Consolidated Billing SNF Home Health Hospice Lookup - JD DME

This tool is intended to assist suppliers/providers with determining if a specific Healthcare Common Procedure Coding System (HCPCS) code is considered under consolidated billing for Skilled Nursing Facility (SNF), Home Health (HH) and Hospice. After keying the HCPCS code, the tool will provide information on billing this item to the DME MAC when the patient is in a SNF, HH or Hospice. This tool will also provide information when an item is payable in a SNF when the Part A stay has ended.

Please verify that the Patient Discharge Status Code is eligible for DMEPOS items intended for home use when checking eligibility for a SNF discharge.

Disclaimer: The Consolidated Billing/SNF/Home Health/Hospice Lookup is specific to HCPCS codes related to DMEPOS. The information provided in this tool is current as of January 01 of each year and includes any updates to the official consolidated billing lists published by The Centers for Medicare & Medicaid Services which are located on the Noridian Consolidated Billing page.