What do the diagnosis pointers mean?
Diagnosis code pointers are used to indicate the appropriate order of importance in relation to the service being performed. The first pointer designates the primary diagnosis for the service line. Remaining diagnosis pointers indicate declining level of importance to service line.
What are pointers in billing?
The diagnosis “pointers” connect the medical diagnosis made by the provider to each CPT® code that is billed.
What is a diagnosis pointer example?
Diagnosis pointers are represented as letters A-L. In the example, the letter “A” is entered into field 24E, meaning that the diagnosis code listed in blank letter A in box 21 of this claim relates to code on that line item (E0486). You can have up to 4 diagnosis pointers per line item (i.e. ABCD).
What is the purpose of a diagnosis pointer?
In medical classification, diagnosis codes are used as part of the clinical coding process alongside intervention codes. Diagnosis pointers are used to link the Diagnosis code to a CPT/procedure (Current Procedural Terminology) performed.
Where are the diagnosis pointers on the claim form?
Specifically, diagnosis codes are found in box 21 A-L on the claim form and should be entered using ICD-10-CM codes. The total number of diagnoses that can be listed on a single claim are twelve (12). The diagnosis pointers are located in box 24E on the paper claim form for each CPT code billed.
How to avoid claim denials with diagnosis pointers?
Avoid Claim Denials with Diagnosis Pointers 1 Point at the Right Thing. On a 1500 Claim Form, Box 24 E is for the Diagnosis Pointer, if needed. 2 Check Your Software Settings. 3 Be Vigilant! 4 Call (855) 832-6562 now or click to schedule a 15-minute Solution Consultation at your convenience.
Why do I need a diagnosis code pointer?
It is important to remember that the primary reason for the patient’s visit indicates the primary diagnosis code pointer that should be used on the claim. Diagnosis code pointers are used to indicate the appropriate order of importance in relation to the service being performed.
When to use diagnosis code pointers on CMS 1500?
Diagnosis Pointers on CMS 1500 It is important to remember that the primary reason for the patient’s visit indicates the primary diagnosis code pointer that should be used on the claim. Diagnosis code pointers are used to indicate the appropriate order of importance in relation to the service being performed.