ICD-10-PCS procedure codes are reported on which form to detail services provided to a patient?

ICD-10-PCS procedure codes are specifically used to report inpatient procedures and services provided to patients in a hospital setting. The UB-04 form is the standardized billing form used by institutional providers, such as hospitals, to bill for services rendered, including those procedures indicated by ICD-10-PCS codes.

This form is designed to capture all necessary information about the patient's stay, including diagnoses, procedures, and the associated charges, making it the appropriate choice for reporting these detailed services. The use of ICD-10-PCS codes on the UB-04 ensures that the procedures are clearly documented for billing and reimbursement purposes.

Other forms do not align with the reporting requirements for inpatient procedure coding. The CMS-1500 is primarily used for outpatient and professional service billing, the CMS-1491 is not a recognized billing form, and MDC 02 refers to a Medicare Diagnosis-Related Group rather than a billing form. Thus, the UB-04 is the correct answer for reporting ICD-10-PCS codes for inpatient services.