HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

NamingSystem:

Official URL: http://terminology.hl7.org/NamingSystem/AHANUBCTypeOfBill Version: 1.0.0
Active as of 2022-05-17 Responsible: American Hospital Association (AHA) Computable Name: AHA_NUBC_TypeOfBill

The UB-04 Data File contains the complete set of NUBC codes. Every code in the range of possible codes is accounted for sequentially. There are no gaps because all used and unused codes are identified.

This code system consists of the following:

* FL 04 - Type of Bill Facility Codes

* FL 04 - Type of Bill Frequency Codes

A code indicating the specific Type of Bill (TOB), e.g., hospital inpatient, outpatient, replacements, voids, etc. The first digit is a leading zero*. The fourth digit defines the frequency of the bill for the institutional and electronic professional claim.

Note that with the advent of UB-04, the matrix methodology of constructing the first component of TOB codes according to digit position was abandoned in favor of specifying valid discrete codes. As a result, the first three digits in TOB have no underlying meaning.

To obtain the underlying code systems, please see information here

The UB-04 Manual has a 12-month subscription period from June 30 through July 1.

Summary

Defining URLhttp://terminology.hl7.org/NamingSystem/AHANUBCTypeOfBill
Version1.0.0
NameAHA_NUBC_TypeOfBill
TitleAHA NUBC Type Of Bill Codes
Statusactive
Definition

The UB-04 Data File contains the complete set of NUBC codes. Every code in the range of possible codes is accounted for sequentially. There are no gaps because all used and unused codes are identified.

This code system consists of the following:

* FL 04 - Type of Bill Facility Codes

* FL 04 - Type of Bill Frequency Codes

A code indicating the specific Type of Bill (TOB), e.g., hospital inpatient, outpatient, replacements, voids, etc. The first digit is a leading zero*. The fourth digit defines the frequency of the bill for the institutional and electronic professional claim.

Note that with the advent of UB-04, the matrix methodology of constructing the first component of TOB codes according to digit position was abandoned in favor of specifying valid discrete codes. As a result, the first three digits in TOB have no underlying meaning.

To obtain the underlying code systems, please see information here

The UB-04 Manual has a 12-month subscription period from June 30 through July 1.

PublisherAmerican Hospital Association (AHA)

Identifiers

TypeValuePreferredPeriodComment
URIhttps://www.nubc.org/CodeSystem/TypeOfBilltrue2020-11-05 --> (ongoing)This is the URL as specified by the terminology owner, and is considered authoritative.

History

DateActionCustodianAuthorComment
2022-07-21createHTAJessica BotaAdd Type Of Bill Codes per HTA; UP-323