July 2024 Quarterly Update to HCPCS Codes Used for SNF CB Enforcement

Related CR Release Date: March 28, 2024
Effective Date: July 1, 2024
Implementation Date: July 1, 2024
Related Change Request (CR) Number: CR 13576
Related CR Transmittal Number: R12560CP

CR 13576 provides updates to the lists of HCPCS codes that are subject to the consolidated billing provision of the SNF Prospective Payment System (PPS).

Changes to Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) codes and Medicare Physician Fee Schedule designations will be used to revise CWF edits to allow MACs to make appropriate payments in accordance with policy for Skilled Nursing Facility (SNF) consolidated billing (CB) in chapter 6, section 20.6.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)13576.

Last Updated Jul 01 , 2024