(Medicare Claims Processing Manual)

10.2.1.1 Claims Received With Missing Data  10.2.2 -  Claims Submitted to MACs Using Institutional Formats  10.2.2.1 -  Payment for Pneumococcal Pneumonia Virus, Influenza Virus, and Hepatitis B Virus and COVID- 19 Vaccines  and Their Administration on Institutional Claims  10.2.2.2 -  Special Instructions for Independent and Provider -Based Rural Health Clinics/Federally Qualified Health Center (RHCs/FQHCs)  10.2.3 -  Institutional Claims Submitted by Home Health Agencies and Hospices  10.2.4 -  Payment Procedures for Renal Dialysis Facilities (RDF)  10.2.4.1 -  Hepatitis B Vaccine Furnished to ESRD Patients  10.2.5 -  Claims Submitted to MACs ( Part B)  10.2.5.1 -  A/B MACs ( Part B)  Indicators for the Common Working File (CWF)  10.2.5.2 -  A/B MACs ( Part B) Payment Requirements  10.3 -  Simplified Roster Claims for Mass Immunizers  10.3.1 -  Roster Claims Submitted to MACs ( Part B) for Mass Immunization  10.3.1.1 -  Centralized Billing for Influenza Virus , COVID- 19, and Pneumococcal Vaccines to  MACs ( Part B)  10.3.2 -  Claims Submitted to  MACs ( Part A) for Mass Immunizations of Influenza Virus , COVID -19, and Pneumococcal Vaccinatio ns 10.3.2.1 -  Simplified Billing for Influenza , Pneumococcal and  Covid- 19 Vaccination Services by HHAs  10.3.2.2 -  Hospital Inpatient Roster Billing  10.3.2.3 -  Electronic Roster Claims  10.4.1 -  CWF Edits on MAC ( Part A) Claims  10.4.2 -  CWF Edits on MAC ( Part B)  Claims  10.4.3 -  CWF Crossover Edits for  MAC ( Part B) Claims  20 - Mammography Services  (Screening and Diagnostic)  20.1 -  Certification of Mammography Facilities  20.1.1 -  Services  Under Arrangements  20.1.2 -  FDA Certification Data  20.1.3 -  Using Certification Data in Claims Processing  20.2 -  HCPCS and Diagnosis Codes for Mammography Services  20.2.1  Digital Breast Tomosynthesis  20.2.1.1 -  CAD Billing Charts  20.2.2 -  Digital Breast Tomosynthesis  20.2.3 -  Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) Messages  20.3 -  Payment  20.3.1 -  Payment for Screening Mammography Services Provided On and After January 1, 2002  20.3.1.1 -  Outpatient Hospital Mammography Payment Table  20.3.1.2 -  Critical Access Hospital Payment 20.3.1.2.1 -  CAH Screening Mammography Payment Table  20.3.1.3 -  SNF Mammography Payment   20.3.1.4-  Independent Diagnostic Testing Facility (IDTF)                                    Mammography Payment  20.3.2 -  Payment for Screening Mammography Services Provided On or After January 1, 2002  20.3.2.1 -  Outpatient Hospital Mammography Payment Table  20.3.2.2 -  Payment for Computer Add- On Diagnostic and Screening Mammograms  for A/B MACs (A) and (B)  20.3.2.3 -  Critical Access Hospital Payment 20.3.2.3.1 -  CAH Screening Mammography Payment Table  20.3.2.4 -  SNF Mammography Payment Table  20.4 -  Billing Requirements -  A/B MAC (A) Claims  20.4.1 -  Rural Health Clinics and Federally Qualified Health Centers  20.4.1.1 -  RHC/FQHC Claims With Dates of Service Prior to January 1, 2002 20.4.1.2 -  RHC/FQHC Claims With Dates of Service on or After January 1, 2002 20.4.2 -  A/B MAC (A)  Requirements for Nondigital Screening Mammographies  20.4.2.1 -  A/B MAC (A)  Data for CWF and the Provider Statistical and Reimbursement Report (PS&R)  20.5 -  Billing Requirements -A/B MAC (B) Claims  20.5.1 -  A/B MAC (B)  Claim Record for CWF  20.5.1.1 -  A/B MAC (B) and CWF Edits  20.5.2 -  Transportation Costs for Mobile Units  20.6 -  Instructions When an Interpretation Results in Additional Films  20.7 -  Mammograms Performed With New Technologies  20.8 -  Beneficiary and Provider Notices  20.8.1 -  MSN Messages  20.8.2 -  Remittance Advice Messages  30 - Screening Pap Smears  30.1 -  Pap Smears From January 1, 1998, Through June 30 2001 30.2 -  Pap Smears On and After July 1, 2001  30.2.1 -  Screening for Cervical Cancer with Human Papillomavirus Testing 30.3 -  Deductible and Coinsurance  30.4 -  Payment Method 30.4.1 -  Payment Method for RHCs and FQHCs  30.5 -  Screening Pap Smears: Healthcare Common Procedure Coding System HCPCS Codes for Billing  30.6 -  Screening Pap Smears: Diagnoses Codes  30.7 -  TOB and Revenue Codes for Form CMS -1450 30.8 -  MSN Messages  30.9 -  Remittance Advice Codes  40 - Screening Pelvic Examinations  40.1 -  Screening Pelvic Examinations From January 1, 1998, Through June 30 2001 40.2 -  Screening Pelvic Examinations on and After July 1, 2001 40.3 -  Deductible and Coinsurance  40.4 -  Diagnosis Codes  40.5 -  Payment Method 40.6 -  Revenue Code and HCPCS Codes for Billing 40.7 -  MSN Messages  40.8 -  Remittance Advice Codes  50 - Prostate Cancer Screening Tests and Procedures  50.1 -  Definitions  50.2 -  Deductible and Coinsurance  50.3 -  Payment Method -  A/B MACs (A) and (B)  50.3.1 -  Correct Coding Requirements for A/B MAC (B)  Claims  50.4 -  HCPCS, Revenue, and Type of Service Codes  50.5 -  Diagnosis Coding 50.6 -  Calculating Frequency 50.7 -  MSN Messages  50.8 -  Remittance Advice Notices  60 - Colorectal Cancer Screening  60.1 -  Payment  60.1.1 -  Deductible and Coinsurance  60.2 -  HCPCS Codes, Frequency Requirements, and Age Requirements (If Applicable)  60.2.1 -  Common Working Files (CWF) Edits  60.2.2 -  Ambulatory Surgical Center (ASC) Facility Fee  60.3 -  Determining High Risk for Developing Colorectal Cancer  60.4 -  Determining Frequency Standards  60.5 -  Noncovered Services  60.6 -  Billing Requirements for Claims Submitted to A/B MACs (A)  60.7 -  Medicare Summary Notice (MSN) Messages  60.8 -  Remittance Advice Codes  70 - Glaucoma Screening Services  70.1 -  Claims Submission Requirements and Applicable HCPCS Codes  70.1.1 -  HCPCS and Diagnosis Coding  70.1.1.1 -  Additional Coding Applicable to Claims Submitted to A/B MACs (A) 70.1.1.2 -  Special Billing Instructions for RHCs and FQHCs  70.1.2 -  Edits  70.2 -  Payment Methodology 70.3 -  Determining the 11 -Month Period 70.4 -  Remittance Advice Notices  70.5 -  MSN Messages  80 - Initial Preventive Physical Examination (IPPE)  80.1 -  Healthcare Common Procedure Coding System (HCPCS) Coding for the IPPE  80.2  A/B Medicare Administrative Contractor (MAC) (B) Billing Requirements  80.3 -  A/B MAC (A) Billing Requirements  80.3.1 -  Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC) Special Billing Instructions  80.3.2 -  Indian Health Services (IHS) Hospitals Special Billing Instructions  80.3.3 -  Outpatient Prospective Payment System (OPPS) Hospital Billing  80.4 -  Coinsurance and Deductible  80.5 -  Medicare Summary Notices (MSNs)  80.6 -  Remittance Advice Remark Codes  80.7 -  Claims Adjustment Reason Codes  80.8 -  Advance Beneficiary Notice (ABN) as Applied to the IPPE  90 - Diabetes Screening  90.1 -  HCPCS Coding for Diabetes  Screening  90.2 -  A/B MAC (B) Billing Requirements  90.2.1 -  Modifier Requirements for Pre -diabetes  90.3 -  A/B MAC (A) Billing Requirements  90.3.1 -  Modifier Requirements for Pre -diabetes  90.4 -  Diagnosis Code Reporting 90.5 -  Medicare Summary Notices  90.6 -  Remittance Advice Remark Codes  90.7 -  Claims Adjustment Reason Codes  100 -  Cardiovascular Disease Screening  100.1 -  HCPCS Coding for Cardiovascular Screening 100.2 -  A/B MAC (B) Billing Requirements  100.3 -  A/B MAC (A) Billing Requirements  100.4 -  Diagnosis Code Reporting 100.5 -  Medicare Summary Notices  100.6 -  Remittance Advice Remark Codes  100.7 -  Claims Adjustment Reason Codes  110 -  Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)  110.1 -  Definitions  110.2 -  Coverage  110.3 -  Payment  110.3.1 -  Deductible and Coinsurance  110.3.2 -  HCPCS Code  110.3.3 -  Advanced Beneficiary Notice  110.3.4 -  RHCs/FQHCs Special Billing Instructions  120 -  Diabetes Self Management Training (DSMT) Services  120.1 -  Coding and Payment of DSMT Services  120.2 -  Bill Processing Requirements  120.2.1 -  Special Processing Instructions for Billing Frequency Requirements  120.2.2 -  Advance Beneficiary Notice (ABN) Requirements  120.2.3 -  RHCs/FQHCs Special Billing Instructions  120.3 -  Duplicate Edits  130 -  Human Immunodeficiency Virus (HIV) Screening Tests  130.1 -  Healthcare Common Procedure Coding System (HCPCS) for HIV Screening Tests  130.2 -  Billing Requirements  130.3 -  Payment Method 130.4 -  Types of Bill (TOBs) and Revenue Codes  130.5 -  Diagnosis Code Reporting 130.6 -  Medicare Summary Notice (MSN) and Claim Adjustment Reason  Codes (CARCs)  140 -  Annual Wellness Visit (AWV)  140.1 -  Healthcare Common Procedure Coding System (HCPCS) Coding for the AWV  140.2 -  A/B MAC (B) Billing Requirements  140.3 -  A/B MAC (A) Billing Requirements  140.4 -  Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC) Special Billing Instructions  140.5 -  Coinsurance and Deductible  140.6 -  Common Working File (CWF) Edits  140.7 -  Medicare Summary Notices (MSNs), Remittance Advice Remark Codes (RARCs), Claims Adjustment Reason Codes (CARCs), and Advance Beneficiary Notices (ABNs)  140.8 -  Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)  150 -  Counseling to Prevent Tobacco Use  150.1 -  Healthcare Common Procedure