Question

Ann is reviewing an encounter form that has one CPT code and two HCPCS codes with...

Ann is reviewing an encounter form that has one CPT code and two HCPCS codes with one diagnosis code for the same office visit. How many lines in Box 24 of the CMS-1500 will she need to use? Will all here CPT/HCPCS codes point to the same diagnosis? Why or why not?

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Answer #1

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Box 24 of CMS 1500 has the following :-

Box 24 A

Date(s) of service

Box 24 B

Numeric code for Place of Service

Box 24 C

X if emergency visit

Box 24 D

CPT, HCPCS codes and modifier

Box 24 E

Diagnosis Pointer (which diagnoses in 21 is reason for Box 24 d)

Box 24 F

Charges related to Box 24 section

Box 24 G

How many days or times service performed

Box 24 H

X if 24 D related to family planning

Box 24 I

leave blank

Box 24 J

bottom NPI # of provider who performed 24d

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