CMS Pub. 100-04, ch. 18, § 70.5

The following MSN messages where appropriate must be used.

If a claim for a screening for glaucoma is being denied because the service was performed prior to January 1, 2002,

use the MSN message:

MSN Message 16.54:

This service is not covered prior to January 1, 2002.

The Spanish version of the MSN message should read:

Este servicio no está cubierto antes del 1 de enero de 2002.

If a claim for screening for glaucoma is being denied because the minimum time period has not elapsed since the

performance of the same Medicare-covered procedure, use MSN message:

MSN Message 18.14:

Service is being denied because it has not been [12/24/48] months since your last [test/procedure] of this kind.

The Spanish version of this MSN message should read:

Este servicio está siendo denegado ya que no han transcurrido [12, 24, 48] meses desde el

último[examen/procedimiento] de esta clase.

If a claim for a screening for glaucoma is being denied because the age-related and/or ethnic-related coverage criteria

are not met, use:

MSN Message 21.21:

This service was denied because Medicare only covers this service under certain circumstances.

The Spanish version of this MSN message should read:

Este servicio fue denegado porque Medicare solamente lo cubre bajo ciertas circunstancias.