’t used for listing diagnosis codes. This is why the correct choice aligns with the diagnoses section of the UB-04.

The form locator used for entering diagnosis codes is the one designated for diagnoses on the UB-04. This area collects ICD-10-CM diagnosis codes and includes the principal diagnosis (the main reason for the admission) plus any additional diagnoses that affected care. The other form locators refer to different data elements on the claim (such as patient information or procedures), so they aren’t used for listing diagnosis codes. This is why the correct choice aligns with the diagnoses section of the UB-04.