Updates to the Internet Only Manual Pub. 100-04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS1500 Data Set
An update to Publication (Pub.) 100-04, Chapter 15 by CMS Change Request 6621, Transmittal 1821, issued on September 25, 2009, mistakenly indicated in Section 30.1.2 that the ZIP Code point-of-pickup of an ambulance trip be reported on a CMS-1500 claim form in Item 32. This CR will correct that mistake in Chapter 15 as well as add similar claims billing instructions to Chapters 1 and 26. New version 5010 837P billing requirements that a diagnosis code as well as the ambulance trip’s destination information be included on the electronic claim for ambulance services are being included as well. Finally, language falsely indicating that ambulance suppliers do not bill on Form CMS-1500 has been removed from Chapter 26, Section 10.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 22, 2011
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