Federal (United States) · Agency guidance
Chapter 13
91 sections
91 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 10ICD Coding for Diagnostic Tests
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 10.1Billing Part B Radiology Services and Other Diagnostic Procedures
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20Payment Conditions for Radiology Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.1Professional Component (PC)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2Technical Component (TC)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.1Hospital and Skilled Nursing Facility (SNF) Patients
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.2Services Not Furnished in Hospitals
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.3Services Furnished in Leased Departments
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.4Services That Do Not Meet the National Electrical Manufacturers
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.5Special Rule to Incentivize Transition from Traditional X-Ray Imaging to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.5.1Remittance Advice Remark Codes (RARCs), Claim Adjustment Reason
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.2.6Special Rule to Incentivize Transition from X-rays taken using Computed
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.3Anti-Markup Payment Limitation
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.3.1A/B MAC (B) Payment Rules
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.3.2Billing for Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30Computerized Axial Tomography (CT) Procedures
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30.1Low Osmolar Contrast Media (LOCM) (HCPCS Codes Q9945-Q9951)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30.1.1Payment Criteria
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30.1.2Payment Level
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30.1.3SNF Billing and A/B MAC (A) Payment for Contrast Material Other Than
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 30.1.3.1A/B MAC (A) Payment for Low Osmolar Contrast Material (LOCM)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40Magnetic Resonance Imaging (MRI) Procedures
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.1Magnetic Resonance Angiography (MRA)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.1.1Magnetic Resonance Angiography (MRA) Coverage Summary
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.1.2HCPCS Coding Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.1.3Special Billing Instructions for RHCs and FQHCs
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.1.4Payment Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 40.2Medicare Summary Notices (MSN), Reason Codes, and Remark Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50Nuclear Medicine (CPT 78000 - 79999)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.1Payments for Radionuclides
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.2Stressing Agent
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.2.1A/B MAC (A) Payment for IV Persantine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.2.2A/B MAC (A) Payment for Adenosine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.3Application of Multiple Procedure Policy (CPT Modifier “-51”)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 50.4Generation and Interpretation of Automated Data
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60Positron Emission Tomography (PET) Scans – General Information
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.1Billing Instructions
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.2Use of Gamma Cameras and Full Ring and Partial Ring PET Scanners for
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.2.1Coverage for Myocardial Viability
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3PET Scan Qualifying Conditions and HCPCS Code Chart
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.1Appropriate CPT Codes Effective for PET Scans for Services Performed on
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.2Tracer Codes Required for Positron Emission Tomography (PET) Scans
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.3.3Denial Messages for Noncovered PET Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.4PET Scans for Imaging of the Perfusion of the Heart Using Rubidium 82 (Rb
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.5Expanded Coverage of PET Scan for Solitary Pulmonary Nodules (SPNs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.6Expanded Coverage of PET Scans Effective for Services on or after July 1,
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.7Expanded Coverage of PET Scans Effective for Services on or After July 1,
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.8Expanded Coverage of PET Scans for Breast Cancer Effective for Dates of
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.9Coverage of PET Scans for Myocardial Viability
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.10Coverage of PET Scans for PET Scan for Thyroid Cancer
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.11Coverage of PET Scans for Perfusion of the Heart Using
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.12Coverage for PET Scans for Dementia and Neurodegenerative
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.13Billing Requirements for PET Scans for Specific Indications of
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.14Billing Requirements for PET Scans for Non-Covered
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.15Billing Requirements for CMS - Approved Clinical Trials and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.16Billing and Coverage Changes for PET Scans Effective for
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.17Billing and Coverage Changes for PET Scans for Cervical
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.18Billing and Coverage Changes for PET (NaF-18) Scans to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.19Local Coverage Determination for PET Using New, Proprietary
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70Radiation Oncology (Therapeutic Radiology)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70.1Weekly Radiation Therapy Management (CPT 77419 - 77430)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70.2Services Bundled Into Treatment Management Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70.3Radiation Treatment Delivery (CPT 77401 - 77417)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70.4Clinical Brachytherapy (CPT Codes 77750 - 77799)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 70.5Radiation Physics Services (CPT Codes 77300 - 77399)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 80Supervision and Interpretation (S&I) Codes and Interventional
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 80.1Physician Presence
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 80.2Multiple Procedure Reduction
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90Services of Portable X-Ray Suppliers
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.1Professional Component
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.2Technical Component
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3Transportation Component (HCPCS codes R0070 - R0075)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3.1Periodic Review
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3.2Annual Update
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3.3Publishing Payment Rates
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.3.4Modifiers for Single and Multiple Patients Served at the Same
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.4Set-Up Component (HCPCS Code Q0092)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 90.5Transportation of Equipment Billed by a SNF to a MAC
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 100Interpretation of Diagnostic Tests
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 100.1X-rays and EKGs Furnished to Emergency Room Patients
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 110Special Billing Instructions for Claims Submitted to A/B MACs
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 110.1Aborted Procedure
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 110.2Combined Procedures (Radiology)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 110.3Payment for Radiopharmaceuticals
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 120Radiology or Other Diagnostic Unlisted Service or Procedure
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 130EMC Formats
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 140Bone Mass Measurements (BMMs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 140.1Payment Methodology and HCPCS Coding
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 140.2Denial Messages for Noncovered Bone Mass Measurements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 140.4Advance Beneficiary Notices (ABNs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 150Place of Service (POS) Instructions for the Professional