Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.4
Determining Frequency Standards
60.4 - Determining Frequency Standards
(Rev. 3436, Issued: 12-30-15, Effective: 10-09-14, Implementation: 09-08-15 for non-shared
MAC edits; 01-04-16 - For all shared system changes.)
To determine the 11-, 23-, 35-, 47-, and 119-month periods, start counts beginning with the month
after the month in which a previous test/procedure was performed.
EXAMPLE: The beneficiary received an FOBT in January 2000. Start count beginning with
February 2000. The beneficiary is eligible to receive another blood test in January 2001 (the month
after 11 full months have passed).