What it is:
Box 15 is where another date related to the patient’s condition or treatment is entered. Enter the applicable qualifier to identify which date is being reported.
- 454 Initial Treatment
- 304 Latest Visit or Consultation
- 453 Acute Manifestation of a Chronic Condition
- 439 Accident
- 455 Last X-ray
- 471 Prescription
- 090 Report Start (Assumed Care Date)
- 091 Report End (Relinquished Care Date)
- 444 First Visit or Consultation
Enter the qualifier between the left-hand set of vertical, dotted lines.
Therabill will use the value from the Accident Date field or the Same Illness field that is in the Dates section of the patient's Advanced tab to build the data for Box 15.
On the top menu bar, select Clients->Client List. Click the blue pencil for the desired client. You will now see the client information form. Click on the Advanced tab at the top of the Patient information form. In the Dates section, find the field labeled Accident Date. Enter the appropriate date of onset of condition for the patient. When Therabill prints the CMS-1500, the qualifier will be left blank.