Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70.1.2
Edits
70.1.2 - Edits
(Rev. 1, 10-01-03)
B3-4184.4, A-01-132 (CR 1914), B3-4184.5
A. Common Working File Edits
Effective January 1, 2002, CWF edits glaucoma screening claims for frequency and valid HCPCS codes for dates of
service January 1, 2002, and later.
B. Claims Edits
Nationwide claims processing edits for pre or post payment review of claim(s) for glaucoma screening are not
required at this time. A/B MACs (A) and (B) monitor claims to assure that they are paid only for covered individuals
and perform medical review as appropriate. Local medical review policies and edits may be developed for such
claims.