2013 FI/A/B MAC Update

2013 Annual Update:

The SNF consolidated billing file reflects new codes that have been developed for 2013. In addition, the file reflects additions 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/A/B MACS 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 1/01/2013 unless otherwise noted below.

Major Category I. A. - Computerized Axial Tomography (CT) Scans
ADD – 74174, 74261,74262

Major Category III. A. -Chemotherapy
ADD – J9002, J9019, J9042

REMOVE – J9001

Major Category III.D – Customized Prosthetic Devices
ADD – L5859