and orthotics. Unshaded/lower area: date of current illness, injury, or pregnancy; place of service; emergency status; procedures, services, or supplies; diagnosis pointer; charges; days/units; etc. 4/1/2014 Clarifications 24A Date(s) of Enter the date the service was the date the service was to field name Service provided in MMDDYYYY provided in MMDDYYYY format and (for lower, format. in the unshaded area. description. unshaded area) 4/1/2014 Changed 24E If applicable, enter the diagnosis Diagnosis If applicable, the diagnosis references to code reference number (pointer) Pointer code reference letter (pointer) as pointers from as shown in Field 21 to relate the shown in Field 21 to relate the date numeric to date of service and the of service and the procedures alphabetic. procedures performed to the performed to the primary primary diagnosis. (ICD-9-CM diagnosis. (ICD-CM diagnosis diagnosis codes must be entered codes must be entered in Field 21 in Field 21 only. Do not enter only. Do not enter them in Field them in Field 24E.) 24E.) When multiple services are When multiple services are performed, enter the primary performed, enter the primary reference number for each reference letter for each service service first, followed by other first, followed by other applicable applicable services. services. The reference number should be The reference number should be a a 1, 2, 3, 4, or multiple numbers letter A through L or multiple as explained in the previous letters as explained in the previous sentence. sentence. Enter numbers left-justified in the field. Do not use commas Enter letters left-justified in the between the numbers. field. Do not use commas between the letters. 4/1/2014 Field now 30 Rsvd for N/A Not required reserved for NUCC Use NUCC use 4/1/2014 Appendix A: N/A N/A N/A Removed references to fields 1a, TPL 9b, 10d, and changed TPL Supplemental Required information for field 11d Instructions to reflect changes to these fields. for Submitting Claims on the CMS-1500 for
and orthotics. Unshaded/lower area: date of current illness, injury, or pregnancy; place of service; emergency status; procedures, services, or supplies; diagnosis pointer; charges; days/units; etc. 4/1/2014 Clarifications to field name and description. 24A Date(s) of Service (for lower, unshaded area) Enter the date the service was provided in MMDDYYYY format. the date the service was provided in MMDDYYYY format in the unshaded area. 4/1/2014 Changed references to pointers from numeric to alphabetic. 24E Diagnosis Pointer If applicable, enter the diagnosis code reference number (pointer) as shown in Field 21 to relate the date of service and the procedures performed to the primary diagnosis. (ICD-9-CM diagnosis codes must be entered in Field 21 only. Do not enter them in Field 24E.) When multiple services are performed, enter the primary reference number for each service first, followed by other applicable services. The reference number should be a 1, 2, 3, 4, or multiple numbers as explained in the previous sentence. Enter numbers left-justified in the field. Do not use commas between the numbers. If applicable, the diagnosis code reference letter (pointer) as shown in Field 21 to relate the date of service and the procedures performed to the primary diagnosis. (ICD-CM diagnosis codes must be entered in Field 21 only. Do not enter them in Field 24E.) When multiple services are performed, enter the primary reference letter for each service first, followed by other applicable services. The reference number should be a letter A through L or multiple letters as explained in the previous sentence. Enter letters left-justified in the field. Do not use commas between the letters. 4/1/2014 Field now reserved for NUCC use 30 Rsvd for NUCC Use N/A Not required 4/1/2014 Appendix A: TPL Supplemental Instructions for Submitting Claims on the CMS-1500 for N/A N/A N/A Removed references to fields 1a, 9b, 10d, and changed TPL Required information for field 11d to reflect changes to these fields.
changes-to-5010-billing-guides.docx