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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 1929 Date: March 9, 2010 Change Request 6801 Transmittal 1917, dated February 5, 2010, is being rescinded and replaced by Transmittal 1929, dated March 9, 2010 to remove obsolete information in section , Form Locator 15 and to add the code 2 title which is Clinic or Physician s Office . All other material remains the same. SUBJECT: Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual code List I.

Required. The minimum entry is the provider name, city, State, and ZIP Code. The post office box number or street name and number may be included. The State may be abbreviated using standard post office abbreviations. Five or nine-digit ZIP Codes are acceptable. This

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