Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 40.1.5.1
Mobile Mammography Units
40.1.5.1 - Mobile Mammography Units
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
With respect to mobile mammography units, the law provides specific standards
regarding those qualified to perform mammograms and how they should be certified. The
Mammography Quality Standards Act (MQSA) requires the Secretary to ensure that all
facilities that provide mammography services meet national quality standards. Effective
October 1, 1994, all facilities providing screening and diagnostic mammography services
(except Veteran’s Affairs) must have a certificate issued by the Food and Drug
Administration (FDA) to operate.
All IHS providers billing for services rendered by a mobile mammography unit under
reassignment must complete §§1, 4, and 14 of Form CMS-855B. The certification
number for the mammography equipment must be entered in §4.1.5 of Form CMS-855B.
For more information on the MQSA file, see Chapter 18, §20.1.2 of Pub. 100-04,
Medicare Claims Processing Manual.