The examples in this section are to help providers bill radiology procedures on the CMS-1500 claim form. Refer to the Radiology: Diagnostic section of this manual for detailed policy information. Refer to the CMS-1500 Completion section of this manual for instructions to complete claim fields not explained in the following example. For additional claim preparation information, refer to the Forms: Legibility and Completion Standards section of this manual.
Billing Tips: When completing claims, do not enter the decimal points in ICD-9-CM codes or dollar amounts. If requested information does not fit neatly in the Reserved for Local Use field (Box 19) of the claim, type it on an 8½ x 11-inch sheet of paper and attach it to the claim.
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