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Commonly Asked Questions about New 1500 Order Forms

Printing your CMS 1500 form Open the claim. Click the download icon. Select Download complete form if you want to generate the full, red CMS 1500 form as a PDF. Select Download field entries only if you want to only generate the data fields so you can print it onto a blank CMS 1500 form.
The National Uniform Claim Committee has updated the CMS-1500 insurance claim form to accommodate the new ICD-10 codes and current standard for electronic health care transactions.
Two changes of special note include the ability to identify whether the claim is using ICD-9 or ICD-10 as the diagnosis code set, and the diagnosis field will allow up to 12 codes instead of the current limit of four.
What are the 837P and Form CMS-1500? The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically. The Form CMS-1500 is the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.
One of the reasons for this change is to support the use of the ICD-10 diagnosis code set. The revised form will give providers the ability to indicate whether they are using ICD-9 or ICD-10 diagnosis codes, which is important as the October 1, 2014, transition approaches.
Providers sending professional and supplier claims to Medicare on paper must use Form CMS-1500 in a valid version. This form is maintained by the National Uniform Claim Committee (NUCC), an industry organization in which CMS participates.
The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of
The most docHub change to the CMS 1500 02/12 form is the addition of 8 diagnosis codes to Form Locator 21 (for a total of 12 diagnosis codes) and the addition of an ICD Indicator (to specify whether ICD-9 or ICD-10 is being used).