US · guidance
CMS Pub. 100-04, ch. 18, § 100.5
Medicare Summary Notice
When denying claims for cardiovascular screening based upon a CWF reject for 80061, 82465, 83718, or 84478 billed
with one or more the of the following diagnosis codes, A/B MACs (A) and (B) shall use MSN 16.54 Medicare does
not pay for this many services or supplies.
ICD-9-CM
V81.0, V81.1 or V81.2,
ICD-10-CM
Z13.6
History
(Rev. 3329, Issued: 08-14-15, Effective: 01-01-12, Implementation: 09-14-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c795c4039b6287dd1681f8ebef16aa0c0679d80648d4a6bca2d3144efa2b85c2
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