Medicare to Accept Revised 1500 Claim Form Starting January 2014

The CMS 1500 Claim Form has been revised to accommodate the use of the ICD-10 diagnosis codes. The revised CMS-1500 form (version 02/12) will replace version 08/05.

According to information from CMS, “The revised form will give providers the ability to indicate whether they are using ICD-9 or ICD-10 diagnosis codes.”  This flexibility will be important as the October 1, 2014 start date for ICD-10 approaches. The revised form also allows for additional diagnosis codes, expanding from 4 possible codes to 12.

 Break Away from the Static

Use of the new form by Medicare will be done in two stages.  Medicare will begin accepting the revised form on January 6, 2014. Providers can use the new form or the old form between January and April.  Beginning April 1, 2014, Medicare will accept only the revised version of the 1500 form (version 02/12).

ADVOCATE will continue to provide updates as we approach the October, 2014 transition to ICD-10.

Best regards,

Debby Crow, CPC, RCC, ROCC
Coding Documentation & Education Manager