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US · guidance

CMS Pub. 100-04, ch. 6, § 110.3

CWF Override Codes

activein force · 2026-08-25 – presentas-observed

A CWF override code has been developed for A/B MAC (B) or DME MAC use where,

in the course of pursuing a reconsideration, a provider or supplier may bring to the

attention of the A/B MAC (B) a situation where services on a claim have been denied,

but should actually be allowed to be paid through the A/B MAC (B)/DME MAC. At the

A/B MAC (B)/DME MAC’s discretion, to allow that claim to process through CWF to

payment, enter a “2” in the SNF consolidated billing override field.

History

(Rev. 1757, Issued: 06-19-09, Effective: 07-20-09, Implementation: 07-20-09)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
023d7aa163dde64d30eee153410a793e160469ce8df23e20fffa41bba5319c30
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