(Medicare Claims Processing Manual)

When the physicians interpretation of a diagnostic test is billed separately from the technical component, as identified by modifier - 26, the interpreting physician (or his or her billing agent) must report the address and ZIP code of the interpreting physicians location on the claim form.  If the professional interpretation was furnished at an unusual and infrequent location for example, a hotel, the locality of the professional interpretation is determined based on the Medicare enrolled location where t he interpreting physician most commonly practices.  The address and ZIP code of this practice location is entered using the ASC X12 837 professional claim format or in Item 32 on the paper claim Form CMS 1500.  Transmittals Issued for This Chapter  Rev #  Issue Date  Subject  Impl Date  CR#  R12364CP  11/16/2023 NCD 220.6.20 -  Beta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease 12/19/2023 13429  R11021CP  10/01/2021 Revisions To Chapters 13, 18 And 32 To Update Coding  10/29/2021 12376  R10881CP  08/06/2021 REVISIONS TO CHAPTERS 13 AND 32 TO UPDATE CODING  09/07/2021 12069  R4267CP  03/27/2019 Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment  03/25/2019 11137  R4246CP  02/22/2019 Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment  Rescinded and replaced by Transmittal 4267  03/25/2019 11137  R4150CP  10/26/2018 Update to Bone Mass Measurements (BMM) Code 77085 Deductible and Coinsurance  04/01/2019 10956  R3911CP  11/09/2017 New Positron Emission Tomography (PET) Radiopharmaceutical/Tracer Unclassified Codes  12/11/2017 10319  R3820CP  07/28/2017 Payment Reduction for X -Rays Taken Using Computed Radiography 01/02/2018 10188  R3650CP  11/10/2016 Updates to Pub. 100- 04, Chapters 8, 13 and 14 to Correct Remittance Advice Messages  02/10/2016 9841 R3387CP  10/30/2015 Billing of the Transportation Fee by Portable X-ray Suppliers  01/01/2016 9354 R3315CP  08/06/2015 New and Revised Place of Service Codes (POS) for Outpatient Hospital 01/04/2016 9231 Rev #  Issue Date  Subject  Impl Date  CR#  R3230CP  04/03/2015 Updates to the Medicare Internet -Only Manual Chapters for Skilled Nursing Facility (SNF) Providers  06/15/2015 8997 R3227CP  04/02/105 Update to Pub. 100- 04 Chapter 13 to Provide Language -Only Changes for Updating ICD -10 and ASC X12 11/04/2014 8614 R3216CP  03/13/2015 Updates to the Medicare Internet -Only Manual Chapters for Skilled Nursing Facility (SNF) Providers   Rescinded and replaced by Transmittal 3230 06/15/2015 8997 R3091CP  10/08/2014 Update to Pub. 100- 04 Chapter 13 to Provide Language -Only Changes for Updating ICD -10 and ASC X12  Rescinded and replaced by Transmittal 3227 11/04/2014 8614 R2932CP  04/18/2014 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014)  05/19/2014 8739 R2898CP  03/07/2014 Update to Pub. 100- 04 Chapter 13 to Provide Language -Only Changes for Updating ICD -10 and ASC X12  Rescinded and replaced by Transmittal 3091 10/01/2014 8614 R2873CP  02/06/2014 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors  Rescinded and replaced by CR 8739, Transmittal 2932 03/07/2014 8468 R2750CP  08/02/2013 Positron Emission Tomography  09/03/2013 8381 R2679CP  03/29/2013 Revised and Clarified Place of Service (POS) Coding Instructions  04/01/2013 7631 R2613CP  12/14/2012 Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2679  04/01/2013 7631 Rev #  Issue Date  Subject  Impl Date  CR#  R2563CP  10/11/2012 Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2613 04/01/2013 7631 R2561CP  09/28/2012 Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2563 04/01/2013 7631 R2435CP  03/29/2012 Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2561 10/01/2012 7631 R2407CP  02/03/2012 Revised and Clarified Place of Service (POS) Coding Instructions  Rescinded and replaced by Transmittal 2435 04/02/2012 7631 R2307CP  09/22/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA -Approved Implanted Permanent Pacemakers (PMs) for Use in an MRI Environment  09/26/2011 7441 R2293CP  08/26/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA -Approved Implanted Permanent Pacemakers (PMs) for Use in an MRI Environment  Rescinded and replaced by Transmittal 2307 09/26/2011 7441 R2171CP  03/04/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with Implanted Permanent Pacemakers (PMs) or Implantable Cardioverter Defibrillators (ICDs)  04/04/20111  7296 R2096CP  11/19/2010 Billing Clarification for Positron Emission Tomography (Sodium Flouride -18) (NaF -18) PET for Identify Bone Metastasis of Cancer in Context of a Clinical Trial 02/22/2011 7125 R1998CP  07/09/2010 Magnetic Resonance Angiography (MRA)  08/09/2010 7040 R1937CP  03/26/2010 Positron Emission Tomography (NaF -18) to Identify Bone Mestastasis of Cancer  07/06/2010 6861 Rev #  Issue Date  Subject  Impl Date  CR#  R1931CP  03/12/2010 Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent With the Anti -Markup Rule  06/14/2010 6627 R1888CP  01/06/2010 Positron Emission Tomography (PET) (FDG) for Cervical Cancer  01/04/2010 6753 R1879CP  12/18/2009 Positron Emission Tomography (PET) (FDG) for Cervical Cancer -  Rescinded and replaced by Transmittal 1888 01/04/2010 6753 R1866CP  12/04/2009 Positron Emission Tomography (PET) (FDG) for Cervical Cancer -  Rescinded and replaced by Transmittal 1879 01/04/2010 6753 R1833CP  10/16/2009 FDG PET for Solid Tumors and Myeloma  10/30/2009 6632 R1831CP  10/16/2009 Magnetic Resonance Imaging (MRI)  01/04/2010 6672 R1817CP  09/18/2009 FDG PET for Solid Tumors and Myeloma -  Rescinded and replaced by Transmittal 1833 10/19/2009 6632 R1782CP  07/30/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA)  07/06/2009 6395 R1772CP  07/17/2009 FDG PET for Solid Tumors and Myeloma and Additional Manual Updates  Rescinded and replaced by CR 6632, Transmittal 1817 08/17/2009 and 10/05/2009 6464 R1729CP  05/08/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) -  Rescinded and replaced by Transmittal 1782 07/06/2009 6395 R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1421CP  01/25/2008 Update of Institutional Claims References -  Rescinded and Replaced by Transmittal 1472  04/07/2008 5893 R1416CP  01/18/2008 Clarification of Bone Mass Measurement (BMM) Billing Requirements  02/20/2008 5847 Rev #  Issue Date  Subject  Impl Date  CR#  R1339CP  09/21/2007 Magnetic Resonance Imaging (MRI) Procedures  10/22/2007 5677 R1301CP  07/20/2007 Revised Information on PET Scan Coding 01/07/2008 5665 R1236CP  05/11/2007 Bone Mass Measurements (BMMs)  07/02/2007 5521 R1221CP  04/18/2007 Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients  04/02/2007 5347 R1098CP  11/02/2006 Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients Replace by Transmittal 1221 04/02/2007 5347 R956CP  05/19/2006 Payment for Position Emission Tomography 06/19/2006 5124 R923CP  04/28/2006 Update of Radiopharmaceutical Imaging Agents HCPCS Codes Applicable to PET Scan Services for Carriers  08/01/2006 5054 R822CP  02/01/2006 Update of Radiopharmaceutical Imaging Agents HCPCS Codes Applicable to PET Scan Services  07/03/2006 4270 R795CP  12/30/2005 Redefined Type of Bill 14 X for Non- Patient Laboratory Specimens  04/03/2006 4208 R716CP  10/21/2005 Modifiers for Transportation of Portable X -rays (R0075) When Billed by Skilled Nursing Facilities (SNFs)  04/03/2006 4039 R628CP  07/29/2005 Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005 10/31/2005 3945 Rev #  Issue Date  Subject  Impl Date  CR#  R627CP  07/29/2005 New Low Osmolar Contrast Material (LOCM) HCPCS Codes/Payment Criteria/Payment Level  10/31/2005 3902 R527CP  04/15/2005 New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer