The National Uniform Claim Committee (NUCC) recently revised the CMS 1500 claim form. On June
10, 2013, the White House Office of Management and Budget (OMB) approved the revised form,
02/12. The revised form has a number of changes. Those most notable for Medicare are new
indicators to differentiate between ICD-9 and ICD-10 codes on a claim, and qualifiers to identify
whether certain providers are being identified as having performed an ordering, referring, or
supervising role in the furnishing of the service. In addition, the revised form uses letters, instead of
numbers, as diagnosis code pointers, and expands the number of possible diagnosis codes on a claim
DME INFO 