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MLN Matters Article (New) MM13661: HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: October 2024 Quarterly Update

This new Article comprises Subregulatory Guidance for updates to the lists of HCPCS codes subject to the CB provision of the SNF prospective payment system (PPS), and additions and deletions of chemotherapy, customized prosthetic devices, and blood clotting factors from the Medicare Part A and Part B SNF files. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13661 that is posted on the CMS website at .

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 06, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.