Which Form Locator holds the Admitting Diagnosis Code and is Required?

Which Form Locator holds the Admitting Diagnosis Code and is Required?

• A. FL60
• B. FL69
• C. FL61
• D. FL67

Answer: (B)

Where the admitting diagnosis code is reported on the UB-04 and why it is required. On the UB-04, the admitting diagnosis code is entered in Form Locator 69. This field is required because it captures the physician’s initial reason for admission, information that payers rely on for medical necessity, admission classification, and proper DRG assignment. The admitting diagnosis is the condition prompting admission at the time of entry, and it can differ from the final principal diagnosis documented at discharge. Enter the ICD-10-CM code for the admitting diagnosis in this location to ensure the claim includes essential processing data.

Where the admitting diagnosis code is reported on the UB-04 and why it is required. On the UB-04, the admitting diagnosis code is entered in Form Locator 69. This field is required because it captures the physician’s initial reason for admission, information that payers rely on for medical necessity, admission classification, and proper DRG assignment. The admitting diagnosis is the condition prompting admission at the time of entry, and it can differ from the final principal diagnosis documented at discharge. Enter the ICD-10-CM code for the admitting diagnosis in this location to ensure the claim includes essential processing data.