Is FL 80 Remarks reviewed by payers during the evaluation process?

Is FL 80 Remarks reviewed by payers during the evaluation process?

• A. No, remarks are not reviewed by payers.
• B. Remarks replace the need for codes.
• C. Remarks may be reviewed by the payer during evaluation, but they are not mandatory.
• D. Remarks are printed on the patient’s receipt.

Answer: (C)

Remarks on the FL 80 field are optional notes that can accompany a UB-04 claim to explain special circumstances or provide context for a service or charge. Payers may review these remarks during the evaluation to help interpret items not fully explained by codes, but they are not required for payment. They don’t replace codes, and they generally won’t appear on the patient’s receipt; they’re for payer review only. Including pertinent remarks can aid adjudication in unusual billing situations, such as services not typically covered or when additional justification is needed to support a charge.

Remarks on the FL 80 field are optional notes that can accompany a UB-04 claim to explain special circumstances or provide context for a service or charge. Payers may review these remarks during the evaluation to help interpret items not fully explained by codes, but they are not required for payment. They don’t replace codes, and they generally won’t appear on the patient’s receipt; they’re for payer review only. Including pertinent remarks can aid adjudication in unusual billing situations, such as services not typically covered or when additional justification is needed to support a charge.