Medicare Claims Processing Manual

Medicare Claims Processing Manual Chapter 12 - Physicians/Nonphysician Practitioners Table of Contents (Rev. 3817, 07-28-17). (Rev. 3883, 10-13-17). Transmittals for Chapter 12. 10 - General 20 - Medicare Physicians Fee Schedule (MPFS). - Method for Computing Fee Schedule Amount - Relative Value Units (RVUs). - Bundled Services/Supplies - Summary of Adjustments to Fee Schedule Computations - Participating Versus Nonparticipating Differential - Site of Service Payment Differential - Assistant at Surgery Services - Supplies - Allowable Adjustments - Payment Due to Unusual Circumstances ( modifiers -22 and -52 ). - Services That Do Not Meet the National Electrical Manufacturers Association (NEMA) Standard XR-29-2013. - Special Rule to Incentivize Transition from Traditional X-Ray Imaging to Digital Radiography - Remittance Advice Remark Codes (RARCs), claim Adjustment Reason Codes (CARCs), and Medicare Summary Notice (MSN).

20.4.2 - Site of Service Payment Differential 20.4.3 - Assistant at Surgery Services 20.4.4 - Supplies 20.4.5 - Allowable Adjustments 20.4.6 - Payment Due to Unusual Circumstances (Modifiers “-22” and “-52”) 20.4.7 - Technical Component Payment Reduction for X-Rays and Other Imaging Services 20.5 - No Adjustments in Fee Schedule Amounts

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