Screening and Preventive Services

80 - Screening and Preventive Services (Rev. 1, 10-01-03) Screening and preventive services are only covered as a Medicare Part B benefit. When furnished to a beneficiary in a SNF Part A covered stay, the SNF must bill its intermediary using 22X type of bill. These services are billed on TOB 23x for SNF outpatients and beneficiaries outside the Medicare-certified SNF or DPU. See §10.C for billing preventive services for covered SNF Part A inpatients. A SNF may bill screening and preventive services for its Part B residents using 22X type of bill or the supplier may bill its carrier. Screening and preventive services rendered to SNF outpatients may be billed with 23X type of bill or the supplier may bill its carrier. HCPCS codes are required. See the Medicare Claims Processing Manual, Chapter 18, "Preventive and Screening Services" for coverage, billing, appropriate HCPCS codes, and payment requirements. Payment is made under the Medicare Physician's Fee Schedule (MPFS) or clinical diagnostic lab fee schedule depending on the service.