2017 Part A MAC Update 2017 Annual Update
Guidance for annual updated file containing the complete list of HCPCS codes that are excluded from SNF CB for claims submitted to Part A MACs for payment.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 05, 2020
2017 Annual Update:
The SNF consolidated billing file reflects new codes that have been developed for 2017. In addition, the file reflects additions to categories of services excluded from consolidated billing.
The annual update file below contains the complete list of HCPCS codes that are excluded from SNF CB for claims submitted to Part A MACs for payment. Minor Surgery and Part B therapy inclusions are also included with this file. This file is effective for claims with dates of service on or after 1/1/2017 unless otherwise noted below.
Major Category III. C. -Radioisotopes and their Administration
REMOVE – A9544 and A9545
Major Category II. A. 3. - (Dialysis) Coding Applicable to EPO and Aranesp Services
ADD – G0491, J0884
Major Category III. A. –Chemotherapy
ADD – J9034, J9145, J9176, J9205, J9295, J9301 (eff. 1/16), J9325 and J9352
Major Category IV. B. - Vaccines (Pneumococcal, Flu or Hepatitis B)
ADD – 90674
Major Category IV. K. - Abdominal Aortic Aneurysms (AAA) Screening
ADD – 76706
REMOVE – G0389
Major Category V. A. - Therapies – INCLUSION
ADD – 97161, 97162, 97163, 97164, 97165, 97166, 97167 and 97168
REMOVE – 97001, 97002, 97003 and 97004
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