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Last Modified: 10/15/2018 Location: FL, PR, USVI Business: Part B

Reporting service facility location information FAQ

Q: What do I report in Item 32 (service facility location information) of the CMS-1500 paper claim form?
A: For services payable under the Medicare physician fee schedule (MPFS) and anesthesia services, report the name and complete address (including ZIP code) of the physical location where services were rendered in Item 32. This information needs to be completed for all paper claims submitted to Medicare. Report a nine-digit ZIP code (instead of five digits) if the physical location is in an affected locality, as identified in the Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM) pub 100-04 Medicare Claims Processing Manual, chapter 1, section 10.1.1-10.1.1.1.
Click here external link to see if a nine-digit ZIP code is needed for the facility.
The service facility location ID (Item 32a of the paper claim form) is only used for the national provider identifier (NPI) of providers who render a purchased service. For details pertaining to purchased diagnostic tests, please refer to the Indicating the TC of a diagnostic service FAQ on the First Coast provider website.
Note: No information should be entered in Item 32b of the paper claim, as it is no longer used. Claims will be returned as unprocessable if any information appears in Item 32b.
Source: CMS IOM Pub 100-04 Medicare Claims Processing Manual, Chapter 1, Section 10.1.1-10.1.1.1 external pdf file; Chapter 26, Section 10.4 external pdf file
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