May 3, 2011
Specific Instructions for Filing Claims Subject to Anti-Markup Limitation Providers may not submit a global billing or total component code on paper or electronic claims when one component of the service is subject to the anti-markup limitation. To determine the...
Apr 28, 2011
CLAIMS FILING REQUIREMENTS Note: Physicians and suppliers who qualify for an exemption from the mandatory electronic claims submission requirements and who submit claims using the paper claim Form CMS-1500, must use Form CMS-1500 (08-05) beginning July 2, 2007. Items...
Jul 19, 2010
Radiology procedures on the CMS-1500 claim form Procedure CODE 71010 – Radiologic examination, chest; single view, frontal – Average fee amount $20 – $26 Procedure COD E 71020 (Radiologic examination chest, two views, frontal and lateral;...
Jul 19, 2010
Bilateral Radiography Billed with Unilateral Codes on CMS 1500 Form This is an example only. Please adapt to your billing situation. In this case a physician orders a bilateral eye socket X-ray. This claim example illustrates the billing of a bilateral...
