The Centers for Medicare and Medicaid Services (CMS)
recently issued an updated list of Healthcare Common Procedure Coding System (HCPCS) used for SNF consolidated billing (CB) claim edits. CMS separately pays non-SNF providers for CB HCPCS codes describing services excluded from the Medicare Part A SNF PPS. These updated codes will be effective July 1, 2025.
SNF provider billing staff and software vendors should be made aware of addition or deletion coding updates in the following categories:
- Angiography, lymphatic, venous, and related procedures;
- Chemotherapy;
- Radioisotopes and their administration;
- Certain blood clotting factors indicated for the treatment of hemophilia and other bleeding disorders; and
- Customized prosthetic devices.