100-04 Medicare Claims Processing Manual: Chapter 7 Crosswalk

Medicare Claims Processing Manual
Chapter 7 - SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
Crosswalk
Chap. 	Sect. 	SNF
Pub 12
Carrier
Pub 14.
PMs 	Other 	Description
7 	10 	SNF-529 	Billing for Medical and Other Health Services
7 	10.1 	A-03-040 	Clarifies the use of TOBs 22x and 23x submitted
by SNFs.
7a 	10.2 	SNF - 529 	Billing for Medical & Other Health Services
7 	10.3 	SNF-529.1 	Determining How Much to Charge Before Billing
Is Submitted
7 	10.4 	SNF-529.2 	Charges for Services Provided in Different
Accounting Years
7 	10.5 	SNF-529.3 	General Payment Rules and Application of Part B
Deductible and Coinsurance
7 	20 	SNF-530,
SNF-530.3
Use of Healthcare Common Procedure Coding
System (HCPCS)
7 	30 	Billing Formats
7 	30.1 	SNF-561 	Frequency of Billing for SNFs
7 	30.2 	SNF-562,
SNF-562A
Guidelines for Submitting Corrected Bills

Chap. 	Sect. 	SNF
Pub 12
Carrier
Pub 14.
PMs 	Other 	Description
7 	40 	SNF-515.6 	Billing Part B Rehabilitation Services
7 	40.1 	AB-02-038 	Audiologic Function Tests
7 	50 	SNF-533 	A-01-94 	Billing Part B Radiology Services and Other
Diagnostic Procedures
7 	50.1 	SNF-535.5 	Bone Mass Measurements
7 	60 	SNF-534,
SNF-534A
Billing for Durable Medial Equipment (DME),
Orthotic/Prosthetic Devices, and Supplies
(including Surgical Dressings)
7 	60.1 	SNF-534B,C,
SNF-535
Billing
7 	60.2 	SNF-534D, E 	Determining Payment and Patient Liability
7 	60.3 	SNF-544,
SNF-544A
Billing For Enteral and Parenteral Nutritional
Therapy as a Prosthetic Device
7 	70 	SNF-536,
SNF-536.1
Drugs
7 	70.1 	Immunosuppressive Drugs Furnished to
Transplant Patients
7 	80 	Screening and Preventive Services

Chap. 	Sect. 	SNF
Pub 12
Carrier
Pub 14.
PMs 	Other 	Description
7 	80.1 	SNF-536,2 	Pneumococcal Pneumonia, Influenza Virus, and
Hepatitis B Vaccines
7 	80.2 	Mammography Screening
7 	80.2.1 	A3 3660.20 	Diagnostic and Screening Mammograms
Performed With New Technologies
7 	80.3 	SNF-541.2 	B3-3628.1B 	Screening Pap Smears
7 	80.4 	B3-3616 	Screening Pelvic Examinations
7 	80.5 	B3-3616 	Prostate Cancer Screening
7 	80.6 	B3-3660.17 	Colorectal Cancer Screening
7 	80.7 	Glaucoma Screening
7 	90 	SNF-541,
SNF-541.A,
AB-02-027 	Billing for Laboratory Tests Under Part B -
General
7 	90.1 	AB-00-108 	Glucose Monitoring
7 	100 	SNF-543 	Epoetin (EPO)