Total Charges by Revenue Code are recorded in which Form Locator?

• A. Form Locator 42
• B. Form Locator 47
• C. Form Locator 43
• D. Form Locator 48

Answer: (B)

Understanding how UB-04 captures charges by service category is essential. Each service on the claim is tagged with a Revenue Code to group similar services. To show the total amount billed for each Revenue Code across all line items, the UB-04 uses a specific Form Locator designed for this purpose. That locator records the aggregate charges for that Revenue Code, allowing payers to quickly see the total billed for each service category. Other form locators handle the individual line-item details such as the line charge, units, or the Revenue Code itself, but they don’t provide the summed total by Revenue Code. So the Total Charges by Revenue Code are recorded in the locator dedicated to that summary, which is Form Locator 47.