Question

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

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

Answer 1

The CMS-1500 claim form can accommodate up to 12 diagnoses. These diagnoses are represented by ICD codes and are entered into field 21 of the form, which is integral to the medical billing and coding process.

Step-by-step explanation:

The student's question pertains to the number of diagnoses that can be reported on the CMS-1500 claim form. The CMS-1500 is a standard healthcare form used by physicians and other healthcare providers to bill insurance carriers, including Medicare and Medicaid. As of the most recent update prior to my knowledge cutoff in 2023, the CMS-1500 form is designed to accommodate up to 12 diagnoses.

These are entered in the form's field 21. Each diagnosis is reported with an ICD (International Classification of Diseases) code that best describes the patient's condition. This form is an essential part of medical billing and coding, as it ensures that healthcare providers receive reimbursement for services rendered.