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US · guidance

CMS Pub. 100-04, ch. 25, § 70.1

Uniform Billing with Form CMS-1450

activein force · 2026-08-25 – presentas-observed

This form, also known as the UB-04, is a uniform institutional provider bill suitable for

use in billing multiple third party payers. Because it serves many payers, a particular

payer may not need some data elements. The National Uniform Billing Committee

(NUBC) maintains lists of approved coding for the form. Medicare Administrative

Contractors servicing both Part A and Part B lines of business (A/B MACs (A) and

(HHH)) responsible for receiving institutional claims also maintain lists of codes used by

Medicare. All items on Form CMS-1450 are described. The A/B MAC (A) or (HHH)

must be able to capture all NUBC-approved input data described in section 75 for audit

trail purposes and be able to pass coordination of benefits data to other payers with whom

it has a coordination of benefits agreement.

History

(Rev. 2922, Issued: 04-03-14, Effective: 04-18-14, Implementation: 04-18-14)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
55dff6e58c7b815957f3475ddf7d484d1972db5e019019aa7f7b1aecdd27f916
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