How are ICD-10-PCS procedures reported on UB-04 for inpatient claims?

• A. CPT codes describe inpatient procedures.
• B. Revenue codes determine inpatient procedures.
• C. ICD-10-CM diagnoses describe inpatient procedures.
• D. PCS procedure codes describe inpatient procedures and appear on service lines linked to related diagnoses.

Answer: (D)

Procedures on inpatient UB-04 claims are described with ICD-10-PCS codes. These codes precisely identify the surgical or medical actions performed and are shown on the service lines of the claim, with each line linked to the related diagnosis through diagnosis pointers. This setup makes clear both what was done and the condition that prompted it. CPT codes aren’t used for inpatient hospital procedures on UB-04, and ICD-10-CM diagnoses describe conditions rather than the procedures themselves, while revenue codes indicate department or service area rather than the specific procedure.