Recent Updates
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CPT/HCPCS
Updated on: Dec 07, 2022
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EMG
Updated on: Dec 07, 2022
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Place of Service
Updated on: Dec 07, 2022
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Dates of Service
Updated on: Dec 07, 2022
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Prior Authorization Number
Updated on: Dec 07, 2022
Indicating the prior authorization number.
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Resubmission Code and Original Reference Number
Indicating Claim Frequency Code, Payer Claim Control Number
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Diagnosis Codes
Updated on: Dec 07, 2022
Diagnosis codes populate the CMS 1500 form in order of the diagnosis codes listed, and display by charge. Loop 2300, Segment/Data Element HI01-2 through HI12-2
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Outside Lab
Updated on: Dec 07, 2022
Indicating outside lab and any associated charges
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Reserved for Local Use
Updated on: Dec 07, 2022
Enter free text for miscellaneous information needed in box 19 on the CMS 1500 form.
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Hospitalization Dates
Updated on: Dec 07, 2022
Indicating hospitalization dates.