Loop 2400 DTP/FL 45

| Service Dates | Source |
|---|---|
| Report line item dates of service for the services listed below on all bills containing revenue codes, procedure codes, or drug codes. | Patient or provider records |
Community Mental Health Center (CMHC) and hospital claims require service dates. This includes claims where the From and Through dates are equal. Facilities exempt from this requirement are:
- Critical Access Hospitals (CAHs)
- Indian Health Service (IHS) Hospitals
- Hospitals in American Samoa, Guam, and the Northern Mariana Islands
Enter a single Line Item Date of Service (LIDOS) for each iteration of every revenue code on all outpatient bills and on inpatient Part B bills. Services rendered 5 times during a billing period must have the revenue code and HCPCS code entered 5 times, once for each service date.