Reminder: Diagnosis Pointers on CMS-1500 Claims
When multiple services are performed in a single encounter, certain services may be related to certain diagnoses, while other services are associated with different diagnoses.
On the CMS-1500 claim form, box 24E (Diagnosis Pointer) is used to indicate which diagnosis is related to each specific service billed. If multiple services are performed, providers should enter the diagnosis reference number in box 24E to relate each service to the appropriate diagnosis in box 21.
For instructions on completing each section of the CMS-1500 claim form, refer to the Claim Requirements chapter of the Commercial Provider Manual.
May 1, 2011