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San Francisco Marin Medical Society Blog

Practices Required to Use CMS 1500 Claim Form Effective April 1



As of April 1, 2014, CMS will only accept CMS 1500 claim form (version 02/12 OMB control number 0938-1197) for submitting paper claims to Medicare.

The revised form adds the following functionality:

  • Indicators for differentiating between ICD-9 and ICD-10 diagnosis codes.
  • Expansion of the number of possible diagnosis codes to 12.
  • Qualifiers to identify the following provider roles (on item 17): Ordering, Referring, Supervising

    Physicians should note that while the new claim form includes fields for ICD-10 codes in preparation for the transition in October 2014, practices should continue to submit only ICD-9 codes until notified otherwise by payors.

    Click here for more resources about Form CMS-1500. 



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