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MM13089 - HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing: April 2023 Update

This new Article comprises Subregulatory Guidance for updates to the list of HCPCS codes subject to the CB provision of the SNF Prospective Payment System (PPS) and codes for blood clotting factors added to the Medicare 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 CR13089 that is posted on the CMS website at

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

Issue Date: February 09, 2023

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.