Question

How many diagnoses can be reported on the CMS-1500?

Select one:
a.Up to 12
b.Up to 6
c.Up to 10
d.Up to 8

Answer 1

The CMS-1500 form allows for up to 12 diagnoses to be reported. This form is used by healthcare providers to bill insurances, and the diagnostic codes are essential for correct and efficient claim processing.

Step-by-step explanation:

The number of diagnoses that can be reported on the CMS-1500 health insurance claim form is up to 12. The CMS-1500 is a standard form used by healthcare providers to bill Medicare and other health insurance companies. It includes a specific section where healthcare professionals can list diagnostic codes to describe the patient's condition or reasons for the visit or treatment.

The transition to the updated version of this form facilitated the accommodation of reporting up to 12 ICD-10 codes, allowing providers to communicate more detailed diagnostic information. The form requires that these diagnoses are listed in priority order, with the primary diagnosis code listed first, and is critical for ensuring that claims are processed efficiently and correctly, as it ties the services provided directly to the medical condition of the patient.