Federal (United States) · Agency guidance
Chapter 18
230 sections
230 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 1.3Waiver of Cost Sharing Requirements of Coinsurance, Copayment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10Pneumococcal Pneumonia, Influenza Virus, Hepatitis B, and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1Coverage Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.1Pneumococcal Vaccine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.2Influenza Virus Vaccine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.3Hepatitis B Vaccine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.1.4COVID-19 Vaccine
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2Billing Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.1Healthcare Common Procedure Coding System (HCPCS) and Diagnosis Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.1.1Claims Received with Missing Data
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.2Claims Submitted to MACs Using Institutional Formats
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.2.1Payment for Pneumococcal Pneumonia Virus, Influenza Virus,
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.2.2Special Instructions for Independent and Provider-Based Rural
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.3Institutional Claims Submitted by Home Health Agencies and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.4Payment Procedures for Renal Dialysis Facilities (RDF)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.4.1Hepatitis B Vaccine Furnished to ESRD Patients
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.5Claims Submitted to MACs (Part B)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.5.1MAC (Part B) Indicators for the Common Working File (CWF)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.2.5.2MAC (Part B) Payment Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3Simplified Roster Claims for Mass Immunizers
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.1Roster Claims Submitted to A/B MACs (B) for Mass Immunization Roster Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.1.1Centralized Billing for Influenza Virus and Pneumococcal Vaccines to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.2Claims Submitted to MACs (Part A) for Mass Immunizations of
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.2.1Simplified Billing for Influenza, Pneumococcal and COVID-19 Virus
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.2.2Hospital Inpatient Roster Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.3.2.3Electronic Roster Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.4.1CWF Edits on MAC (Part A) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.4.2CWF Edits on MAC (Part B) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 10.4.3CWF Crossover Edits for A/B MAC (B) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20Mammography Services (Screening and Diagnostic)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.1Certification of Mammography Facilities
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.1.1Services Under Arrangements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.1.2FDA Certification Data
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.2HCPCS and Diagnosis Codes for Mammography Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.2.1Digital Breast Tomosynthesis
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.2.2Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1Payment for Screening Mammography Services Provided On and After
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.1Outpatient Hospital Mammography Payment Table
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.2Critical Access Hospital Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.2.1CAH Screening Mammography Payment Table
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.3SNF Mammography Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.3.1.4Independent Diagnostic Testing Facility (IDTF) Mammography
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.4Billing Requirements - A/B MAC (A) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.4.1Rural Health Clinics and Federally Qualified Health Centers (Rev. 4225,
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.4.2A/B MAC (A) Requirements for Nondigital Screening Mammographies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.4.2.1A/B MAC (A) Data for CWF and the Provider Statistical and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.5Billing Requirements - A/B MAC (B) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.5.1A/B MACs (B) Claim Record for CWF
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.5.2Transportation Costs for Mobile Units
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.6Instructions When an Interpretation Results in Additional Films
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.7Mammograms Performed With New Technologies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.8Beneficiary and Provider Notices
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.8.1MSN Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.8.2Remittance Advice Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30Screening Pap Smears
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.1Pap Smears From January 1, 1998, Through June 30 2001
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.2Pap Smears On and After July 1, 2001
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.2.1Screening for Cervical Cancer with Human Papillomavirus (HPV)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.3Deductible and Coinsurance
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.4Payment Method
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.4.1Payment Method for RHCs and FQHCs
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.5Screening Pap Smears: Healthcare Common Procedure Coding System
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.6Screening Pap Smears: Diagnoses Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.7TOB and Revenue Codes for Form CMS-1450
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.8MSN Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 30.9Remittance Advice Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40Screening Pelvic Examinations
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.1Screening Pelvic Examinations From January 1, 1998, Through June 30
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.2Screening Pelvic Examinations on and After July 1, 2001
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.3Deductible and Coinsurance
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.4Diagnoses Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.5Payment Method
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.6Revenue Code and HCPCS Codes for Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.7MSN Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 40.8Remittance Advice Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50Prostate Cancer Screening Tests and Procedures
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.1Definitions
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.2Deductible and Coinsurance
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.3Payment Method - A/B MACs (A) and (B)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.3.1Correct Coding Requirements for A/B MAC (B) Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.4HCPCS, Revenue, and Type of Service Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.5Diagnosis Coding
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.6Calculating Frequency
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.7MSN Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.8Remittance Advice Notices
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60Colorectal Cancer Screening
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.1Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.1.1Deductible and Coinsurance
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.2HCPCS Codes, Frequency Requirements, and Age Requirements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.2.1Common Working Files (CWF) Edits
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.2.2Ambulatory Surgical Center (ASC) Facility Fee
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.3Determining High Risk for Developing Colorectal Cancer
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.4Determining Frequency Standards
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.5Noncovered Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.6Billing Requirements for Claims Submitted to A/B MACs (A)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.7Medicare Summary Notice (MSN) Messages
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.8Remittance Advice Codes
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70Glaucoma Screening Services
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70.1Claims Submission Requirements and Applicable HCPCS Codes