Skilled Nursing Facility/Home Health/Hospice Consolidated Billing HCPCS Look-up

Skilled Nursing Facility/Home Health/Hospice Consolidated Billing HCPCS Look-up

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HCPCS Code:

Home Health Consolidated Billing: Skilled Nursing Facility (SNF) Consolidated Billing During Part A Covered Stay*: Hospice:

Enter a valid HCPCS code including one letter and 4 numbers. (Example: A4253) This tool is specific to HCPCS billable to the DME MAC and may not be accurate for items that are billed to the A/B MAC Contractor. * This tool includes items payable during a Part A Covered Stay (typically the first 100 days) in a Skilled Nursing Facility. Additional items are payable once the Part A Stay has ended. To identify which items are payable outside the Part A Stay, refer to the DME MAC A Fee Schedule and check the category field next to the HCPCS. Categories CR, FS, IN, OX, SU, and TE are never payable in a SNF since they are classified as Durable Medical Equipment (DME). Categories OS, PE, PO, SD and TS are separately payable outside the Part A Covered Stay in a SNF. Created By Ank ( Team Medicare)

02/12/2015