100-04 Medicare Claims Processing Manual: Chapter 5 Crosswalk

Medicare Claims Processing Manual
Chapter 5 - Part B Outpatient Rehabilitation and CORF Services
Crosswalk
New
Chap.
New
Sect.
Int.
Pub 13-3
Carrier
Pub 14-3
OPT/CORF
Pub 09
Hospital
Pub 10
SNF
Pub 12
PMs 	Description
5 	10 	A3-3653 	B3-2200 	OPT-270 	HO-241.1 	SNF-532.F 	AB-98-63 	Part B Outpatient Rehabilitation and CORF
Services - General
5 	10 	A3-3147 	B3-2215 	OPT-271 	AB-02-38 	Part B Outpatient Rehabilitation and CORF
Services - General
5 	10 	OPT-272 	Part B Outpatient Rehabilitation and CORF
Services - General
5 	10.1 	A-03-011 	New Payment Requirements for Intermediaries
5 	10.2 	A3-3653 AB-03-018,
AB-03-057,
AB-03-097
The Financial Limitation
5 	20 	A3-3653 	SNF-532 	AB-00-39 	HCPCS Coding Requirement
5 	20.1 	A3-3653 	SNF-532G 	AB-00-01 	Discipline Specific Outpatient Rehabilitation
Modifiers - All Claims
5 	20.2 	A3-3653 	SNF-532C 	AB-00-39 	Reporting of Service Units With HCPCS – CMS
1500 and CMS-1450
5 	20.3 	A3-3653 	SNF-532C 	AB-00-39 	Determining What Time Counts Towards 15
Minute Timed Codes - All Claims

New
Chap.
New
Sect.
Int.
Pub 13-3
Carrier
Pub 14-3
OPT/CORF
Pub 09
Hospital
Pub 10
SNF
Pub 12
PMs 	Description
5 	20.4 	A3-3653S 	AB-00-39 	Coding Guidance for Certain Physical Medicine
CPT Codes - All Claims
5 	30 	Special Claims Processing Rules for Outpatient
Rehabilitation Claims - CMS-1500
5 	30.1 	Determining Payment Amounts
5 	30.2 	Applicable Carrier CWF Type of Service Codes
5 	40 	Special Claims Processing Rules for Outpatient
Rehabilitation Claims-CMS-1450
5 	40.1 	SNF-532F 	AB-00-01 	Determining Payment Amounts - Intermediaries
5 	40.2 	A3-3653B 	Applicable Bill Types - Intermediaries
5 	40.3 	A3-3653C 	SNF-532A 	A-98-63 	Applicable Revenue Codes - Intermediaries
5 	40.4 	A3-3653H 	SNF-532E 	Intermediary Edit Requirements for Revenue Codes
5 	40.5 	A3-3653K 	SNF-532D 	Line Item Date of Service Reporting on CMS-1450
5 	50 	A3-3653P 	CWF and PS&R Requirements - Intermediaries
5 	100 	Special Rules for Comprehensive Outpatient
Rehabilitation Facilities (CORFs)
5 	100.1 	A3-3370.1 	B3-9300.1 	General
5 	100.2 	SNF-532F 	AB-00-01 	Obtaining Fee Schedule Amounts

New
Chap.
New
Sect.
Int.
Pub 13-3
Carrier
Pub 14-3
OPT/CORF
Pub 09
Hospital
Pub 10
SNF
Pub 12
PMs 	Description
5 	100.3 	A3-3653S 	Proper Reporting of Code G0128 by CORFs -
Intermediaries
5 	100.4 	A3-3653O 	Application of the Outpatient Mental Health
Treatment Limitation to CORF Claims
5 	100.5 	OPT-403D 	Off-Site CORF Services
5 	100.6 	OPT-410 	A-01-77 	Notifying Patient of Service Denial
5 	100.7 	A3-3653N 	Payment of Drugs, Biologicals, and Supplies in a
CORF
5 	100.8 	OPT-412 	Billing for DME, Prosthetic and Orthotic Devices,
and Surgical Dressings
5 	100.9 	OPT-412 	Surgical Dressings
5 	100.10 	A3-3653T 	B3-15302 	Group Therapy Services (Code 97150)
5 	100.10.1 A3-3653U 	B3-15304 	Therapy Students