---
title: Box 24 – Service Lines
description: "How Pabau fills the CMS-1500 service lines: dates, place of service, CPT codes and modifiers, diagnosis pointers, charges, units, and provider."
---

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# Box 24 – Service Lines

On the CMS-1500 claim form, **Box 24** is the service-line grid — the heart of the claim. Its lines tell the payer exactly what was done: when, where, which procedure, for which diagnosis, how many units, and at what charge. This guide walks through every column, 24A through 24J, and where Pabau takes each value from.

**NOTE:** This article is part of the *US Insurance Billing Additional Resources* series, which walks through every box of the CMS-1500. If you are new to claims in Pabau, start with [Creating a US Professional (CMS 1500) Claim](https://support.pabau.com/en/pabau2/creating-a-us-professional-cms-1500-claim?hsLang=en).

## Box 24 — Service lines

![Box 24 of the CMS-1500 claim form: the service-line grid with columns 24A through 24J and one completed line](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/cms1500-box-24-service-lines-form.png)

The paper form has six numbered service lines. Each line describes one service using ten columns, **24A** through **24J**, and above each numbered line runs a **shaded supplemental strip** (highlighted in the image above) where extra detail can be reported when a payer asks for it. Pabau does not use the shaded area — every value it prints or sends lives in the numbered columns themselves.

**How Pabau fills it**

A claim starts life as an invoice issued to the insurer, and every item on that invoice becomes its own charge line on the claim. In the claim editor, each charge line is a card titled with the service name and labelled *Charge line N — CMS-1500 box 24*. The card's fields map one-to-one onto the columns of the grid, and you can edit any of them before validating.

![A charge line card on a Pabau claim with the Procedure, Modifiers, Units, Charge, Place of service, and Diagnosis pointers fields](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/cms1500-box-24-service-lines-charge-line.png)

The sections below take the columns one at a time.

### Box 24A — Date(s) of service

Box 24A dates the service with a **From** date and a **To** date. For a typical single visit the two dates are the same day.

**How Pabau fills it**

Each charge line carries its own pair of service-date fields (from and thru), so every line dates the service it bills. Review them before validating or sending.

### Box 24B — Place of service

Box 24B carries a two-digit **Place of Service code** naming the setting where the service happened — **11** for an office visit, for example. Payers use it to price the claim correctly.

**How Pabau fills it**

Every charge line has a **Place of service** select, so the setting is chosen per line. Pick the code that matches where that service was actually rendered.

### Box 24C — EMG (emergency)

Box 24C is the emergency indicator — it marks a service rendered as a medical emergency. **Pabau leaves 24C blank**; it is not used. The flag is situational and most professional claims never need it. If a payer does require it, add it in the Claim.MD portal after sending (Manage Claim), or hand-fill the printed form.

### Box 24D — Procedures, services, or supplies

Box 24D names what was done: one **CPT or HCPCS procedure code** per line, plus up to four **two-character modifiers** that add detail about how the procedure was performed. At least one procedure code is required on every line; modifiers are optional — follow your payer's instructions.

**How Pabau fills it**

The charge line's **Procedure (CPT/HCPCS)** field holds the code — type it straight in, or use **Search** to look one up. The code comes from the service's insurance-billing setup (in **Setup \> Services**, the Insurance Billing details on the service's pricing), and you can edit it on the line. Modifiers go in the **Modifiers (comma-separated)** field — up to four two-character modifiers, entered like *25, 59*.

**TIP:** Set the CPT code on each service once in **Setup \> Services** and every future claim for that service arrives with Box 24D already filled — the claim editor is then just a final check, not data entry.

### Box 24E — Diagnosis pointer

Box 24E ties each service to the diagnoses in Box 21. It holds pointer **letters**, not codes: each letter refers to a lettered diagnosis line in Box 21, and the first letter is the primary diagnosis for that service.

**How Pabau fills it**

The charge line's **Diagnosis pointers (A–D)** field lists the letters of the claim's Diagnoses slots that the service relates to. See [Box 21 – Diagnosis Codes](https://support.pabau.com/en/pabau2/box-21-diagnosis-codes?hsLang=en) for how those slots are seeded from the client's EMR Problems and edited.

### Box 24F — $ Charges

Box 24F is the **charge for the line** — the amount billed for that procedure at that quantity.

**How Pabau fills it**

Each charge line has a **Charge** field. The claim's total in Box 28 is the sum of every line's charge, equals the invoice's insurer total, and is shown in the **CLAIM AMOUNT** tile at the top of the claim.

### Box 24G — Days or units

Box 24G says **how many units** of the service the line bills — a whole number, most often 1.

**How Pabau fills it**

The charge line's **Units** field carries the count. Adjust it when a line bills more than one unit of the same procedure.

### Box 24H — EPSDT / Family plan

Box 24H flags services that may fall under state-funded programs: EPSDT (Early and Periodic Screening, Diagnostic and Treatment) in the shaded half, family planning in the unshaded half. Pabau fills the EPSDT half from **EPSDT referral** in the claim's **Condition dates** section (filled in from the client's policy when recorded there), prints it on every line and sends it on the electronic claim. Leave it empty unless a state Medicaid program asks for it. The family planning half isn't used.

### Box 24I — ID qualifier

Box 24I is the **qualifier** for the provider ID reported in 24J — it names what kind of number follows. Pabau prints the **NPI** qualifier label, telling the payer the rendering provider is identified by an NPI. Legacy non-NPI IDs and their shaded-area qualifiers are not used — the NPI is the standard, and it is what the great majority of payers require.

### Box 24J — Rendering provider ID

Box 24J identifies **who performed the service**: the rendering provider's **NPI**.

**How Pabau fills it**

The rendering provider is set in the claim's **Providers** section, and the NPI comes from **Setup \> Claims \> Claim.MD \> Providers**, where each practitioner's NPI is stored. Pabau bills all lines on a claim under **one rendering provider** — there is no per-line provider, so 24J reads the same on every line. The same provider's name also signs the claim — see [Box 31 – Signature of Physician or Supplier](https://support.pabau.com/en/pabau2/box-31-signature-of-physician-or-supplier?hsLang=en).

Service lines are built from the invoice, and the invoice is built from the appointment. To make sure the right services reach the claim in the first place, see [Insurance Guide Part 3: Connect Appointments to Insurance in Pabau](https://support.pabau.com/en/pabau2/insurance-guide-part-3-connect-appointments-to-insurance-in-pabau?hsLang=en).

 

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- [Migrating Your Data to Pabau](https://support.pabau.com/en/pabau2/migrating-your-data-to-pabau?hsLang=en)
- [Pabau Account Optimization](https://support.pabau.com/en/pabau2/pabau-account-optimization?hsLang=en)
- [For Patients: How-to Guides](https://support.pabau.com/en/pabau2/for-patients-how-to-guides?hsLang=en#main-content)

    - [Client Portal Guide](https://support.pabau.com/en/pabau2/for-patients-how-to-guides?hsLang=en#client-portal-guide)
    - [Getting started](https://support.pabau.com/en/pabau2/for-patients-how-to-guides?hsLang=en#getting-started)
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- [Best Practices](https://support.pabau.com/en/pabau2/best-practices?hsLang=en)
- [Pabau Product Portal](https://support.pabau.com/en/pabau2/pabau-product-portal?hsLang=en)
- [Compliance](https://support.pabau.com/en/pabau2/compliance?hsLang=en)
- [Care Plus Upgrade](https://support.pabau.com/en/pabau2/care-plus-upgrade?hsLang=en#main-content)

    - [Getting started](https://support.pabau.com/en/pabau2/care-plus-upgrade?hsLang=en#getting-started)
    - [Cases](https://support.pabau.com/en/pabau2/care-plus-upgrade?hsLang=en#cases)
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- [Marketing Plus upgrade](https://support.pabau.com/en/pabau2/marketing-plus-upgrade?hsLang=en#main-content)

    - [Getting started](https://support.pabau.com/en/pabau2/marketing-plus-upgrade?hsLang=en#getting-started)
- [Labels](https://support.pabau.com/en/pabau2/labels?hsLang=en#main-content)

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- [Engage](https://support.pabau.com/en/pabau2/engage?hsLang=en#main-content)

    - [Getting Started](https://support.pabau.com/en/pabau2/engage?hsLang=en#getting-started)
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- [Insurance Billing](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en#main-content)

    - [Insurance Billing (UK)](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en#insurance-billing-uk)
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    - [US Insurance Billing Additional Resources](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en#us-insurance-billing-additional-resources)
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    - [Philips Ultrasound Machines](https://support.pabau.com/en/pabau2/ultrasound-configuration-dicom-setup?hsLang=en#philips-ultrasound-machines)
    - [Canon Ultrasounds](https://support.pabau.com/en/pabau2/ultrasound-configuration-dicom-setup?hsLang=en#canon-ultrasounds)

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