FI - CAH Outpatient - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1776, 01-04-10)

by  Jared Staheli
June 25th, 2015

All charges, except therapies, telehealth originating site facility fee, PPV, influenza virus vaccine, hepatitis B vaccine, and hospital-based ambulance services are combined and reported under revenue code 0510 (clinic visit) on TOB 85X (CAH).

Non-patient lab specimens are billed on TOB 14X (hospital other).

The MSN is suppressed.

See Chapter18, §10 of Pub. 100-04, Medicare Claims Processing Manual, for detailed billing instructions for vaccines. See Chapter 5 of Pub. 100-04 for detailed billing instructions for therapy services. See Chapter15 of Pub. 100-04 for detailed billing instructions for ambulance services.

References:

FI - CAH Outpatient - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1776, 01-04-10). (2015, June 25). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/fi-cah-outpatient-medicare-part-b-claims-processing-for-indian-health-services-rev-1776-01-04-10-26861.html

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