In Form Locator 17 on the UB-04 Claim Form, the Codes

question 64

Multiple Choice

In form locator 17 on the UB-04 claim form, the codes for "Left against medical advice or discontinued care," "Expired (or did not recover) ," and "Admitted as an inpatient to this hospital" represent:

• A) admission source codes.
• B) discharge status codes.
• C) admission type codes.
• D) condition codes.

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Definitions:

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