HCPCS, Revenue, and Type of Service Codes

50.4 - HCPCS, Revenue, and Type of Service Codes (Rev. 11902; Issued:03-16-23; Effective: 04-17-23; Implementation: 04-17-23) The appropriate bill types for billing the A/B MAC (A) on Form CMS-1450 or its electronic equivalent are 12X, 13X, 14X, 22X, 23X, 71X, 73X, 75X, and 85X. Effective 4/1/06, type of bill 14X is for non-patient laboratory specimens. The HCPCS code G0102 - for prostate cancer screening digital rectal examination. • A/B MAC (B) TOS is 1 • A/B MAC (A) revenue code is 0770 The HCPCS code G0103 - for prostate cancer screening PSA tests • A/B MAC (B) TOS is 5 • A/B MAC (A) revenue code is 030X The HCPCS code 0359U – (PROSTATE CANCER), ANALYSIS OF ALL PROSTATE- SPECIFIC ANTIGEN (PSA) STRUCTURAL ISOFORMS BY PHASE SEPARATION AND IMMUNOASSAY, PLASMA, ALGORITHM REPORTS RISK OF CANCER. Effective 01/01/23. • A/B MAC (B) TOS is 5 • A/B MAC (A) revenue code is 030X