CMS-1500 reference

Box 14: Date of current illness, injury, or pregnancy

By Dr. Daniel Turner, DC · Reviewed September 2, 2026

What goes in Box 14 of the CMS-1500?

The onset date of the current condition, with a qualifier identifying what kind of date it is. For accident cases this is the accident date; for other conditions it is the symptom onset.

What does Box 14 mean for chiropractic billing?

On a personal injury claim this date anchors everything: it must match the accident date in the demand package, the attorney file, and every note. On Medicare claims the initial treatment date documentation requirement makes onset tracking a habit worth building into intake.

The mistakes that turn this box into denials

  • ✗Onset date drifting from the accident date across a long case
  • ✗Todays date entered instead of onset
  • ✗The qualifier omitted

The denials this box causes

  • →CO-16 · see the full fix in the denial library

How Cervica fills Box 14

Cervica generates the CMS-1500 and its electronic 837P equivalent from the chart and the payer's own rules: identifiers from the verified insurance record, modifiers and codes per payer, and pre submission scrubbing that flags exactly the mistakes listed above before a claim leaves the building.

Related boxes

  • →Box 10a to 10c · Is the condition related to employment, auto accident, or other accident
  • →Box 15 · Other date

General information for billing teams, not billing advice for any individual claim. The NUCC's 1500 Claim Form instructions and each payer's companion guides control.

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