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US · guidance

CMS Pub. 100-04, ch. 19, § 100.13.1

A/B MAC (A) - Other Screening and Preventive Services -

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

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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