Indicators, codes, modifiers and control lines for claims processing in Medicare 011-43020000
Expand allThis document explains details about indicators, codes, modifiers and control lines for claims processing in Medicare.
Assessment indicators
Assessment indicators (previously referred to as abatement indicators) are associated with the application of the following rules and are displayed via a new sub-screen accessed via [F16] [SHIFT+F4].
The current assessment indicators are:
- MO (Multiple Operations Rule)
- DIMS (Diagnostic imaging multiple services rule)
- VU (Multiple vascular ultrasound services site rule)
- MMRI (Multiple Musculoskeletal MRI Services Rule)
- ME (Multiple Echocardiogram Services Rule)
- AST (Assistant surgeon)
The Resources page contains:
- various lists and forms to assist Service Officers in claims processing for Medicare
- including a list of abatement indicators
- new assessment indicator lists
- processing indicators
- code lists
- lists of modifiers, and
- a list of Pharmaceutical Benefits Scheme (PBS) claims values
Contents
Return mail indicator for Medicare claims