US · guidance
CMS Pub. 100-04, ch. 18, § 70.1.1.1
Additional Coding Applicable to Claims Submitted to A/B MACs (A)
A. Type of Bill
The applicable A/B MAC (A) claim bill types for screening glaucoma services are 13X, 22X, 23X, 71X, 73X, 75X,
and 85X. (See instructions below for rural health clinics (RHCs) and federally qualified health centers (FQHCs).)
B. Revenue Coding
The following revenue codes should be reported when billing for screening glaucoma services: Comprehensive
outpatient rehabilitation facilities (CORFs), critical access hospitals (CAHs), and skilled nursing facilities (SNFs) bill
for this service under revenue code 0770. CAHs electing the optional method of payment for outpatient services also
report this service under revenue codes 096X, 097X, or 098X. Hospital outpatient departments bill for this service
under any valid/appropriate revenue code. They are not required to report revenue code 0770. (See instructions
below for RHCs and FQHCs.)
History
(Rev. 371, Issued 11-19-04, Effective: 04-01-05, Implementation: 04-04-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
67f8703d4c84305d0fd9d0a3eb4140dee71b39ae084b17138c3d3f159b5e5055
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