All invoices for medical treatment services must be itemized.
Invoices from physician and non-physician providers must include the following information:
Patient’s name
Name of provider and his or her professional credentials
Itemized list of services provided
Treatment rendered, such as modalities, time, intensity, and area treated, when applicable for a particular procedure such as physical therapy, anesthesia, and services reimbursed by time units.
Dates of service
Exact CPT code and modifier(s), when applicable, for each service or procedure. If CPT codes are missing, they must be obtained prior to processing the bill for payment.