Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.1

Professional Component (PC)

Last amended: 2003Year: 2003Length: 106 wordsOfficial source
20.1 - Professional Component (PC) (Rev. 1, 10-01-03) A/B MACs (B) must pay for the PC of radiology services furnished by a physician to an individual patient in all settings under the fee schedule for physician services regardless of the specialty of the physician who performs the service. For services furnished to hospital patients, A/B MACs (B) pay only if the services meet the conditions for fee schedule payment and are identifiable, direct, and discrete diagnostic or therapeutic services to an individual patient, such as an interpretation of diagnostic procedures and the PC of therapeutic procedures. The interpretation of a diagnostic procedure includes a written report.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 20.1: Professional Component (PC) | Justis AI