evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
Form CMS -1500 (08/05)  User Print  File Specifications  (Formerly  Exhibit  2)  LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  1  Left printer alignment  block  M 3 01-03 1  Right printer alignment  block  M 3 77-79 3 1 Medicare  M 1 01 3 1 Medicaid  M 1 08 3 1 Tricare Champus  M 1 15 3 1 Champva  M 1 24 3 1 Group  Health  Plan  M 1 31 3 1 FECA Blk Lung  M 1 39 3 1 Other  M 1 45 3 1a Insured's  ID Number  A/N 29 50-78 5 2 Patient's  Name (Last,  First,  MI) A 28 01-28 5 3 Patient's  Birth  Date (Month) N 2 31-32 5 3 Patient's  Birth  Date (Day)  N 2 34-35 5 3 Patient's  Birth  (Year)  N 4 37-40 5 3 Sex-Male M 1 42 5 3 Sex-Female  M 1 47 5 4 Insured  Name  (Last,  First,  MI)  A 29 50-78 7 5 Patient's  Address  A/N 28 01-28 7 6 Patient Relationship  to Insured  (Self)  M 1 33 7 6 Patient Relationship  to Insured  (Spouse)  M 1 38 7 6 Patient Relationship  to Insured  (Child)  M 1 42 7 6 Patient Relationship  to Insured  (Other)  M 1 47 7 7 Insured's  Address  A/N 29 50-78 9 5 Patient's  City  A 24 01-24 * M = mark  (X), A = alpha, N  = numeric  9 5 Patient's  State  A 3 26-28 9 8 Patient Status  (Single)  M 1 35 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  9 8 Patient Status  (Married)  M 1 41 9 8 Patient Status  (Other)  M 1 47 9 7 Insured's  City  A 23 50-72 9 7 Insured's  State  A 4 74-77 11 5 Patient's  ZIP  Code  N 12 01-12 11 5 Patient's  Area  Code  N 3 15-17
(Medicare Claims Processing Manual)
11 5 Patient's  Phone Number  N 10 19-28 11 8 Patient Status  (Employed)  M 1 35 11 8 Patient Status  (Full  Time Student)  M 1 41 11 8 Patient Status  (Part Time  Student)  M 1 47 11 7 Insured's  ZIP  Code  N 12 50-61 11 7 Insured's  Area  Code  N 3 65-67 11 7 Insured's  Phone Number  N 10 69-78 13 9 Other Insured's  Name (Last, First,  MI) A 28 01-28 13 11 Insured's  Policy,  Group  or FECA Number  A/N 29 50-78 15 9a Other Insured's  Policy  or Group  Number  A/N 28 01-28 15 10a Condition  Related  (Employment C/P,  Yes)  M 1 35 15 10a Condition  Related  (Employment C/P,  No) M 1 41 15 11a Insured's  Date of  Birth  (Month)  N 2 53-54 15 11a Insured's  Date of Birth  (Day)  N 2 56-57 15 11a Insured's  Date of Birth  (Year)  N 4 59-62 15 11a Sex-Male M 1 68 15 11a Sex-Female M 1 75 17 9b Other Insured's  Date of  Birth  (Month)  N 2 02-03 * M = mark  (X), A = alpha, N  = numeric  17 9b Other Insured's  Date of  Birth  (Day)  N 2 05-06 17 9b Other Insured's  Date of  Birth  (Year)  N 4 08-11 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  17 9b Sex-Male M 1 18 17 9b Sex-Female  M 1 24 17 10b Condition  Related  To: (Auto  Accident -Yes) M 1 35 17 10b Condition  Related  To: (Auto  Accident -No) M 1 41 17 10b Condition  Related  To: (Auto  Accident -State)  A 2 45-46 17 11b Insured's  Employer's  Name or  School  Name  A/N 29 50-78 19 9c Other Insured's  Employer's  Name or  School  A/N 28 01-28 19 10c Other Accident  (Yes)  M 1 35 19 10c Other Accident  (No)  M 1 41 19 11c Insured's  Insurance Plan or  PayerID  A/N 29 50-78 21 9d Other Insured s Plan Name or Payer ID
(Medicare Claims Processing Manual)
M 1 35 19 10c Other Accident  (No)  M 1 41 19 11c Insured's  Insurance Plan or  PayerID  A/N 29 50-78 21 9d Other Insured s Plan Name or Payer ID A/N 28 01-28 21 10d (Reserved  for Local  Use)  A/N 19 30-48 21 11d Another Benefit Health  Plan  (Yes)  M 1 52 21 11d Another Benefit Health  Plan  (No)  M 1 57 25 12 Left Blank  for Patient's  Signature & Date     25 13 Left Blank  for Insured's  Signature     27 14 Date of  Current Illness,  Injury,  Pregnancy  (Month)  N 2 02-03 27 14 Date of  Current Illness,  Injury,  Pregnancy  (Day)  N 2 05-06 27 14 Date of  Current Illness,  Injury,  Pregnancy  - (Year)  N 4 08-11 27 15 First  Date Has Had Same or  Similar Illness  (Month)  N 2 37-38 * M = mark  (X), A = alpha, N  = numeric  27 15 First  Date Has Had Same or  Similar Illness  (Day)  N 2 40-41 27 15 First  Date Has Had Same or  Similar Illness  - (Year)  N 4 43-46 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  27 16 Dates  Patient  Unable to  Work  (From Month)
(Medicare Claims Processing Manual)
N 2 54-55 27 16 Dates  Patient  Unable to  Work  (From  Day)  N 2 57-58 27 16 Dates  Patient  Unable to  Work  (From  Year)  N 4 60-63 27 16 Dates  Patient  Unable to  Work  (To Month)  N 2 68-69 27 16 Dates  Patient  Unable to  Work  (To Day)  N 2 71-72 27 16 Dates  Patient  Unable to  Work  (To Year)
(Medicare Claims Processing Manual)
N 4 74-787 28 17a Legacy  Qualifier/Provider Number of  Referring  Physician  A/N 19 30-48 29 17 Name of  Referring  Physician  or Other Source  A 26 01-26 29 17b NPI Number of Referring Physician  N 17 32-48 29 18 Hospitalization  Related  Current Svcs  (From  Month)  N 2 54-55 29 18 Hospitalization  Related  Current Svcs  (From  Day)  N 2 57-58 29 18 Hospitalization  Related  Current Svcs  (From  Year)  N 4 60-63 29 18 Hospitalization  Related  Current Svcs  (To Month)  N 2 68-69 29 18 Hospitalization  Related  Current Svcs  (To Day)  N 2 71-72 29 18 Hospitalization Related Current Svcs (To Year)  N   30 19 Reserved  for Local  Use A/N 35 14-48 31 19 Reserved  for Local  Use A/N 48 01-48 31 20 Outside Lab (Yes)  M 1 52 * M = mark  (X), A = alpha, N  = numeric  31 20 Outside Lab (No)  M 1 57 31 20 $ Charges  N 8/8 62-78 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  33 21.1 Diagnosis  or Nature of  Illness or  Injury  (Code)  A/N 8 03-10 33 21.3 Diagnosis  or Nature of  Illness or  Injury  (Code)  A/N 8 30-37 33 22 Medicaid  Resubmission  Code  A/N 11 50-60 33 22.2 Original  Reference Number  A/N 18 61-78 35 21.2 Diagnosis  or Nature of  Illness or  Injury  (Code)  A/N 8 03-10 35 21.4 Diagnosis  or Nature of  Illness or  Injury  (Code)  A/N 8 30-37 35 23 Prior Authorization  Number  A/N 29 50-78 38 24 Line  Detail  Narrative  A/N 63 01-63 38 24.1i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 38 24.1j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 39 24.1a Date(s) of  Service -  (From  Month)  N 2 01-02 39 24.1a Date(s) of  Service -  (From  Day)  N 2 04-05 39 24.1a Date(s) of  Service -  (From  Year)  N 2 07-08 39 24.1a Date(s) of  Service -  (To Month)  N 2 10-11 39 24.1a  Date(s) of Service - (To Day)
(Medicare Claims Processing Manual)
of  Service -  (From  Year)  N 2 07-08 39 24.1a Date(s) of  Service -  (To Month)  N 2 10-11 39 24.1a  Date(s) of Service - (To Day)  N 2 13-14 39 24.1a  Date(s) of Service - (To Year)  N 2 16-17 39 24.1b  Place of  Service  A/N 2 19-20 39 24.1c  EMG  A 2 22-23 39 24.1d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 39 24.1d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 39 24.1d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 39 24.1d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 39 24.1d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 * M = mark  (X), A = alpha, N  = numeric  39 24.1e  Diagnosis  Pointer  N 4 45-48 39 24.1f  $ Charges  N 8 50-57 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  39 24.1g Days  or Units  N 3 59-61 39 24.1h  EPSDT  Family  Plan  A 1 63 39 24.li Legacy  Qualifier  Rendering  Provider  (Leave Blank)  A/N 0  39 24.1j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 40 24 Line  Detail  Narrative  A/N 63 01-63 40 24.2i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 40 24.2j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 41 24.2a Date(s) of  Service -  (From  Month)  N 2 01-02 41 24.2a Date(s) of  Service -  (From  Day)  N 2 04-05 41 24.2a Date(s) of  Service -  (From  Year)  N 2 07-08 41 24.2a Date(s) of  Service -  (To Month)  N 2 10-11 41 24.2a Date(s) of  Service -  (To Day)  N 2 13-14 41 24.2a  Date(s) of Service - (To Year)  N 2 16-17 41 24.2b  Place of Service
(Medicare Claims Processing Manual)
41 24.2a Date(s) of  Service -  (To Day)  N 2 13-14 41 24.2a  Date(s) of Service - (To Year)  N 2 16-17 41 24.2b  Place of Service  A/N 2 19-20 41 24.2c  EMG  A 2 22-23 41 24.2d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 41 24.2d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 41 24.2d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 41 24.2d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 41 24.2d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 41 24.2e  Diagnosis  Pointer  N 4 45-48 41 24.2f  $ Charges  N 8 50-57 41 24.2g Days  or Units  N 3 59-61 41 24.2h  EPSDT  Family  Plan  A 1 63 * M = mark  (X), A = alpha, N  = numeric  41 24.2i  Legacy  Qualifier  Rendering  Provider  (Leave Blank)  A/N 0  LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  41 24.2j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 42 24 Line  Detail  Narrative  A/N 63 01-63 42 24.3i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 42 24.3j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 43 24.3a Date(s) of  Service -  (From  Month)  N 2 01-02 43 24.3a Date(s) of  Service -  (From  Day)  N 2 04-05 43 24.3a Date(s) of  Service -  (From  Year)  N 2 07-08 43 24.3a Date(s) of  Service -  (To Month)  N 2 10-11 43 24.3a Date(s) of  Service -  (To Day)  N 2 13-14 43 24.3a Date(s) of  Service -  (To Year)  N 2 16-17 43 24.3b  Place of  Service  A/N 2 19-20 43 24.3c  EMG  A 2 22-23 43 24.3d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)
(Medicare Claims Processing Manual)
N 2 16-17 43 24.3b  Place of  Service  A/N 2 19-20 43 24.3c  EMG  A 2 22-23 43 24.3d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 43 24.3d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 43 24.3d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 43 24.3d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 43 24.3d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 43 24.3e  Diagnosis  Pointer  N 4 45-48 43 24.3f  $ Charges  N 8 50-57 43 24.3g Days  or Units  N 3 59-61 43 24.3h  EPSDT  Family  Plan  A 1 63 43 24.3i  Legacy  Qualifier  Rendering  Provider  (Leave Blank)  A/N 0  43 24.3j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 44 24 Line  Detail  Narrative  A/N 63 01-63 * M = mark  (X), A = alpha, N  = numeric  44 24.4i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  44 24.4j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 45 24.4a Date(s) of  Service -  (From  Month)  N 2 01-02 45 24.4a Date(s) of  Service -  (From  Day)  N 2 04-05 45 24.4a  Date(s) of Service - (From  Year)  N 2 07-08 45 24.4a Date(s) of  Service -  (To Month)  N 2 10-11 45 24.4a Date(s) of  Service -  (To Day)  N 2 13-14 45 24.4a Date(s) of  Service -  (To Year)  N 2 16-17 45 24.4b  Place of  Service  A/N 2 19-20 45 24.4c  EMG  A 2 22-23 45 24.4d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 45 24.4d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 45
(Medicare Claims Processing Manual)
45 24.4d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 45 24.4d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 45 24.4d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 45 24.4d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 45 24.4d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 45 24.4e  Diagnosis  Pointer  N 4 45-48 45 24.4f  $ Charges  N 8 50-57 45 24.4g Days  or Units  N 3 59-61 45 24.4h  EPSDT  Family  Plan  A 1 63 45 24.4i  Legacy  Qualifier  Rendering  Provider  Blank)  (Leave  A/N 0  45 24.4j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 46 24 Line  Detail  Narrative  A/N 63 01-63 46 24.5i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 46 24.5j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 47 24.5a  Date(s) of Service - (From  Month)  N 2 01-02 * M = mark  (X), A = alpha, N  = numeric  47 24.5a Date(s) of  Service -  (From  Day)  N 2 04-05 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  47 24.5a Date(s) of  Service -  (From  Year)  N 2 07-08 47 24.5a  Date(s) of Service - (To Month)  N 2 10-11 47 24.5a  Date(s) of Service - (To Day)  N 2 13-14 47 24.5a Date(s) of  Service -  (To Year)  N 2 16-17 47 24.5b  Place of  Service  A/N 2 19-20 47 24.5c  EMG  A 2 22-23 47 24.5d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 47
(Medicare Claims Processing Manual)
25-30 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 47 24.5d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 47 24.5e  Diagnosis  Pointer  N 4 45-48 47 24.5f  $ Charges  N 8 50-57 47 24.5g Days  or Units  N 3 59-61 47 24.5h  EPSDT  Family  Plan  A 1 63 47 24.5i  Legacy  Qualifier  Rendering  Provider  (Leave Blank)  A/N 0  47 24.5j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 48 24 Line  Detail  Narrative  A/N 63 01-63 48 24.6i  Legacy  Qualifier  Rendering  Provider A/N 2 65-66 48 24.6j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 49 24.6a Date(s) of  Service -  (From  Month)  N 2 01-02 49 24.6a Date(s) of  Service -  (From  Day)  N 2 04-05 49 24.6a Date(s) of  Service -  (From  Year)  N 2 07-08 49 24.6a  Date(s) of Service - (To Month)  N 2 10-11 49 24.6a Date(s) of  Service -  (To Day)  N 2 13-14 * M = mark  (X), A = alpha, N  = numeric  49 24.6a Date(s) of  Service -  (To Year)  N 2 16-17 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  49 24.6b  Place of  Service  A/N 2 19-20 49 24.6c  EMG  A 2 22-23 49 24.6d  Procedures,  Svcs  or Supplies  (CPT/HCPCS)  A/N 6 25-30 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 1) A/N 2 33-34 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 49
(Medicare Claims Processing Manual)
33-34 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 2) A/N 2 36-37 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 3) A/N 2 39-40 49 24.6d  Procedures,  Svcs  or Supplies  (Modifier 4) A/N 2 42-43 49 24.6e  Diagnosis  Pointer  N 4 45-48 49 24.6f  $ Charges  N 8 50-57 49 24.6g Days  or Units  N 3 59-61 49 24.6h  EPSDT  Family  Plan  A 1 63 49 24.6i  Legacy  Qualifier  Rendering  Provider  (Leave Blank)  A/N 0  49 24.6j  Legacy  Provider Number  Rendering  Provider  A/N 11 68-78 51 25 Federal  Tax ID  Number  N 15 1-15 51 25 Federal  Tax ID  Number (SSN)  M 1 17 51 25 Federal  Tax ID  Number (EIN)  M 1 19 51 26 Patient's  Account Number  A/N 14 23-36 51 27 Accept  Assignment  (Yes)  M 1 38 51 27 Accept  Assignment  (No) M 1 43 51 28 Total  Charge  N 9 51-59 51 29 Amount Paid  N 8 62-69 51 30 Balance Due  N 8 71-78 52 33 Billing  Provider Phone  Number Area  Code  N 3 66-68 52 33 Billing  Provider  Phone  Number  N 9 70-78 * M = mark  (X), A = alpha, N  = numeric  53 32 Name of  Facility  Where  Svcs  Rendered  A/N 26 23-48 LINE  FIELD  LITERAL  FIELD  TYPE*  BYTES  COL -UMNS  53 33 Physician/Supplier Billing  Name  A/N 29 50-78 54 32 Address  of Facility  Where Svcs  Rd d  A/N 26 23-48 54 33 Physician/Supplier Address  A/N 29 50-78 55 31 Left Blank  for Signature Physician/Supplier     55 32 City,  State and ZIP  Code  of Facility  A/N 26 23-48 55 33 City,  State and ZIP  Code  of Billing  P id  A/N 29 50-78 56 32a Facility  NPI  Number  N 10 24-33 56 32b Facility  Qualifier  and Legacy  Number  A/N 14 35-48 56 33a Billing  Provider NPI  Number  N 10 51-60 56 33b Billing  Provider Qualifier and Legacy  Nb  A/N 17 62-78 * M = mark  (X), A = alpha, N  = numeric
(Medicare Claims Processing Manual)
Transmittals Issued for this Chapter  Rev #  Issue Date  Subject  Impl Date  CR#  R12411CP  12/14/2023  New Place of Service (POS) Code 27 -  "Outreach Site/Street  01/02/2024  13314  R12254CP  09/20/2023  New Place of Service (POS) Code 27 -  "Outreach Site/Street   Rescinded and Replaced by Transmittal  12411 01/02/2024  13314  R12231CP  08/31/2023  New Dental Specialty Codes for Medicare  01/02/2024  13323  R12202CP   08/10/2023  New Place of Service (POS) Code 27 -  "Outreach Site/Street   Rescinded and Replaced by Transmittal  12254 01/02/2024  13314  R11437CP  05/27/2022  New/Modifications to the Place of Service (POS) Codes for Telehealth  04/04/2022  12427  R11045CP  10/13/2021  New/Modifications to the Place of Service (POS) Codes for Telehealth - Rescinded and Replaced by Transmittal 4472 04/04/2022  12427  R10341CP  09/04/2020  Internet Only Manual Update to Pub. 100-04, Chapter 16, Section 60.1.2 and Pub. 100-04, Chapter 26, Section 10.4, Item 19  10/06/2020  11935 R10124CP  05/08/2020  New Physician Specialty Code for Micrographic Dermatologic Surgery (MDS) and Adult Congenital Heart Disease (ACHD) and a New Supplier Specialty Code for Home Infusion Therapy Services  10/05/2020  11750  12/05/2019  New Medicare Provider Specialty Code (D5) and Billing Codes for Opioid Treatment Programs and New Place of Service Code 58  01/06/2020  11353 R4388CP  09/06/2019  Manual Updates to Chapters 1, 22, 24, 26, and 31 in Publication (Pub.) 100- 04 10/07/2019  11331
(Medicare Claims Processing Manual)
08/01/2019  New Medicare Provider Specialty Code (D5) and Billing Codes for Opioid 01/06/2020  11353 Rev #  Issue Date  Subject  Impl Date  CR#  Treatment Programs and New Place of Service Code 58   Rescinded and Replaced by Transmittal 4472 R4232CP  02/08/2019  Update to Publication (Pub.) 100- 04 Chapter 26 to Provide Language -Only Changes for the New Medicare Card Project  03/12/2019  11129 R4184CP  12/20/2018  New Physician Specialty Code for Undersea and Hyperbaric Medicine  01/07/2019  10666 R4039CP  04/27/2018  New Physician Specialty Code for Medical Genetics and Genomics  10/01/2018  10457 R3873CP  10/06/2017  Place of Service Codes  04/02/2018  10272 R3881CP  10/13/2017  Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection  01/16/2018  10232 R3762CP  04/28/2017  New Physician Specialty Code for Advanced Heart Failure and Transplant Cardiology, Medical Toxicology, and Hematopoietic Cell Transplantation and Cellular Therapy  10/02/2017  9957 R3637CP  10/28/2016  New Physician Specialty Code for Hospitalist  04/03/2017  9716 R3586CP  08/12/2016  New Place of Service (POS) Code for Telehealth and Distant Site Payment Policy  01/03/2017  9726 R3547CP  06/22/2016  New Physician Specialty Code for Dentist  07/05/2016  9355 R3544CP  06/15/2016  New Physician Specialty Code for Dentist  - Rescinded and replaced by Transmittal 3547 07/05/2016  9355 Rev #  Issue Date  Subject  Impl Date  CR#  R3490CP  04/01/2016  Medicare Internet Only Manual Publication 100-04 Chapter 26 -  Completing and Processing Form CMS -1500 Data Set  04/25/2016  9344 R3484CP  03/25/2016  Medicare Internet Only Manual Publication 100-04 Chapter 26 -  Completing and Processing Form CMS -1500 Data Set  - Rescinded and replaced by Transmittal 3490 04/25/2016  9344 R3447CP  01/29/2016  New Physician Specialty Code for Dentist   Rescinded and replaced by Transmittal 3544
(Medicare Claims Processing Manual)
CMS -1500 Data Set  - Rescinded and replaced by Transmittal 3490 04/25/2016  9344 R3447CP  01/29/2016  New Physician Specialty Code for Dentist   Rescinded and replaced by Transmittal 3544 07/05/2016  9355 R3315CP  08/06/2015  New and Revised Place of Service Codes (POS) for Outpatient Hospital 01/04/2016  9231 R3255CP  05/08/2015  Correction to the Multi -Carrier System (MCS) Editing on the Service Location National Provider Identifier (NPI) Reported for Anti -Markup and Reference Laboratory Claims  10/05/2015  9150 R3177CP  01/30/2015  Updating CMS IOM 100 -04, Chapter 26 with Specialty Code B1 03/02/2015  9001 R3103CP  11/03/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti -Markup and Reference Laboratory Claims  04/06/2015  8806 R3098CP  10/21/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti -Markup and Reference Laboratory Claims  Rescinded and replaced by Transmittal 3103 04/05/2014  8806 R3083CP  10/02/2014  Form CMS -1500 Instructions: Revised for Form Version 02/12 01/06/2014  8509 R3073CP  09/23/2014  New Physician Specialty Code for Interventional Cardiology 01/05/2015  8812 Rev #  Issue Date  Subject  Impl Date  CR#  R3061CP  09/04/2014  New Physician Specialty Code for Interventional Cardiology  Rescinded and replaced by Transmittal 3073 01/05/2015  8812 R3048CP  08/22/2014  New Physician Specialty Code for Interventional Cardiology  Rescinded and replaced by Transmittal 3061 01/05/2015  8812 R3047CP  08/22/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti -Markup and Reference Laboratory Claims   Rescinded and replaced by Transmittal 3098 01/05/2014  8806 R2984CP  07/11/2014  Beneficiary Signature Requirements for Ambulance Services  08/12/2014  8760 R2842CP  12/27/2013  Form CMS -1500 Instructions: Revised for Form Version 02/12
(Medicare Claims Processing Manual)
R2984CP  07/11/2014  Beneficiary Signature Requirements for Ambulance Services  08/12/2014  8760 R2842CP  12/27/2013  Form CMS -1500 Instructions: Revised for Form Version 02/12  Rescinded and replaced by Transmittal 3083 01/06/2014  8509 R2814CP  11/15/2013  2014 Annual Type of Service (TOS) Update  01/06/2014  8519 R2744CP  07/24/2013  Type of Service (TOS) Corrections 2013  10/07/2013  8392 R2738CP  07/12/2013  Type of Service (TOS) Corrections 2013  Rescinded and replaced by Transmittal 2744 10/07/2013  8392 R2721CP  06/12/2013  New Non -Physician Specialty Code for Complimentary Insurer  10/07/2013  8282 R2697CP  05/03/2013  New Non -Physician Specialty Code for Complimentary Insurer   Rescinded and replaced by Transmittal 2721 10/07/2013  8282 R2679CP  03/29/2013  Revised and Clarified Place of Service (POS) Coding Instructions  04/01/2013  7631 Rev #  Issue Date  Subject  Impl Date  CR#  R2613CP  12/14/2012  Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2679 04/01/2013  7631 R2614CP  12/14/2012  Updated Billing Requirements for Outpatient Therapy Services -- Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 11/27/2012  8097 R2602CP  11/30/2012  New Place of Service (POS) Code for Place of Employment/Worksite  04/01/2013  8125 R2598CP  11/23/2012  Annual Type of Service (TOS) Update  01/07/2013  8082 R2571CP  10/26/2012  Updated Billing Requirements for Outpatient Therapy Services  Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012  Rescinded and replaced by Transmittal 2614 11/27/2012  8097 R2570CP  10/26/2012  Annual Type of Service (TOS) Update  Rescinded and replaced by Transmittal 2598 01/07/2013  8082