Indicator for the Technical Component of Purchased Diagnostic Services

The purpose of this CR is to provide instructions to Carriers/AB MACs on how to process claims for diagnostic services when there is no entry for the Yes/No Indicator in either Block 20 of the CMS-1500 Form, or on the electronic format to indicate whether the diagnostic services were purchased. Carriers/AB MACs shall adjudicate a claim lacking evidence of purchased services for a diagnostic service as if it were not a purchased service.