April 2021 Quarterly Update to HCPCS Codes Used for SNF CB Enforcement

MLN Matters Number: MM12212
Related CR Release Date: March 25, 2021
Related CR Transmittal Number: R10693CP
Related Change Request (CR) Number: 12212
Effective Date: April 1, 2021
Implementation Date: April 5, 2021

CR 12212 tells you about updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Specifically, this quarterly update includes revisions to the Part B SNF Consolidated Billing (CB) files for 2021, 2020, 2019, and 2017.

These changes to HCPCS codes and Medicare Physician Fee Schedule designations will be used to revise Common Working File (CWF) edits to allow MACs to make appropriate payments in accordance with policy for SNF consolidated billing. This policy is contained in the Medicare Claims Processing Manual, Chapter 6, Section 20.6. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12212.


            Last Updated Mon, 05 Apr 2021 15:50:45 +0000