Palmetto GBA E-mail Update: Tuesday, September 29, 2015

Are we required to complete the ICD Indicator or field in Item 21 of the CMS-1500 (02/12) claim form?
The ICD indicator field, which is in the top right corner of item 21, must be completed to identify the ICD-CM code set being reported. Enter the indicator as a single digit between the vertical, dotted lines. Failure to complete this field or incorrectly completing this field will result in claim rejection.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

Avoid Rejections for Incorrect Diagnosis Code Reporting in CMS-1500 (02/12) Items 21 and 24E
If you are a paper biller, now is the time to make sure your claim forms are ready for the October 1, 2015 ICD-10 implementation. The revised CMS-1500 (02/12) claim forms include important changes to items 21 and 24E to facilitate the billing of ICD-10 CM diagnosis codes. Please share with appropriate staff.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

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