Lesson 4 Summary
- CMS-1450 FLs identify the data elements required for the CMS-1450 and the 837I electronic loops
- Data elements in the CMS-1450 data set are consistent with the uniform 837I electronic billing specifications
- Some FLs are required by Medicare, while others are situational or not required
- The NUBC publishes codes in their Official Uniform Billing (UB)-04 Data Specifications Manual, available by subscription
- Providers use a standardized coding system called Level II of the HCPCS mainly to identify products, supplies, and services not included in the CPT-4 codes
- You can find Medicare CMS-1450 completion and coding instructions in Chapter 25 of the Medicare Claims Processing Manual