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 Provider Home > Resources > Claim Filing Tips
Provider Information Home

Obtaining Claim Forms and Books

How to Obtain Claim Forms, CPT Books and ICD-9 Books

CMS-1500 Claim Form

The CMS-1500 claim form is used to bill for services. They may be purchased by sending a letter of request and a check to the following address:

Superintendent of Documents
P.O. Box 371954
Pittsburgh, PA 15250-7954
Phone (866) 512-1800

Prices for CMS-1500 claim forms ordered from the Superintendent of Documents are as follows:

Single Sheets……….$18.00/100 Computer Sheets (Single)……….$95.00/Carton of 2500
Carbon Sheets………$20.00/100 Computer Sheets (Carbon)………$78.00/Carton of 1400


CPT-4 Code Book

The current Procedural Terminology (CPT) Code book is used to obtain procedure codes. It may be ordered from the following address:

American Medical Association OP 341/7
P.O. Box 10946
Chicago, IL 60610
Phone 1-800-621-8335
http://www.ama-assn.org


ICD-9-CM

The ICD-9-CM Code Book is used to obtain diagnosis codes. It may be ordered from the following address:

Practice Management Information Corporation (PMIC)
4727 Wilshire Blvd., Ste. 300
Los Angeles, CA 90010
Phone 1-800-633-7467
http://www.medicalbookstore.com


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