A/B MAC (A) - CAH Outpatient - Medicare Part B - Claims

100.9.1 - A/B MAC (A) - CAH Outpatient - 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 vaccine, hepatitis B vaccine, and hospital-based ambulance services are combined and reported under revenue code 0510 (clinic visit) on TOB 85X (CAH). Non-patient lab specimens are billed on TOB 14X (hospital other). The MSN is suppressed. See Chapter18, §10 of Pub. 100-04, Medicare Claims Processing Manual, for detailed billing instructions for vaccines. See Chapter 5 of Pub. 100-04 for detailed billing instructions for therapy services. See Chapter15 of Pub. 100-04 for detailed billing instructions for ambulance services.