Loop 2300 HI/FLs 39-41
Required when a Value Code applies to this claim
| Value Code and Value Code Amount | Source |
|---|---|
| Value codes are codes and related dollar or unit amounts necessary for the processing of a claim. The codes are 2 alphanumeric digits, and each value allows up to 9 numeric digits (0000000.00). | NUBC |
When reporting value amounts, negative amounts aren't allowed except in FL 41. Whole numbers or non-dollar amounts are right justified to the left of the dollars and cents delimiter. When reporting values in cents, providers must refer to specific codes for instructions.
There are 4 lines of data, line a through line d. The provider uses FLs 39a through 41a before 39b through 41b. If the claim shows more than 1 value code for a billing period, show codes in ascending numeric sequence.
Note: Medicare Secondary Payer (MSP) claims require a value code.