Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 20.5.1
A/B MACs (B) Claim Record for CWF
20.5.1 - A/B MACs (B) Claim Record for CWF
(Rev. 3844, Issued: 08-18-17, Effective: 01-01-18, Implementation: 01-02-18)
B3-4601.3.B
A/B MACs (B) complete the type of service field in the CWF Part B claim record with a “B” if the
patient is a high risk screening mammography patient or a “C” if she is a low risk screening
mammography patient for services prior to January 1, 1998.
For services on or after January 1, 1998, the type of service field on CWF must have a value of “1”
for medical care (screening) or a “4” for diagnostic radiology (diagnostic). Fill in POS. Fill in
deductible indicator field with a “1”; not subject to deductible if screening mammography. Submit
the claim to the CWF host. Trailer 17 of the Part B Basic Reply record will give the date of the last
screening mammography.
The CWF edits for age and frequency for screening mammography. There are no frequency
limitations on diagnostic tests.