Where does condition code go on HCFA 1500?

field 10D
The Condition Codes may be reported in field 10D of the 1500 Claim Form. However, entities reporting these codes should refer to the most current instructions for any federal, state, or individual payment specific instructions that may be applicable to the 1500 Claim Form.

What is the condition code?

Condition codes refer to specific form locators in the UB-04 form that demand to describe the conditions applicable to the billing period. It is important to note that condition codes are situational. These codes should be entered in an alphanumeric sequence.

What goes in box 33 on a HCFA?

Box 33 is used to indicate the name and address of the Billing Provider that is requesting to be paid for the services rendered. Enter the name, address, city, state, and ZIP code. P.O.

Where are the condition codes on the 1500 claim form?

The Condition Codes may be reported in field 10D of the 1500 Claim Form. However, entities reporting these codes should refer to the most current instructions for any federal, state, or individual payment specific instructions that may be applicable to the 1500 Claim Form. welcome back!

Where to put reference number on HCFA 1500 claim form?

If they have not requested this, a refiled claims should be left as the default of ‘1-Original’. If a Payer does request a re-submission code and reference number, you can add this under the HCFA claim tab in Enter Charges.

When did HCFA stop using condition code G0?

HCFA will recognize and accept the use of modifier –27 on hospital OPPS claims effective for services on or after October 1, 2001. Although HCFA will accept modifier –27 for OPPS claims, this modifier will not replace condition code G0. The reporting requirements for condition code G0 have not changed.

How to fill out the CMS 1500 form?

Instructions on how to fill out the CMS 1500 Form Item Instructions Item 1 Type of Health Insurance Coverage Applicable to the Claim Show the type of health insurance coverage applicable to this claim by checking the appropriate box, e.g., if a Medicare claim is being filed, check the Medicare box. Item 1a Insured’s ID Number