Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 40.6

Non-covered Charge Reporting

Last amended: 2010Year: 2010Length: 104 wordsOfficial source
40.6 - Non-covered Charge Reporting (Rev. 1921, Issued: 02-19-10, Effective: 04-01-10, Implementation: 04-05-10) Institutional outpatient therapy claims may report non-covered charges when appropriate according to the instructions provided in of this manual. Outpatient therapies billed as non-covered charges are not counted toward the financial limitation described above, when that limitation is in effect, unless the charges are subject to review after they are submitted and found to be covered by Medicare. Modifiers associated with non-covered charges that are presented in Chapter 1, section 60 can be used on claim lines for therapy services, in addition to the use of modifiers -GN, -GO and -GP.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 40.6: Non-covered Charge Reporting | Justis AI