The CMS-1500 Claim Form has been recently revised with changes including those to better support the use of the ICD-10 diagnosis code set. The revised CMS-1500 form version 02/12 will replace version 08/05. The revised form will give providers the ability to indicate whether they are using ICD-9 or ICD-10 diagnosis codes, which is important as the October 1, 2014, transition approaches. It also allows for additional diagnosis codes, expanding from four possible codes to 12.
Only providers who qualify for exemptions from electronic submission may submit the CMS-1500 Claim Form to Medicare. For those providers who use service vendors, CMS encourages them to check with their service vendors to determine when they will switch to the new form. Medicare will begin accepting the revised form on January 6, 2014. Starting April 1, 2014, Medicare will accept only the revised version of the form.