(Medicare Claims Processing Manual)

Medicare Claims Processing Manual Chapter 13 - Radiology Services and Other Diagnostic Procedures Crosswalk New Chap. New Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs                            Other Description13 10  B3-15021.1    ICD -9-CM Coding for Diagnostic Tests 13 10.1   SNF-533   Billing Part B Radiology Services and Other Diagnostic Procedures 13 20  B3-15022    Payment Conditions for Radiology Services 13 20.1 Professional Component (PC)13 20.2 Technical Component (TC)13 20.2.1      Hospital and Skilled Nursing Facility (SNF) Patients 13 20.2.2      Services Not Furnished in Hospitals 13 20.2.3      Services Furnished in Leased Departments 13 20.2.4  B3-15048    Purchased Diagnostic Tests - Carriers 13 20.2.4.1 Carrier Payment Rules13 20.2.4.2      Payment to Physician for Purchased Diagnostic Tests New Chap. New  Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs Other Description 13 30                                         Computerized Axial Tomography (CT)Procedures 13 30.1      Low Osmolar Contrast Media (LOCM) (HCPCS Codes A4644-A4646) 13 30.1.1  Payment Criteria13 30.1.2  Payment Level13 30.1.3   SNF-533.1F   SNF Billing and Intermediary Payment for Contrast Material Other Than Low Osmolar Contrast Material (LOCM) (Radiology) 13 30.1.3.1   SNF-533.1G   Intermediary Payment for Low Osmolar Contrast Material (LOCM) (Radiology) 13 40 Magnetic Resonance Imaging (MRI)Procedures 13 40.1 A3-3665 B3-4602,    R1 883A3, R1 795B3 Magnetic Resonance Angiography 13 40.1.1  Magnetic Resonance AngiographyCoverage Summary 13 40.1.2  HCPCS Coding Requirements13 40.1.3      Special Billing Instructions for RHCs and FQHCs New Chap. New  Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs Other Description 13 40.1.4                             Payment Requirements13 50      Nuclear Medicine (CPT 78000 Through 79999) 13 50.1 Payments for Radionuclides13 50.2 Stressing Agent13 50.2.1   SNF-533.1I   Intermediary Payment for IV Persantine 13 50.2.2  SNF-533.3 Intermediary Payment for Adenosine13 50.3      Application of Multiple Procedure Policy (CPT Modifier 51) 13 50.4      Generation and Interpretation of Automated Data 13 60   SNF-533.2 AB-02-115  Positron Emission Tomography (PET) Scans 13 60.1    AB-02-115  Expanded Coverage of PET Scans for Claims with Dates of Service on or After July 1, 2002 13 60.2    AB-02-065  Expanded Coverage of PET Scans for Claims with Dates of Service on or After October 1, 2002 13 60.2.1    AB-02-065  Coverage for Myocardial Viability New Chap. New  Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs Other Description 13 60.3                                           Intermediary Postpayment Review13 60.4    AB-01-168  Use of Gamma cameras and Full ring and Partial Ring PET Scanners for PET Scans 13 70 Radiation Oncology (TherapeuticRadiology) 13 70.1 Weekly Radiation Therapy Management(CPT 77419-77430) 13 70.2 Services Bundled Into TreatmentManagement Codes 13 70.3      Radiation Treatment Delivery (CPT 77401-77417) 13 70.4      Clinical Brachytherapy (CPT Codes 77750-77799) 13 70.5      Radiation Physics Services (CPT Codes 77300-77399) 13 80      Supervision and Interpretation (S&I) Codes and Interventional Radiology 13 80.1 Physician Presence13 80.2 Multiple Procedure ReductionNew Chap. New  Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs Other Description 13                                            90 B3-2070.4,B3-15022.G , B3-4131,  B3-4831    Services of Portable X-Ray Suppliers 13 90.1 Professional Component13 90.2 Technical Component13 90.3    B-03-049  Transportation Component (HCPCS Codes R0070-R0076) 13 90.4      Set-Up Component (HCPCS Code Q0092) 13 90.5   SNF 533.1J   Transportation of Equipment Billed by a SNF to an Intermediary 13 100  15023    Interpretation of Diagnostic Tests 13 100.1      X-Rays and EKGs Furnished to Emergency Room Patients 13 110 SNF-533.1,SNF-533.1A,    B, C, D, E TM 368(CR1323) Special Billing Instructions for Claims Submitted to Intermediaries 13 110.1  Aborted Procedure13 110.2  Combined Procedures (Radiology)13 110.3  SNF-533.1H Payment for RadiopharmaceuticalsNew Chap. New  Sect. Int. Pub. 13 Carrier Pub. 14 SNF Pub 12 PMs Other Description 13 120   SNF-533.4   Radiology or Other Diagnostic Unlisted Service or Procedure Billing Instructions for Intermediary Claims 13 130                    EMC Formats13 140 A3-3631.n B3-4181 SNF-533.5   Bone Mass Measurements 13 140.1 A3-3631.n B3-4181.1 SNF-533.5A   Conditions of Coverage 13 140.2 A3-3631.n B3-4181.2 SNF-533.5B Frequency Standard13 140.3 A3-3631.n B3-4181.3,B3-4181.4 SNF-533.5C   Payment Methodology and HCPCS Coding