Which form is used to bill for professional services?

Which form is used to bill for professional services?

• A. CMS-1500
• B. UB-04
• C. ICD-10-PCS
• D. Form Locator

Answer: (A)

Billing professional services uses the CMS-1500 form. This standard claim form is designed for non-institutional providers such as physicians and clinics and captures the services provided, diagnoses (ICD-10-CM), procedures (CPT/HCPCS), dates of service, charges, and patient and provider information. The UB-04 is for institutional claims like hospital or facility bills, not for professional services. ICD-10-PCS describes inpatient hospital procedures and is a coding system, not a claim form. Form Locator refers to the data fields on a claim form, not the form itself.

Billing professional services uses the CMS-1500 form. This standard claim form is designed for non-institutional providers such as physicians and clinics and captures the services provided, diagnoses (ICD-10-CM), procedures (CPT/HCPCS), dates of service, charges, and patient and provider information. The UB-04 is for institutional claims like hospital or facility bills, not for professional services. ICD-10-PCS describes inpatient hospital procedures and is a coding system, not a claim form. Form Locator refers to the data fields on a claim form, not the form itself.