The Reopenings Billed Amount, Procedure Code, and Both Combined Adjustment Request Form

CGS released the third form in the series – The Billed Amount, Procedure Code, and Both Combined Adjustment Request Form. Check here for a link to the new form and step-by-step instructions to help you add or replace a billed amount, a procedure code, or a combined billed amount and procedure code on a previously processed claim.

Source: https://www.cgsmedicare.com/partb/forms/index.html