Medicare_Claims_Processing_Manual / CMS 100-04, Change Request 5521

Why This Topic Matters

It helps readers understand how CMS organized payment, coding, and notice requirements for Medicare bone mass measurement claims and related claim outcome messaging. The material is important for reviewing whether a claim, notice, or processing workflow aligns with the manual guidance for this service category.

Article Sections

1. Provider Education Table

   Administrative table content related to provider education and manual change implementation.

2. Supporting Information

   General supporting information and reference fields associated with the listed requirements.

3. Contacts

   Pre-implementation and post-implementation contact information for CMS inquiries related to the change request.

4. Funding

   Funding and contractor-responsibility information associated with implementation of the manual guidance.

5. Chapter 13 - Radiology Services and Other Diagnostic Procedures

   Chapter context for diagnostic imaging and other procedure guidance within the Medicare Claims Processing Manual.

6. 140 - Bone Mass Measurements (BMMs)

   Overview of Medicare coverage context and background for bone mass measurement services, including effective dates and related statutory references.

7. 140.1 - Payment Methodology and HCPCS Coding

   Payment approach, billing framework, and coding references for bone mass measurement claims, including changes tied to the effective date.

8. 140.2 - Medicare Summary Notice (MSN) Messages

   Required notice messaging associated with certain claim denial situations and beneficiary notice handling.

9. 140.3 - Remittance Advice (RA) Messages

   Remittance advice messaging tied to denied claims and beneficiary liability situations.

10. 140.4 - Advance Beneficiary Notices (ABNs)

    ABN-related guidance for denial situations referenced in the bone mass measurement section.