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US · guidance

CMS Pub. 100-04, ch. 19, § 100.7.2.1

A/B MAC (A) - CAH Ancillary Services - Medicare Part B -

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

Claims Processing

(Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10)

All charges, except therapies, telehealth originating site facility fee, PPV, influenza virus

and hepatitis B vaccines are combined and reported under revenue code 024X (all-inclusive ancillary) on TOB 12X (hospital inpatient Part B). The MSN is suppressed.

See §§100.10 and 100.11 of this chapter, for more information on the payment of

vaccines and their administration and therapy services.

History

(Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
009e160a98ed8d2e77d65135781a6e465d528afe29354547e0b635e09ce75e78
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