Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.12

Billing for Respiratory Therapy Services in a CORF

Last amended: 2008Year: 2008Length: 160 wordsOfficial source
100.12 - Billing for Respiratory Therapy Services in a CORF (Rev. 1459; Issued: 02-22-08; Effective: 07-01-08; Implementation: 07-07-08) The CORF providers shall only bill respiratory therapy services with revenue codes 0410, 0412 and 0419. See Chapter 25, Completing and Processing the CMS-1450 Data Set, for revenue code descriptions. Exhibit 1 - Physician Fee Schedule Abstract File (Rev. 515, Issued: 04-01-05, Effective: 01-03-05, Implementation: 07-05-05) This file contains nonfacility fee schedule payment amounts for the outpatient rehabilitation, and CORF HCPCS codes listed in §20. These codes are identified in the abstract file by a value of “R” in the fee indicator field. The file includes fee schedule payment amounts by locality and is available via the CMS Mainframe Telecommunications System (formerly referred to as the Network Data Mover). Record Length: Record Format: Block size: Character Code: Sort Sequence: 60 FB 6000 EBCDIC A/B MAC (B), Locality HCPCS Code, Modifier Data Element Name COBOL Location Picture Value 1 – HCPCS 1-5 X(05)
Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.12: Billing for Respiratory Therapy Services in a CORF | Justis AI