US · guidance
CMS Pub. 100-05, ch. 5, § 30.4.1
Patient Receives Concurrent Services Which Are Not Work-Related
Sometimes an individual receives services for a condition that is not work-related from the same
provider or physician/supplier who is furnishing services for a work-related condition. The diagnosis
may indicate a service for a preexisting condition or the provider or physician/supplier may submit a
separate bill for services indicating that the service is for a non-work-related condition. Where it is
clear that services for a non-work-related condition were rendered, the A/B MAC and the DME MAC
does not delay payment for such services even though payment for the work-related services is being
denied or delayed pending development under the WC exclusion.
History
(Rev. 11550; Issued: 08 -12-22; Effective: 10 -13-22; Implementation:10 -13-22)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
7c7fcd2217bb4a5c4bcef07b9709b13cf5625c6434a4e516f4eea0256db8bb85
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