HCPCS Codes Used for SNF CB Enforcement: April 2025 Quarterly Update

Related CR Release Date: January 10, 2025
MLN Matters Number: MM13945
Effective Date: April 1, 2025
Related Change Request (CR) Number: CR 13945
Implementation Date: April 7, 2025
Related CR Transmittal Number: R13038CP

CR 13945 tells you about:

  • Updates to the lists of HCPCS codes that are subject to the consolidated billing (CB) provision of the Skilled Nursing Facility (SNF) Prospective Payment System (PPS)
  • 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

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13945.

Last Updated Feb 14 , 2025