Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.2.1

Common Working Files (CWF) Edits

Last amended: 2021Year: 2021Length: 133 wordsOfficial source
60.2.1 - Common Working Files (CWF) Edits (Rev. 10818; Issued: 05-20-21; Effective: 01-09-21; Implementation: 10-04-21) Effective for dates of service January 1, 1998, and later, CWF will edit all colorectal screening claims for age and frequency standards. The CWF will also edit A/B MAC (A) claims for valid procedure codes (HCPCS G0104, G0105, G0106, CPT 82270* (HCPCS G0107*), G0120, G0121, G0122, G0328, G0327, and CPT 81528 ** (HCPCS G0464**). The CWF currently edits for valid HCPCS codes for A/B/MACs (B). (See §60.6 of this chapter for TOBs.) *NOTE: For claims with dates of service prior to January 1, 2007, physicians, suppliers, and providers report HCPCS G0107. Effective January 1, 2007, HCPCS G0107 is discontinued and replaced with CPT 82270. ** Effective January 1, 2016, HCPCS G0464 is discontinued and replaced with CPT 81528.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.2.1: Common Working Files (CWF) Edits | Justis AI