Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
HCPCS Codes Used for Skilled Nursing Facility Consolidated: October 2023 Update … MLN Matters Number: MM13299was posted August 3, 2023.
CMS periodically updates the lists of HCPCS codes excluded from the CB provision of the SNF PPS. We may pay providers, other than SNFs, for services excluded from SNF PPS and CB for patients, even when in an SNF stay. Medicare won’t pay for services not on the exclusion lists to any providers other than a SNF. For non-therapy services, SNF CB applies only when you provide the services to a SNF resident during a covered Medicare Part A stay. However, SNF CB applies to physical and occupational therapies and speech-language pathology services whenever provided to an SNF resident, regardless of whether Part A covers the stay. To make sure we make proper payment in all settings, Medicare systems must edit for services provided to SNF patients both included and excluded from SNF CB.
Updated SNF Consolidated Billing Lists are available for institutional and professional billing.
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