What kind of services should be included in the charges stated in Box 28?

• A. Items for patient education
• B. Professional services rendered during the visit
• C. Administrative costs incurred by the facility
• D. Consultation fees from secondary providers

Answer: (B)

The charges stated in Box 28 of the CMS-1500 form should include professional services rendered during the visit. This box is specifically designated for the total charges for the services that the healthcare provider has billed for the treatment or consultation provided to the patient.

Professional services encompass various medical procedures, evaluations, and interventions carried out by licensed healthcare professionals. These charges reflect the actual clinical services rendered, which are critical for accurately billing the insurance company.

In contrast, items such as patient education, administrative costs, or consultation fees from secondary providers may not directly pertain to the specific professional services provided during a medical encounter and may not be included in Box 28 as they do not represent the primary charges for the services rendered in that specific appointment.