Which Form Locator would you use to record the Source of Admission?

Which Form Locator would you use to record the Source of Admission?

• A. Form Locator 14
• B. Form Locator 17
• C. Form Locator 15
• D. Form Locator 16

Answer: (C)

The data element that records where the patient came from at the start of the hospital stay is captured in the Form Locator designated for Source of Admission. On the UB-04, that field is located in Form Locator 15. It indicates the admission source—whether the patient was admitted from another facility, from home, from a clinic, etc.—and is used by payers and agencies to track admission patterns. The other form locators are used for different data items (for example, separate locators cover the type of admission or other admission details), so they wouldn’t be the correct place to record the Source of Admission.

The data element that records where the patient came from at the start of the hospital stay is captured in the Form Locator designated for Source of Admission. On the UB-04, that field is located in Form Locator 15. It indicates the admission source—whether the patient was admitted from another facility, from home, from a clinic, etc.—and is used by payers and agencies to track admission patterns.

The other form locators are used for different data items (for example, separate locators cover the type of admission or other admission details), so they wouldn’t be the correct place to record the Source of Admission.