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Oncology & Hematology Coding Alert

NPI ~ Are You Referencing the Right CMS-1500 Instructions?

Published on Thu Jan 05, 2006

Be sure you-ve got revised MLN article MM5060 You don't want to miss this revision to MM5060 -Additional Requirements Necessary to Implement the Revised Health Insurance Claim Form CMS-1500.-

The original article instructed you to use the billing provider's NPI on certain fields of the new CMS-1500 form. Instead, the article should read, use the -appropriate NPI- on the following items:

- 24J (replacing item 24K, Form CMS-1500 (12-90));

- 17B (replacing item 17 or 17A, Form CMS-1500 (12-90));

- 32a (replacing item 32, Form CMS-1500 (12-90)); 

- 33a (replacing item 33, Form CMS-1500 (12-90)). You can download the revised article online at www.cms.hhs.gov/MLNMattersArticles/downloads/MM5060.pdf.
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