Box 19. - Additional Claim Information (Designated by NUCC)

 

Go into the patient's file, go to the case screen, on the right hand side towards the top you will see an edit comments button. Click on this button. Towards the middle you will see a comment box for CMS forms. Anything typed in this box will print in box 19.

 

Note: 3/26/14 and above, the Medicare/Medicaid tab is now the Dates/Specialty/CMS tab

 

Note: Cond | Medicare/Medicaid tab; Sublexation level box also will print in box 19. Do NOT use for PrtCap, it will show up in box 21, ICD#E unless on 2/27/14 or above  (‘Max services per claim’ in the configuration MUST be ‘0’ unless on 3/4/14 and above. See note on 21E).

 

Note – For DC in MO (for one) prts XR for X-ray and will pull x-ray date on the Medicare/Medicaid tab. (Date can be added to HCFA comments on case screen if needed) (get XR in box 19 even if no x-ray date; can change degree type to “None” to remove for paper or PrtCap. If doing ANSI, also enter 111N00000X  in taxonomy code override box on PINs tab.)

 

Note – For DC, on HCFA form, will pull x-ray date on the Medicare/Medicaid tab. (May also print ‘XRAYS AVAIL’).

 

Note – For DC, on 2/12 HCFA form: ‘the last x-ray date for chiropractor services (if an x-ray, rather than a physical examination was the method used to demonstrate the subluxation).’ [Otherwise it looks like box 19 is not used for Chiro except for the last x-ray date]. (see ch.26 of billing manual pgs 12&13).

 

Note – For PT in NY and NJ, box 19 is turned off for paper & PrtCap. (Change degree type to ‘None’ if you need box 19).

 

Note – For PT in TX, box 19 will have ‘LAST SEEN ON MM/DD/CCYY’ (Date from Cond | Date/Specialty/CMS … Last seen by supv. Physician 8 digit date & can’t be changed). 11/16/18 and above: ‘LAST SEEN ON MM/DD/YY’ 6 digit date.

 

Instructions: Please refer to the most current instructions from the public or private payer regarding the use of this field. Some payers ask for certain identifiers in this field. If identifiers are reported in this field, enter the appropriate qualifiers describing the identifier. Do not enter a space, hyphen, or other separator between the qualifier code and the number. (For Medicare, see ‘Medicare Claims Processing Manual, Chapter 26 - Completing and Processing Form CMS-1500 Data Set’)

 

When reporting a second item of data, enter three blank spaces and then the next qualifier and

number/code/information.

 

___________________________________________________________________________________

 

The NUCC defines the following qualifiers used in 5010A1:

 

0B State License Number

1G Provider UPIN Number

G2 Provider Commercial Number

LU Location Number (This qualifier is used for Supervising Provider only.)

N5 Provider Plan Network Identification Number<

SY Social Security Number (The social security number may not be used for Medicare.)

X5 State Industrial Accident Provider Number

ZZ Provider Taxonomy (The qualifier in the 5010A1 for Provider Taxonomy is PXC, but ZZ will remain the qualifier for the 1500 Claim Form.)

 

The above list contains both provider identifiers, as well as the provider taxonomy code. The provider identifiers are assigned to the provider either by a specific payer or by a third party in order to uniquely identify the provider. The taxonomy code is designated by the provider in order to identify his/her provider type, classification, and/or area of specialization. Both, provider identifiers and provider taxonomy may be used in this field.

 

When reporting a second item of data, enter three blank spaces and then the next qualifier and

number/code/information.

 

FOR WORKERS’ COMPENSATION: NEW YORK WORKERS COMPENSATION
You must be running a 1/16/2020 revised date or greater. During CMS-1500 generation, ECLIPSE determines that this is a NY WCB claim by verifying ALL of the following criteria:
1. Payment source for the primary payer is set to WC.
2. Condition work related box is checked.
3. NY is the current provider’s state.
4. Condition screen data was saved at some point (regardless of whether proper fields were filled out).

If the above criteria are met, ECLIPSE will automatically populate Box 19 with the WCB Rating Code and SCB Authorization. This can be entered in the condition screen and then clicking on the PI/Comp/State tab. Click on the WC button and you will see a space for both.

 

When reporting Supplemental Claim Information: Use the qualifier PWK for data, followed by the appropriate Report Type Code, the appropriate Transmission Type Code, then the Attachment Control Number. Do not enter spaces between qualifiers and data. The NUCC defines the following qualifiers used in 5010A1:

 

REPORT TYPE CODES

03 Report Justifying Treatment Beyond Utilization

04 Drugs Administered

05 Treatment Diagnosis

06 Initial Assessment

07 Functional Goals

08 Plan of Treatment

09 Progress Report

10 Continued Treatment

11 Chemical Analysis

13 Certified Test Report

15 Justification for Admission

21 Recovery Plan

A3 Allergies/Sensitivities Document

A4 Autopsy Report

AM Ambulance Certification

AS Admission Summary

B2 Prescription

B3 Physician Order

B4 Referral Form

BR Benchmark Testing Results

BS Baseline

BT Blanket Test Results

CB Chiropractic Justification

CK Consent Form(s)

CT Certification

D2 Drug Profile Document

DA Dental Models

DB Durable Medical Equipment Prescription

DG Diagnostic Report

DJ Discharge Monitoring Report

DS Discharge Summary

      EB Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)

HC Health Certificate

HR Health Clinic Records

I5 Immunization Record

IR State School Immunization Records

LA Laboratory Results

M1 Medical Record Attachment

MT Models

NN Nursing Notes

OB Operative Note

OC Oxygen Content Averaging Report

OD Orders and Treatments Document

      OE Objective Physical Examination (including vital signs) Document

OX Oxygen Therapy Certification

OZ Support Data for Claim

P4 Pathology Report

P5 Patient Medical History Document

PE Parenteral or Enteral Certification

PN Physical Therapy Notes

PO Prosthetics or Orthotic Certification

PQ Paramedical Results

PY Physician’s Report

PZ Physical Therapy Certification

RB Radiology Films

RR Radiology Reports

RT Report of Tests and Analysis Report

RX Renewable Oxygen Content Averaging Report

SG Symptoms Document

V5 Death Notification

XP Photographs

 

TRANSMISSION TYPE CODES

AA Available on Request at Provider Site

BM By Mail

 

Example: PWK03AA12363545465

 

Providers and suppliers have the option of entering either a 6 or 8-digit date in items 11b, 14, 16, 18, 19, or 24a. However, if a provider of service or supplier chooses to enter 8-digit dates for items 11b, 14, 16, 18, 19, or 24a, he or she must enter 8-digit dates for all these fields. [Uncheck both boxes on the printed claims options tab for 6-digit dates.] [Any hand written dates MUST be in 6-digit format]