Effective Date: October 6, 2008

Implementation Date: October 6, 2008

The Centers for Medicare & Medicaid Services (CMS) revised Form CMS-1500 to accommodate the reporting of the national provider identifier (NPI). The current Form CMS 1500 (08-05) does not require reporting the NPI for influenza virus and pneumococcal vaccine claims submitted as roster bills. Therefore your Medicare contractor should not return claims as unprocessable to the supplier/provider of service when the rendering provider does not enter his/her NPI into 24J of Form CMS-1500 for influenza virus and pneumococcal vaccine claims submitted as roster bills.

The requirement of an NPI for the rendering provider does not apply to influenza virus and pneumococcal vaccine claims submitted on roster bills.

Here is the link to the MLN Matters article MM6079 .