US · guidance
CMS Pub. 100-04, ch. 19, § 100.13.1
A/B MAC (A) - Other Screening and Preventive Services -
Claims Processing
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
The screening and preventive services listed in §100.13 of this chapter are reported on
TOB 12X, 13X, or 85X with revenue code 0510 (clinic visit).
Services for screening pap smears are only payable by the A/B MAC (A) when billed
with a pelvic exam. Prostate cancer screening, cardiovascular screening blood tests and
screening diabetes tests are only payable by the A/B MAC (A) when billed with a clinic
visit. Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual contains more
information on the payment of screening and preventive services.
History
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e6e76bc112983102c1c6f1197ab4a296511cfa0fe5c1560bc1866f0e6b355846
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