Use of 12X Type of Bill (TOB) for Billing Colorectal Screening Services


Date Issued: 04-28-2010
Implementation Date: 10-04-2010
Effective Date: 10-01-2010
Source: CMS - Transmittal
Source#: CR6760
Category: Bill/Pmt SNF Inpatient
CBSI Contact: Missy Tieken
 
Currently, 12X TOB is not a valid TOB for the billing of colorectal screening services when provided to hospital inpatients under Part B. Providers are currently billing for these services using TOB 13X. This instruction requires 12X TOB to be used in place of 13X TOB for the billing of colorectal screening services when provided to hospital inpatients under Part B or when Part A benefits have been exhausted. Appropriate TOBs for services other than hospital inpatients remain the same. They are 13X, 14X, 22X, 23X, 83X, and 85X.

http://www.cms.gov/transmittals/downloads/R1953CP.pdf



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