CMS 1500 FORM FIELD 24F - $Charges [lines 1–6]

FIELD 24F - $Charges [lines 1–6]



“$Charges” is the total billed amount for each service line.

NUCC INSTRUCTIONSEnter the charge amount for each listed service.

Enter the number right justified in the left-hand area of the field. Do not use commas when reporting dollar amounts. Negative dollar amounts are not allowed. Dollar signs should not be entered. Enter 00 in the right-hand area of the field if the amount is a whole number.

MEDICARE INSTRUCTIONS: Enter the charge for each listed service.

If a situation arises where two or more diagnoses are required for a procedure code (e.g., pap smears), the provider shall reference only one of the diagnoses in item 21.