Change to CMS 1500 Claim Form is Coming

The Centers for Medicare & Medicaid (CMS) is updating the CMS 1500 claim form in anticipation of the upcoming changes to the International Classification of Diseases (ICD) system.

Providers who qualify for an exception and submit paper claims will have to use a new version of CMS 1500 starting in the new year. The form has been revised in anticipation of the October 1, 2014 transition to ICD-10 and would allow providers and suppliers to indicate whether they are using ICD-9 or ICD-10 diagnosis codes. ICD-9 codes must be used for services provided before October 1, 2014, while ICD-10 codes should be used for services provided on or after October 1, 2014.

The revised form also allows for additional diagnosis codes, expanding from 4 possible codes to 12.

The new version (02/12) replaces the current version (08/05). CMS will begin accepting the new forms as of January 6, 2014. The forms become mandatory starting April 1, 2014.

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