Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 70.5
MSN Messages
70.5 - MSN Messages
(Rev. 895, Issued: 03-24-06; Effective: 01-01-06; Implementation: 04-03-06)
The following MSN messages where appropriate must be used.
If a claim for a screening for glaucoma is being denied because the service was performed prior to January 1, 2002,
use the MSN message:
MSN Message 16.54:
This service is not covered prior to January 1, 2002.
The Spanish version of the MSN message should read:
Este servicio no está cubierto antes del 1 de enero de 2002.
If a claim for screening for glaucoma is being denied because the minimum time period has not elapsed since the
performance of the same Medicare-covered procedure, use MSN message:
MSN Message 18.14:
Service is being denied because it has not been [12/24/48] 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.
If a claim for a screening for glaucoma is being denied because the age-related and/or ethnic-related coverage criteria
are not met, use:
MSN Message 21.21:
This service was denied because Medicare only covers this service under certain circumstances.
The Spanish version of this MSN message should read:
Este servicio fue denegado porque Medicare solamente lo cubre bajo ciertas circunstancias.