MM13945 - HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: April 2025 Quarterly Update
This new Article comprises Subregulatory Guidance for updates to the lists of HCPCS codes that are subject to the consolidated billing (CB) provision of the SNF Prospective Payment System (PPS) and additions, deletions, and revisions of certain radiation therapy, ESRD-related service, chemotherapy, blood clotting factor, remote therapeutic monitoring, and colorectal screening codes from the Medicare Part A and Part B SNF files. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13945 that is posted on the CMS website at https://www.cms.gov/files/document/r13038cp.pdf .
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 13, 2025
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.