Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.7

MSN Messages

Last amended: 2003Year: 2003Length: 204 wordsOfficial source
50.7 - MSN Messages (Rev. 1, 10-01-03) B3-4182.8.B, A3-3616.F If a claim for screening prostate specific antigen test or a screening digital rectal examination is being denied because of the age of the beneficiary, A/B MACs (A) use MSN message 18.13: This service is not covered for patients under 50 years of age. The Spanish version of this MSN message should read: Este servicio no está cubierto hasta después de que el beneficiario cumpla 50 años. A/B MACs (B) use MSN Message 18.19: This service is not covered until after the patient’s 50th birthday. The Spanish version of this MSN message should read: Este servicio no está cubierto hasta después de que el beneficiario cumpla 50 años. If the claim for screening prostate specific antigen test or screening digital rectal examination is being denied because the time period between the same test or procedure has not passed, A/B MACs (A) and (B) use MSN message 18.14: Service is being denied because it has not been 12 months since your last test/procedure) of this kind. The Spanish version of this MSN message should read: Este servicio está siendo denegado ya que no han transcurrido (12, 24, 48) meses desde el último (examen/procedimiento) de esta clase.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.7: MSN Messages | Justis AI