CMS Manual System

CMS Manual System Department of Health & Human services (DHHS) Pub. 100-04 medicare Claims ProcessingCenters for medicare & medicaid services (CMS) Transmittal 85 Date: FEBRUARY 6, 2004 CHANGE REQUEST 3090 I. SUMMARY OF CHANGES: Carrier standard systems would price the payment of referred services based upon the zip code of where the service was performed versus the current use of a reference use only PIN. NEW/REVISED MATERIAL - EFFECTIVE DATE: July 1, 2004 *IMPLEMENTATION DATE: July 6, 2004 Disclaimer for Manual changes only: The revision date and transmittal number apply only to the red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will only receive the new/revised information, and not the entire table of contents. II. SCHEDULE OF CHANGES (R = REVISED, N = NEW, D = DELETED) R/N/D CHAPTER/SECTION/SUBSECTION/TITLE R 16/Table of Contents R 16 R 16 Billing for Referred Tests N 16 Information and Claims Forms and Formats N 16 Claim Submission to Carriers N 16 Claim Submission to Carriers R 16 Laboratories R 16 of Pricing Localities for Clinical Laboratory services R 16 of Referral Laboratory services R 16 of Reference Laboratory Jurisdiction Rules *III.

CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 85 Date: FEBRUARY 6, 2004 CHANGE REQUEST 3090 I. SUMMARY OF CHANGES: Carrier standard systems would price the payment of

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