Attachment – Recurring Update Notification - Centers for Medicare ...
Attachment – Recurring Update Notification - Centers for Medicare ...
Attachment – Recurring Update Notification - Centers for Medicare ...
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Data Element Name Picture<br />
HCPCS CODE X(05)<br />
CARRIER NUMBER X(05)<br />
LOCALITY X(02)<br />
60% LOCAL FEE 9(05)V99<br />
62% LOCAL FEE 9(05)V99<br />
60% NATL LIMIT AMT 9(05)V99<br />
62% NATL LIMIT AMT 9(05)V99<br />
60% PRICING AMT 9(05)V99<br />
62% PRICING AMT 9(05)V99<br />
GAP-FILL INDICATOR X(01)<br />
MODIFIER X(02)<br />
STATE LOCALITY X(02)<br />
FILLER X(01)<br />
ATTACHMENT A<br />
CARRIER RECORD LAYOUT FOR DATA FILE<br />
2008 CLINICAL LABORATORY FEE SCHEDULE<br />
DATA SET NAME: MU00.@BF12394.CLAB.CY08.V1108<br />
Location<br />
1-5<br />
6-10<br />
11-12<br />
13-19<br />
20-26<br />
27-33<br />
34-40<br />
41-47<br />
48-54<br />
55-55<br />
56-57<br />
58-59<br />
60-60<br />
Comment<br />
00--Single State Carrier<br />
01--North Dakota<br />
02--South Dakota<br />
20--Puerto Rico<br />
0--No Gap-fill Required<br />
1--Carrier Gap-fill<br />
2--Special Instructions<br />
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