MedicaidAdministrativeHigh impact
Use of Modifiers on Paper Claim Forms
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Apr 1, 2004
We identified it
Jun 21, 2026
Summary
Starting April 1, 2004, all providers must include CPT/HCPCS modifiers on paper claim forms when billing department claims. Modifiers must be placed in specific fields depending on the claim form type, with no punctuation or spaces, and all letters must be capitalized.
Action Required
By April 1, 2004: Billing team must update paper claim procedures to include CPT/HCPCS modifiers in designated fields for each form type (DPA 2360 uses 24C modifier field, DPA 1443 uses section 28, DPA 2210/2211/2212 place modifier immediately after procedure code). Ensure all modifiers are entered in capital letters with no punctuation or spaces. Train staff on proper modifier placement to ensure claim imaging system can read entries accurately.