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MARITALSTATUSUB04 - Patient's marital status, UB-04 standard coding
 
Documentation Sections:
General Notes
Uniform Values
State Specific Notes
General Notes
 

MaritalStatusUB04 indicates the patient's marital status and uses the same coding as the marital status data element on the UB-04 claim form.

 
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Uniform Values
 
VariableDescriptionValueValue Description
MARITALSTATUSUB04Patient's marital status, UB-04 standard codingISingle
MMarried
ACommon Law
BRegistered Domestic Partner
SSeparated
XLegally Separated
DDivorced
WWidowed
UUnmarried (single or divorced or widowed)
BlankUnknown, not applicable, missing, or invalid
 
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State Specific Notes

Arkansas
Arkansas
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
M Married M Married
S Single I Single
D Divorced D Divorced
X Legally Separated X Legally Separated
W Widowed W Widowed
U Unknown Blank Unknown, Missing
blank Not present in patient's record Blank Missing
Other


Delaware
MARITALSTATUSUB04
(Valid beginning in 2017)
Value Description Value Description
2 Married M Married
1 Single I Single
4 Divorced D Divorced
3 Separated X Legally Separated
5 Widowed W Widowed
9 Unknown Missing
blank
other


Georgia
Georgia
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
M Married M Married
S Single I Single
P Life Partner B Life Partner
X Legally Separated X Legally Separated
D Divorced D Divorced
W Widowed W Widowed
U Unknown blank missing
blank missing blank missing
Any undocumented values invalid blank missing


Maryland
Maryland
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
2 Married M Married
1 Single I Single
4 Divorced D Divorced
3 Separated X Legally Separated
5 Widow/Widower W Widowed
9 Unknown Missing
.
Other


Minnesota
Minnesota
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
M Married M Married
S Single I Single
P Life Partner B Life Partner
X Legally Separated X Legally Separated
D Divorced D Divorced
W Widowed W Widowed
U Unknown blank Missing
blank missing
Any undocumented values invalid


Nebraska
Nebraska
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
M, m Married M Married
S,s Single I Single
P Life Partner B Life Partner
X Legally Separated X Legally Separated
D Divorced D Divorced
W,w Widowed W Widowed
U Unknown blank missing
blank missing blank missing
Any undocumented values invalid blank missing


Nevada
Nevada
MARITALSTATUS_X MARITALSTATUSUB04
Value Description Value Description
2 Married M Married
1 Single I Single
5 Divorced D Divorced
4 Legally Separated X Legally Separated
3 Life Partner B Life Partner
6 Widowed W Widowed
9, blank Unknown blank Missing
Any other undocumented values Invalid


New Jersey
New Jersey
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
A Common Law A Common Law
B Registered Domestic Partner B Registered Domestic Partner
D Divorced D Divorced
I Single I Single
M Married/Civil Union M Married
S Separated S Separated
U Unmarried U Unmarried
W Widowed W Widowed
X Legally Separated X Legally Separated
C, K, R, Blank, or any other values Not Applicable, Unknown, Unreported Blank Missing


New York
New York
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
A Common Law A Common Law
B Registered Domestic Partner B Registered Domestic Partner
D Divorced D Divorced
I Single I Single
M Married M Married
S Separated S Separated
U Unmarried (single, divorced, widowed) U Unmarried (single, divorced, widowed)
W Widowed W Widowed
X Legally Separated X Legally Separated
C, K, R, blank, or any other values Not applicable, unknown, unreported Blank Unknown, not applicable, missing or invalid


Utah
Utah
(Valid beginning 2018)
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
S Never Married I Single
M Married M Married
P Polygamous
-- -- A Common Law
T Domestic Partner B Registered Domestic Partner
-- -- S Separated
D Divorced D Divorced
I Interlocutory
W Widowed W Widowed
A Annulled U Unmarried
U Unmarried
blank blank Missing
Other Any undocumented values



Utah
(Valid through 2017)
MaritalStatus_X MaritalStatusUB04
Value Description Value Description
S Single I Single
M Married M Married
-- -- A Common Law
P Life Partner B Life Partner
-- -- S Separated
X Legally Separated X Legally Separated
D Divorced D Divorced
W Widowed W Widowed
-- -- U Unmarried
U Unknown (Valid through 2013) blank Missing
blank blank Missing
Other Any undocumented values blank Missing

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Internet Citation: HCUP Central Distributor SID Description of Data Elements - All States. Healthcare Cost and Utilization Project (HCUP). August 2008. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/vars/siddistnote.jsp?var=maritalstatusub04.
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Last modified 8/12/08