This is a chapter of the Medicare Claims Processing Manual
This document outlines Medicare’s claims processing rules for physician and nonphysician practitioner services. It covers fee schedules, payment methodologies, coding policies, and special payment rules for various medical services and settings. The chapter references other Medicare manuals for related topics such as radiology, lab services, and preventive care.
This chapter provides claims processing instructions for physician and nonphysician practitioner services.
The Medicare Manual Pub 100-1, Medicare General Information, Eligibility, and Entitlement Manual, Chapter 5, provides these definitions.
Chapter 13 describes billing and payment for radiology services.