Which Form Locator would you use to record the Accident State?

• A. Form Locator 18-28
• B. Form Locator 31-34
• C. Form Locator 37
• D. Form Locator 29

Answer: (D)

In UB-04, the state where an accident occurred is captured in a specific form locator dedicated to accident information. The field for Accident State is Form Locator 29. Enter the two-letter state abbreviation that represents where the accident happened, regardless of the patient’s home state. This data helps with payer rules and claims processing for accident-related injuries (such as motor vehicle or workers’ compensation claims). If there was no accident, leave this field blank. If the accident occurred in a different state than the patient’s residence, you still use this same locator to record the accident state.