Line 22 must be filled in with revenue code and total charge in a specific way. Which option states the correct requirement?

Line 22 must be filled in with revenue code and total charge in a specific way. Which option states the correct requirement?

• A. Line 22 is not used on UB-04.
• B. Line 22 should be filled with revenue code 0002, total charge.
• C. Line 22 should be filled with revenue code 0001, unit count.
• D. Line 22 must be filled with revenue code 0001, total charge.

Answer: (D)

The main idea here is how line 22 on the UB-04 is used: it must show a revenue code paired with the total charge for that line. The correct way is to use a general revenue code of 0001 and the total charge amount for that line. This pairing reflects the line’s purpose—to identify the service category (via the revenue code) and the overall charge for that line item (the total, not a per-unit amount). Using a different revenue code, like 0002, would misclassify the service on that line, and reporting a unit count would not provide the required total charge. Omitting a value on line 22 is not acceptable because this line is specifically meant to capture both the revenue code and the associated total charge.

The main idea here is how line 22 on the UB-04 is used: it must show a revenue code paired with the total charge for that line. The correct way is to use a general revenue code of 0001 and the total charge amount for that line. This pairing reflects the line’s purpose—to identify the service category (via the revenue code) and the overall charge for that line item (the total, not a per-unit amount). Using a different revenue code, like 0002, would misclassify the service on that line, and reporting a unit count would not provide the required total charge. Omitting a value on line 22 is not acceptable because this line is specifically meant to capture both the revenue code and the associated total charge.