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CMS Pub. 100-04, ch. 19, § 100.9.1

A/B MAC (A) - CAH Outpatient - Medicare Part B - Claims

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

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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