Line Item Note Attachment (NOTE)

The Line Item Note Attachment is used to capture free text notes that are specific to a particular procedure code. When an insurance claim is printed, the descriptions from any NOTE attachments print above the corresponding procedure code line item in Box 24a on the CMS-1500 form. A 'ZZ' qualifier prints in front of the note.

 


Data Field Information
Prompt Response Req Len

Note Description

Enter the text for the note. 80
Note Type

Select the Note Type from the list.

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