Box 18-28 - Condition Codes

Box Definition 

Boxes 18-28 on the UB-04 contain patient condition codes. These codes report conditions or events related to the bill that may impact its processing. Condition codes should be entered in a two-character alphanumeric or numeric sequence and can appear no more than 11 times on a claim instance.

In Kipu RCM

Let's review how to update Box 18-28 in the RCM!

• Claim Condition Codes can be added using a service grouping rule to add patient condition codes. To learn more about this rule, click here. 
• Claim Condition Codes can be added to a claim before submitting them using our Claim Edits feature. To learn more about this feature, click here.

EDI Loop and Segment

Loop 2300, Segment HI, Qualifier BG. For additional information on loops and segments, click here.