How should non-covered services be represented on the CMS-1500?

How should non-covered services be represented on the CMS-1500?

• A. They should be coded with the appropriate CPT/HCPCS and diagnosis codes and clearly indicate non-covered status or patient responsibility.
• B. Reported without any diagnosis codes to speed processing.
• C. Marked as covered to avoid issues.
• D. Omitted entirely from the claim.

Answer: (A)