June 25th, 2015
The screening and preventive services listed in §100.13 of this chapter are reported on TOB 12X, 13X, or 85X with revenue code 0510 (clinic visit).
Services for screening pap smears are only payable by the FI when billed with a pelvic exam. Prostate cancer screening, cardiovascular screening blood tests and screening diabetes tests are only payable by the FI when billed with a clinic visit. Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual contains more information on the payment of screening and preventive services.