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News & Press: Insurance/Provider

CMS-1500 Forms

Friday, March 21, 2014   (0 Comments)
Posted by: Sheri Ryan
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CMS and insurers started receiving and processing paper claims on the revised 1500 claim form (Version 02/12) on January 6, 2014.

One of the most significant changes is item number 21. According to CPT, in the upper, right area of the field, two dotted lines were added to create a one-byte space to report an indicator that identifies which version of the diagnosis code set is being reported. A "9" indicates the diagnosis codes are from the ICD-9 code set and "0" is for ICD-10. The use of the indicator will be necessary during the transition to ICD-10 and when reporting services that span the Oct. 1, 2014 implementation deadline. A detailed list of the differences between Version 08/05 (the current form) and the new form, Version 02/12, can be found at: and a list of frequently asked questions about the new form is available at

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