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Medicare Claims Processing Manual – CMS.gov

10.4.2 – CWF Edits on A/B MAC (B) Claims. 10.4.3 – CWF Crossover Edits for A/B
MAC (B) Claims. 10.5 – Medicare Summary Notice (MSN). 20 – Mammography
Services (Screening and Diagnostic). 20.1 – Certification of Mammography
Facilities. 20.1.1 – Services Under Arrangements. 20.1.2 – FDA Certification Data.

Medicare Claims Processing Manual – CMS.gov

Acceptable HCPCS codes for radiology and other diagnostic services are taken
primarily from the CPT-4 portion of HCPCS. Payment is the lower of the charge or
the Medicare physician fee schedule amount. Deductible and coinsurance apply,
and coinsurance is based on the allowed amount. For claims to A/B MACs (A) …

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