US · guidance
CMS Pub. 100-04, ch. 19, § 100.9.1
A/B MAC (A) - CAH Outpatient - Medicare Part B - 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
vaccine, hepatitis B vaccine, and hospital-based ambulance services are combined and
reported under revenue code 0510 (clinic visit) on TOB 85X (CAH).
Non-patient lab specimens are billed on TOB 14X (hospital other).
The MSN is suppressed.
See Chapter18, §10 of Pub. 100-04, Medicare Claims Processing Manual, for detailed
billing instructions for vaccines. See Chapter 5 of Pub. 100-04 for detailed billing
instructions for therapy services. See Chapter15 of Pub. 100-04 for detailed billing
instructions for ambulance 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
acc86fb46199f1295ac7eec628b7d05117bb294d96a1e65ddd77f1e5bdaa65cb
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