Medicare Claims Processing Manual 
Chapter 5 - Part B Outpatient Rehabilitation and CORF Services 
Crosswalk 
New  New  Int.   Carrier  OPT/CORF  Hospital  SNF  PMs  Description 
Chap.  Sect.  Pub 13-3  Pub 14-3  Pub 09  Pub 10  Pub 12 
5  10  A3-3653  B3-2200  OPT-270  HO-241.1  SNF-532.F  AB-98-63  Part B Outpatient Rehabilitation and CORF 
Services - General 
5  10  A3-3147  B3-2215  OPT-271      AB-02-38  Part B Outpatient Rehabilitation and CORF 
Services - General 
5  10      OPT-272        Part B Outpatient Rehabilitation and CORF 
Services - General 
5  10.1            A-03-011  New Payment Requirements for Intermediaries 
AB-03-018,  
5  10.2  A3-3653          The Financial Limitation 
AB-03-057,  
AB-03-097 
5  20  A3-3653        SNF-532  AB-00-39  HCPCS Coding Requirement  
5  20.1  A3-3653        SNF-532G  AB-00-01  Discipline Specific Outpatient Rehabilitation 
Modifiers - All Claims 
5  20.2  A3-3653        SNF-532C  AB-00-39  Reporting of Service Units With HCPCS  CMS 
1500 and CMS-1450 
5  20.3  A3-3653        SNF-532C  AB-00-39  Determining What Time Counts Towards 15 
Minute Timed Codes - All Claims 
  New  New  Int.   Carrier  OPT/CORF  Hospital  SNF  PMs  Description 
Chap.  Sect.  Pub 13-3  Pub 14-3  Pub 09  Pub 10  Pub 12 
5  20.4  A3-3653S          AB-00-39  Coding Guidance for Certain Physical Medicine 
CPT Codes - All Claims 
5  30              Special Claims Processing Rules for Outpatient 
Rehabilitation Claims - CMS-1500 
5  30.1              Determining Payment Amounts 
5  30.2              Applicable Carrier CWF Type of Service Codes 
5  40              Special Claims Processing Rules for Outpatient 
Rehabilitation Claims-CMS-1450 
5  40.1          SNF-532F  AB-00-01  Determining Payment Amounts - Intermediaries 
5  40.2  A3-3653B            Applicable Bill Types - Intermediaries 
5  40.3  A3-3653C        SNF-532A  A-98-63  Applicable Revenue Codes - Intermediaries 
5  40.4  A3-3653H        SNF-532E    Intermediary Edit Requirements for Revenue Codes 
5  40.5  A3-3653K        SNF-532D    Line Item Date of Service Reporting on CMS-1450 
5  50  A3-3653P            CWF and PS&R Requirements - Intermediaries 
5  100              Special Rules for Comprehensive Outpatient 
Rehabilitation Facilities (CORFs)  
5  100.1  A3-3370.1  B3-9300.1          General 
5  100.2          SNF-532F  AB-00-01  Obtaining Fee Schedule Amounts 
  New  New  Int.   Carrier  OPT/CORF  Hospital  SNF  PMs  Description 
Chap.  Sect.  Pub 13-3  Pub 14-3  Pub 09  Pub 10  Pub 12 
5  100.3  A3-3653S            Proper Reporting of Code G0128 by CORFs - 
Intermediaries 
5  100.4  A3-3653O            Application of the Outpatient Mental Health 
Treatment Limitation to CORF Claims 
5  100.5      OPT-403D        Off-Site CORF Services 
5  100.6      OPT-410      A-01-77  Notifying Patient of Service Denial  
5  100.7  A3-3653N            Payment of Drugs, Biologicals, and Supplies in a 
CORF 
5  100.8      OPT-412        Billing for DME, Prosthetic and Orthotic Devices, 
and Surgical Dressings  
5  100.9      OPT-412        Surgical Dressings 
5  100.10  A3-3653T  B3-15302           Group Therapy Services (Code 97150) 
5  100.10.1 A3-3653U  B3-15304          Therapy Students