2011 FI/A/B MAC Update

The SNF consolidated billing file reflects new codes that have been developed for 2011 and codes that have been discontinued for 2011. 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/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 1/01/2011 unless otherwise noted below.

2011 Annual Update:

The SNF consolidated billing file reflects new codes that have been developed for 2011 and codes that have been discontinued for 2010. 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/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 1/01/2011 unless otherwise noted below.

Major Category III.A. -Chemotherapy

ADD – J9302, J9307, J9315 and J9351

REMOVE – J9062, J9080, J9090, J9091, J9092, J9093, J9094, J9095, J9096, J9097, J9110, J9140, J9290, J9291, J9350, J9375 and J9380

Major Category III.D – Customized Prosthetic Devices

ADD – L5961

2011 First Quarterly Update (CR 7345):

All added codes below, except HCPCS codes Q2035-Q2039, are effective 1/1/2011. HCPCS codes Q2035-Q2039 are added effective 10/1/2010. All removed codes are terminated 12/31/2011.

Major Category I.B. - Cardiac Catheterization

ADD - 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 93462, 93463, 93464, 93563, 93564, 93565, 93566, 93567 and 93568

REMOVE - 93501, 93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93539, 93540, 93541, 93542, 93543, 93544 and 93545

Major Category I.A. - Computerized Axial Tomography (CT) Scans

ADD - 74176, 74177 and 74178

Major Category III.B. – Chemotherapy Administration

ADD – 96446

Major Category IV.B. – Vaccines

ADD – Q2035, Q2036, Q2037, Q2038, Q2039

REMOVE – 90658

Major Category IV.E. – Colorectal Screening Services

ADD – G0105