100-04 Medicare Claims Processing Manual: Chapter 13 Crosswalk

Medicare Claims Processing Manual
Chapter 13 - Radiology Services and Other Diagnostic Procedures
Crosswalk
New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	10 	B3-15021.1 	ICD -9-CM Coding for Diagnostic Tests
13 	10.1 	SNF-533 	Billing Part B Radiology Services and Other
Diagnostic Procedures
13 	20 	B3-15022 	Payment Conditions for Radiology Services
13 	20.1 	Professional Component (PC)
13 	20.2 	Technical Component (TC)
13 	20.2.1 	Hospital and Skilled Nursing Facility (SNF)
Patients
13 	20.2.2 	Services Not Furnished in Hospitals
13 	20.2.3 	Services Furnished in Leased Departments
13 	20.2.4 	B3-15048 	Purchased Diagnostic Tests - Carriers
13 	20.2.4.1 	Carrier Payment Rules
13 	20.2.4.2 	Payment to Physician for Purchased
Diagnostic Tests

New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	30 	Computerized Axial Tomography (CT)
Procedures
13 	30.1 	Low Osmolar Contrast Media (LOCM)
(HCPCS Codes A4644-A4646)
13 	30.1.1 	Payment Criteria
13 	30.1.2 	Payment Level
13 	30.1.3 	SNF-533.1F 	SNF Billing and Intermediary Payment for
Contrast Material Other Than Low Osmolar
Contrast Material (LOCM) (Radiology)
13 	30.1.3.1 	SNF-533.1G 	Intermediary Payment for Low Osmolar
Contrast Material (LOCM) (Radiology)
13 	40 	Magnetic Resonance Imaging (MRI)
Procedures
13 	40.1 	A3-3665 	B3-4602, 	R1 883A3,
R1 795B3
Magnetic Resonance Angiography
13 	40.1.1 	Magnetic Resonance Angiography
Coverage Summary
13 	40.1.2 	HCPCS Coding Requirements
13 	40.1.3 	Special Billing Instructions for RHCs and
FQHCs

New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	40.1.4 	Payment Requirements
13 	50 	Nuclear Medicine (CPT 78000 Through
79999)
13 	50.1 	Payments for Radionuclides
13 	50.2 	Stressing Agent
13 	50.2.1 	SNF-533.1I 	Intermediary Payment for IV Persantine
13 	50.2.2 	SNF-533.3 	Intermediary Payment for Adenosine
13 	50.3 	Application of Multiple Procedure Policy
(CPT Modifier 51)
13 	50.4 	Generation and Interpretation of Automated
Data
13 	60 	SNF-533.2 	AB-02-115 	Positron Emission Tomography (PET)
Scans
13 	60.1 	AB-02-115 	Expanded Coverage of PET Scans for
Claims with Dates of Service on or After
July 1, 2002
13 	60.2 	AB-02-065 	Expanded Coverage of PET Scans for
Claims with Dates of Service on or After
October 1, 2002
13 	60.2.1 	AB-02-065 	Coverage for Myocardial Viability

New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	60.3 	Intermediary Postpayment Review
13 	60.4 	AB-01-168 	Use of Gamma cameras and Full ring and
Partial Ring PET Scanners for PET Scans
13 	70 	Radiation Oncology (Therapeutic
Radiology)
13 	70.1 	Weekly Radiation Therapy Management
(CPT 77419-77430)
13 	70.2 	Services Bundled Into Treatment
Management Codes
13 	70.3 	Radiation Treatment Delivery (CPT 77401-
77417)
13 	70.4 	Clinical Brachytherapy (CPT Codes 77750-
77799)
13 	70.5 	Radiation Physics Services (CPT Codes
77300-77399)
13 	80 	Supervision and Interpretation (S&I) Codes
and Interventional Radiology
13 	80.1 	Physician Presence
13 	80.2 	Multiple Procedure Reduction

New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	90 	B3-2070.4,
B3-15022.G,
B3-4131,
B3-4831
Services of Portable X-Ray Suppliers
13 	90.1 	Professional Component
13 	90.2 	Technical Component
13 	90.3 	B-03-049 	Transportation Component (HCPCS Codes
R0070-R0076)
13 	90.4 	Set-Up Component (HCPCS Code Q0092)
13 	90.5 	SNF 533.1J 	Transportation of Equipment Billed by a
SNF to an Intermediary
13 	100 	15023 	Interpretation of Diagnostic Tests
13 	100.1 	X-Rays and EKGs Furnished to Emergency
Room Patients
13 	110 	SNF-533.1,
SNF-533.1A,
B, C, D, E
TM 368
(CR1323)
Special Billing Instructions for Claims
Submitted to Intermediaries
13 	110.1 	Aborted Procedure
13 	110.2 	Combined Procedures (Radiology)
13 	110.3 	SNF-533.1H 	Payment for Radiopharmaceuticals

New
Chap.
New Sect. 	Int.
Pub. 13
Carrier
Pub. 14
SNF
Pub 12
PMs 	Other 	Description
13 	120 	SNF-533.4 	Radiology or Other Diagnostic Unlisted
Service or Procedure Billing Instructions for
Intermediary Claims
13 	130 	EMC Formats
13 	140 	A3-3631.n 	B3-4181 	SNF-533.5 	Bone Mass Measurements
13 	140.1 	A3-3631.n 	B3-4181.1 	SNF-533.5A 	Conditions of Coverage
13 	140.2 	A3-3631.n 	B3-4181.2 	SNF-533.5B 	Frequency Standard
13 	140.3 	A3-3631.n 	B3-4181.3,
B3-4181.4
SNF-533.5C 	Payment Methodology and HCPCS Coding