Back to Insights and Updates for ProvidersMay 2024

Reminder: Value codes required on ESRD claims

Harvard Pilgrim Health Care Commercial

As a reminder, when billing for end-stage renal disease (ESRD) services such as dialysis and home health care, the following value codes are required in Form Locator 39-41:

  • A8 (Weight in kilograms)
  • A9 (Height in centimeters)
  • 61 (Core-based statistical area)
  • 85 (County code)

Failure to include the required value codes may result in a claims denial.

For additional information and billing requirements, please refer to the Completing a Paper UB-04 Form policy in Harvard Pilgrim Health Care’s Commercial Provider Manual.

Audrey Kleinberg,
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