Box 74 - Principal Procedure Code and Date

Box Definition

Box 74 on the UB-04 Claim Form is intended to display Principle Procedure Codes and dates. To edit Other Procedure Codes and Dates, see Box 74a-e - Other Procedure Information


In AveaOffice

To change box 74 on the UB-04 Claim form in AveaOffice:

  1. Select Create Claim Form Rule.
  2. Select the Practice.
  3. Name the rule.
  4. Select Claim Type Institutional.
  5. Select your conditions. Primary Behavioral Payer and HCPCS/CPT Code may be sufficient for your rule.
  6. Select behavior PCS Codes.
  7. Click Add.
  8. Enter in the PCS Code(s).
  9. Click Create.


EDI Loop/Segment

Loop 2300, Segment HI01-2

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