What Is A Diagnosis Pointer On Hcfa 1500

1 2 3 or 4 or multiple numbers if the service relates to multiple diagnosis from field 21.

What is a diagnosis pointer on hcfa 1500. Diagnosis pointers on cms 1500. What is the difference between the diagnoses on a cms 1500 claim form and the diagnosis pointers associated with each cpt code on a cms 1500 claim form. I don t want to submit electronically. In medical classification diagnosis codes are used as part of the clinical coding process alongside intervention codes.

If we are talking about the paper form cms 1500 the diagnosis pointers are written typed in field 24e. On the subjective tab enter the code s in the treatment diagnosis section. Locate the corresponding daily note and use the drop down to select add addendum. Diagnosis pointers are used to link the diagnosis code to a cpt the current procedural terminology performed.

Diagnostic coding is the translation of written descriptions of diseases illnesses and injuries into codes from a particular classification. They wrote this with an arrow pointing to 24e inside of field 21 diagnosis. It s been like that here in oregon for a long time. 24f required charges enter the charge for service in dollar amount format.

I ve looked at instructions for hcfa 1500 from around the country and in several locations cms is specifying one pointer per procedure line in 24e. Diagnosis pointers are found in field 24e of the cms1500 medical claim form. Loop 2400 segment sv107 1 4. On the plan tab select finalize rebill daily note.

Navigate to the desired patient s chart. If the item is a taxable medical supply include the applicable state and county sales tax. Since people mix this up often they even wrote on the form that you can only have a value of 1 2 3 or 4. The diagnosis pointer references the line number from field 21 that relates to the reason the service s was performed ex.

To manually change the diagnosis code s. 24e required diagnosis pointer enter the diagnosis code number from box 21 that applies to the procedure code indicated in 24d. The diagnosis pointer s entered into field 24e of each line item show what diagnosis code s entered into field 21 that the service cpt or hcpcs code relates to. A diagnosis code reflects the medical diagnosis that has been made by the provider and tells the payer why a service for which reimbursement is sought was performed.

Diagnosis code pointers are used to indicate the appropriate order of importance in relation to the service being performed. The field accommodates up to 4 digits with no commas between numbers. Diagnosis pointers are represented as letters a l. It is important to remember that the primary reason for the patient s visit indicates the primary diagnosis code pointer that should be used on the claim.