As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before another claim is needed?

The maximum number of diagnoses that can be reported on the CMS-1500 claim form as of April 1, 2014, is 12. This change allows healthcare providers to list a broader range of diagnoses relevant to the medical service provided, ensuring that all pertinent information is conveyed to payers for proper adjudication. Each diagnosis can correspond to the services rendered, allowing for more accurate claims processing and a greater chance of appropriate reimbursement.

Prior to this change, the limit was lower, which sometimes required multiple claims for patients with multiple conditions. The adjustment to allow for 12 diagnoses helps streamline the billing process, as fewer claims need to be submitted for the same patient encounter, minimizing administrative burden and potential delays in payment.