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Medicare Claims Processing Manual - Centers for Medicare ...

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Radiology and other diagnostic services furnished to hospital outpatients are paid under the Outpatient Prospective Payment System (OPPS) to the hospital. This applies to bill types 12X and 13X that are submitted to the AB MAC (A). Effective 4/1/06, type of bill 14X is for non-patient laboratory specimens and is no longer applicable for radiology

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