Which Form Locator is used for PPS Code?

Which Form Locator is used for PPS Code?

• A. Form Locator 70
• B. Form Locator 71
• C. Form Locator 72
• D. Form Locator 74

Answer: (B)

The PPS code is a data element used to indicate that a hospital stay is billed under the Prospective Payment System, guiding how Medicare determines payment for that admission. On the UB-04 form, this code is reported in a specific Form Locator that is designated for the PPS status. The standard reference identifies Form Locator 71 as the location for the PPS code, which is why this option is the correct one. The other form locators correspond to different data fields and are not used for reporting the PPS code.

The PPS code is a data element used to indicate that a hospital stay is billed under the Prospective Payment System, guiding how Medicare determines payment for that admission. On the UB-04 form, this code is reported in a specific Form Locator that is designated for the PPS status. The standard reference identifies Form Locator 71 as the location for the PPS code, which is why this option is the correct one. The other form locators correspond to different data fields and are not used for reporting the PPS code.