UB HCPCS Level II modifier: Medicaid level of care 11, as defined by each state

UB is a HCPCS Level II modifier: “Medicaid level of care 11, as defined by each state.” It adds this detail to the code it is reported with.

Official description

UB

Medicaid level of care 11, as defined by each state

Short description: M/caid care lev 11 state def

HCPCS · United States

Medicare details

The indicators CMS publishes with UB in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage: Not payable by Medicare
Added: Jul 1, 2002

Where UB sits

1GroupHCPCS modifiers
2Modifier UBMedicaid level of care 11, as defined by each state

Source and release

Data release: HCPCS Level II · October 2026
Effective date: Oct 1, 2026
Publisher: CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See UB in the CMS source

Frequently asked questions

What does HCPCS code UB mean?

UB is the HCPCS code for “Medicaid level of care 11, as defined by each state” in CMS’s HCPCS Level II October 2026 release.

Where is UB in the HCPCS Level II list?

UB is listed under Modifiers.

Does Medicare cover UB?

CMS lists UB’s Medicare coverage as “Not payable by Medicare”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

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