Medicare Claims Processing Manual (Pub. 100-04), Ch. 26 § 10.8.1
Assigning Specialty Codes by A/B MACs (B) and DME MACs
Length: 105 wordsOfficial source
10.8.1 - Assigning Specialty Codes by A/B MACs (B) and DME MACs
Physicians are allowed to choose a primary and a secondary specialty code. If the A/B
MAC (B) and DME MAC provider file can accommodate only one specialty code, the
A/B MAC (B) or DME MAC assigns the code that corresponds to the greater amount of
allowed charges. For example, if the practice is 50 percent ophthalmology and 50
percent otolaryngology, the A/B MAC (B)/DME MAC compares the total allowed
charges for the previous year for ophthalmology and otolaryngology services. They
assign the code that corresponds to the greater amount of the allowed charges.