Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.3.4.1
A/B MAC (A) - Inpatient Ancillary Services - Medicare Part
100.3.4.1 - A/B MAC (A) - Inpatient Ancillary Services - Medicare Part
B - Claims Processing
(Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10)
All charges, except therapies, telehealth originating site facility fee, PPV, influenza virus
and hepatitis B vaccines are combined and reported under revenue code 024X (all-
inclusive ancillary) on TOB 12X (hospital inpatient Part B). Medicare Part B deductible
and coinsurance amounts are applied to inpatient Medicare Part B ancillary services, but
are waived by the IHS. The MSN is suppressed.