2007 FI Update

2007 Second Quarterly Update (CR 5636)

The codes below are listed as being added or removed from the 2007 annual update. This is a retroactive update effective for claims with dates of service on or after 01/01/2007.

Major Category V. A. Mammography Screening

REMOVE – 77055, 77056

2007 First Quarterly Update (CR 5502)

The codes below are listed as being added or removed from the 2007 annual update. This update is effective for claims with dates of service on or after 01/01/2007 unless otherwise noted below.

Major Category III. B. -Chemotherapy Administration

ADD – 96521, 96522, 96523

2007 Annual Update:

The SNF consolidated billing file reflects new codes that have been developed for 2007 and codes that have been discontinued for 2007. In addition, the file reflects any additions and deletions 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 Fiscal Intermediaries 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 1/01/2007 unless otherwise noted below.

Major Category I. A. CT Scans

ADD - 77078, 77079, 77011, 77012, 77013, 77014

REMOVE – 76070, 76071, 76355, 76360, 76362, 76370

Major Category I. C. MRI

ADD -77058, 77059, 77021, 77022, 77084, 70554, 70555

REMOVE – 76093, 76094, 76394, 76400

Major Category I. D. Radiation Therapy

ADD - 77371, 77421

REMOVE - G0243

Major Category I. F. Outpatient Surgery and Related Procedures - INCLUSION

ADD - G0127, G0268, G0293, G0294

REMOVE – 38220, 38221

Major Category I. I. Additional Surgery - EXCLUSIONS

ADD - G0186, G0289, G0290, G0291, G0297, G0298, G0299, G0300, G0342, G0343, G0364

Major Category II. A. 3. – (Dialysis) Coding Applicable to EPO and Aranesp Services

ADD - Q4081

Major Category III. A. Chemotherapy

ADD - J9261

Major Category III. D. Customized Prosthetic Devices

ADD -  L5993, L5994, L6611, L6624, L6639, L6703, L6704, L6706, L6707, L6708, L6709, L6883, L6884, L6885, L7007, L7008, L7009

REMOVE - L6700, L6705, L6710, L6715, L6720, L6725, L6730, L6735, L6740, L6745

L6750, L6755, L6765, L6770, L6775, L6780, L6790, L6795, L6800, L6806, L6807, L6808, L6809, L6825, L6830, L6835, L6840, L6845, L6850, L6855, L6860, L6865, L6867, L6868, L6870, L6872, L6873, L6875, L6880, L7010,L7015, L7020, L7025, L7030, L7035

Major Category IV. A. Mammography Screening

ADD - 77052, 77055, 77056, 77057

REMOVE – 76083, 76090, 76091, 76092

Major Category IV. E. Colorectal Screening

ADD - 82270

REMOVE - G0107

Major Category IV. K. Abdominal Aortic Aneurysms (AAA) Screening

ADD - G0389