The National Uniform Claim Committee (NUCC) normally maintains the CMS-1500 claim form, but only updates it periodically in order to align it with the needs within the industry. It revised the CMS-1500 claim form in order to suit the ICD-10-CM diagnosis codes that were created after changing the ICD-9. ICD-9 stands for the International Classification of Diseases, 10th Edition. ICD is normally the global standard for diagnostic classifications within the healthcare and nursing industry (Browning, 2013). The immediate former version known as ICD-9 was created in the year 1979. The ICD codes are simply the medical codes, which present a comprehensive representation of the health condition of a patient (Diamond, 2015). The new claim form after the update is version 02/12 1500. This 1500 Claim Form, Version 02/12 has some new fields added. Moreover, some fields in the form have been re-labeled to show the current usage.
Diagnosis codes in Item 21
There is a new indicator, ICD Ind., which was added as part of the updates for the purpose of creating a difference between ICD-9-CM and ICD-10-CM Diagnosis Codes. The updated indicator options are 9 for ICD-9 or 0 for ICD-10. Moreover, the number of optimum diagnosis codes has been extended to 12 (Diamond, 2015). The fields of the diagnosis code are currently labeled A-L, with also the new version using numbers 1-4.
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Re-labeled fields
Item 22 was revised from MEDICAID RESUBMISSION to RESUBMISSION. Furthermore, Items 8, 9b, 9c, and 30 were revised to RESERVED FOR NUCC USE. It also has to be understood that the NUCC also revised its initial suggested enforcement timelines for the transition to new version.
References
Browning, J. (2013). CMS-1500 Claim Form Revised for ICD-10. Quadax . Retrieved from https://www.quadax.com/newsletter/2013Aug/icd10.htm on 19/7/2016.
Diamond, M. S. (2015). Understanding hospital coding and billing: A worktext . Boston, MA: Cengage Learning.
