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Instructions for Completion of Form CMS-1450

Chapter 25 is being revised to remove sections 20 and 30. The information in these sections was moved to Chapter 24 as part of CR 3443. Section 60 is being revised to clarify Form Locators (FL) 8 Non-covered days, FL 22 Patient Status Code, and FL 42 Revenue Codes. FL 24-30 Condition Codes and FL 39-41 Value Codes are being updated to include one new condition code and two new value codes approved by the National Uniform Billing Committee.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 08, 2004

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.