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Why can I not add more than 4 diagnosis to a charge line?

Only allowed 4 diagnosis pointers

You can list up to four diagnosis pointers per service line.

While you can include up to 12 diagnosis codes on a single claim form, only four of those diagnosis codes can map to a specific CPT code. That is because the current 1500 form allows space for up to four diagnosis pointers per line, and that will not change with the transition to ICD-10.