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Update to Medicare Claims Processing Manual; Chapters 1, 23 and 35

Friday, January 10, 2020   (0 Comments)
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Update to Medicare Claims Processing Manual; Chapters 1, 23 and 35
Change Request (CR) 10882 revises the “Medicare Claims Processing Manual” chapters 1 and 35, adding new sections on global billing and separate Technical Component and Professional Component (TC/PC) billing instructions. These changes are effective March 9, 2020. Make sure your billing staff is aware of these changes.

For both paper and electronic claims, when a global diagnostic service code is billed (for example, no modifier TC and no modifier -26), the address of the location where the TC was performed must be reported on the claim. Global billing does not apply to anti-markup tests. 

For more information, see the MLN Matters Article.

 

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