CHA News Article

ICD Indicator Required on UB-04 Paper Claim Forms Beginning Sept. 22

Effective Sept. 22, the Department of Health Care Services (DHCS) will require providers to include on UB-04 paper claims the ICD indicator “9” when filling in Diagnosis Code fields (boxes 67-67Q) and Principal Procedure Code and Date fields (boxes 74-74E). No ICD indicator is required if the claim is submitted without a diagnosis or procedure code. Claims received on or after Sept. 22 that do not include the required ICD indicator will be returned. For more information, visit the DHCS website.