What does FL 67 capture?

What does FL 67 capture?

• A. Principal ICD-10-CM diagnosis code and POA status.
• B. Only principal diagnosis code without POA.
• C. Secondary diagnoses codes.
• D. Patient's birth date.

Answer: (A)

Field Locator 67 on the UB-04 claim is where the principal diagnosis code and its POA indicator are recorded. The principal diagnosis is the main reason for the admission, coded with ICD-10-CM, and the POA status shows whether that condition was present on admission. Having both pieces in the same field helps payers determine the admission’s primary cause and how it arose relative to the admission, which can influence payment and quality reporting. Secondary diagnoses are documented in other fields, and the patient’s birth date is part of demographic information, not a diagnosis field. So this field captures the principal ICD-10-CM diagnosis code and POA status.

Field Locator 67 on the UB-04 claim is where the principal diagnosis code and its POA indicator are recorded. The principal diagnosis is the main reason for the admission, coded with ICD-10-CM, and the POA status shows whether that condition was present on admission. Having both pieces in the same field helps payers determine the admission’s primary cause and how it arose relative to the admission, which can influence payment and quality reporting. Secondary diagnoses are documented in other fields, and the patient’s birth date is part of demographic information, not a diagnosis field. So this field captures the principal ICD-10-CM diagnosis code and POA status.