Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70.1.1.1

Additional Coding Applicable to Claims Submitted to A/B MACs (A)

Last amended: 2004Year: 2004Length: 146 wordsOfficial source
70.1.1.1 - Additional Coding Applicable to Claims Submitted to A/B MACs (A) (Rev. 371, Issued 11-19-04, Effective: 04-01-05, Implementation: 04-04-05) A. Type of Bill The applicable A/B MAC (A) claim bill types for screening glaucoma services are 13X, 22X, 23X, 71X, 73X, 75X, and 85X. (See instructions below for rural health clinics (RHCs) and federally qualified health centers (FQHCs).) B. Revenue Coding The following revenue codes should be reported when billing for screening glaucoma services: Comprehensive outpatient rehabilitation facilities (CORFs), critical access hospitals (CAHs), and skilled nursing facilities (SNFs) bill for this service under revenue code 0770. CAHs electing the optional method of payment for outpatient services also report this service under revenue codes 096X, 097X, or 098X. Hospital outpatient departments bill for this service under any valid/appropriate revenue code. They are not required to report revenue code 0770. (See instructions below for RHCs and FQHCs.)
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70.1.1.1: Additional Coding Applicable to Claims Submitted to A/B MACs (A) | Justis AI