How many lines of service can I submit on each CMS-1500 paper claim form?
• Question: How should dollar amounts be submitted in Item 24f of the CMS-1500 claim form on paper claims? Answer: Item 24f should contain the charge for each service listed with no punctuation. Both dollars and cents must be included (when applicable) with no spaces between them and with the cents portion to the right of the dotted line in this Item; dollar amounts to the left of the dotted line in this item. For example, $24.75 would be entered in 24f as 2475, and $.52 would be entered in 24f as 52. Detailed instructions for completing the CMS-1500 claim form instructions are online at: http://www.cms.hhs.gov/manuals/downloads/clm104c26.pdf. • Question: Which modifier is appropriate to show repeat procedures for surgery (i.e. removal of lesions), modifier 76 or modifier 59? Answer: Modifier 59 should be used for all repeat lesions or repeat surgeries. Modifier 76 would be used for repeat x-rays or laboratory tests on the same day. • Question: At what percentage are Nurse Practitioner
