Box 21 on the CMS-1500 form
Box 21 on the CMS-1500 form is used to provide the diagnosis or nature of illness or injury. Specifically, it is where the ICD-10-CM codes (International Classification of Diseases, 10th edition, Clinical Modification) are entered to describe the patient’s condition or diagnosis that necessitated the medical service. Key Details for Box 21: Example of Box […]
What is an NPI Number on the CMS-1500?
The NPI (National Provider Identifier) number on the CMS-1500 form is a unique 10-digit identification number assigned to healthcare providers in the United States. It is used to identify providers in transactions related to healthcare services, including claims, referrals, and authorizations. Key Facts About NPI: Where Is the NPI Number Used on the CMS-1500 Form? […]
CMS-1500 Form: Provider Types
On the CMS-1500 form, the provider type refers to the role or specialty of the healthcare professional or organization rendering the service. While the form itself doesn’t explicitly list provider types, they are conveyed through: Examples of Common Provider Types: Here are examples of typical provider types and their taxonomy codes: Provider Type Taxonomy Code […]
CMS-1500 Form: Place of Service Codes
The Place of Service (POS) Codes are used on the CMS-1500 form to specify the location where healthcare services were provided. Each two-digit code corresponds to a specific type of facility or setting. Common Place of Service (POS) Codes: Here are some frequently used POS codes: Code Description 01 Pharmacy 02 Telehealth Provided Other than […]
Can I print CMS-1500 from a color printer?
No. If you are printing the entire form, including the red “OCR” background, you must use a printer capable of printing in the exact red ink color required (Pantone PMS 230). The red ink ensures that the form can be scanned correctly by insurance companies’ optical character recognition (OCR) systems. Standard color printers may not […]