Which Form Locator is used to report the HCPCS/Rates?

Which Form Locator is used to report the HCPCS/Rates?

• A. Form Locator 39-41
• B. Form Locator 42
• C. Form Locator 44
• D. Form Locator 46

Answer: (C)

Reporting the HCPCS procedure code and its associated rate belongs in the field designated for HCPCS/Rates. This Form Locator is specifically set up to capture the exact HCPCS code that identifies the service or supply and the reimbursement rate tied to that code, all on the same line item. Having this information in one place helps the payer quickly match the service to the correct payment amount and keeps the line item data consistent with units and charges. Other form locators handle different data elements on the claim, such as the revenue code or dates of service, so they aren’t the correct place to report HCPCS codes together with their rates.

Reporting the HCPCS procedure code and its associated rate belongs in the field designated for HCPCS/Rates. This Form Locator is specifically set up to capture the exact HCPCS code that identifies the service or supply and the reimbursement rate tied to that code, all on the same line item. Having this information in one place helps the payer quickly match the service to the correct payment amount and keeps the line item data consistent with units and charges.

Other form locators handle different data elements on the claim, such as the revenue code or dates of service, so they aren’t the correct place to report HCPCS codes together with their rates.