US · guidance
CMS Pub. 100-04, ch. 5, § 50
CWF and PS&R Requirements - A/B MAC (A)
The A/B MAC (A) reports the procedure codes in the financial data section (field 65a-
65j) of the PS&R record. It includes revenue code, HCPCS, units, and covered charges
in the record. Where more than one HCPCS procedure is applicable to a single revenue
code, the provider reports each HCPCS and related charge on a separate line. The A/B
MAC (A) reports the payment amount before adjustment for beneficiary liability in field
65g “Rate” and the actual charge in field 65h “Covered Charges.” The PS&R system
includes outpatient rehabilitation, and CORF services listed in subsections E and F on a
separate report from cost based payments. See the PS&R guidelines for specific
information.
History
(Rev. 2044, Issued: 09-03-10, Effective: 09-30-10, Implementation: 09-30-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
661829c108c92bde4f63ff61b18e88fc887821c84eb6c7b5ddbdb4dc53387212
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