File 4 - Skilled Nursing Facility (SNF) Provider and 					
Supplier Coding File					
"Effective for claims submitted on or after January 1, 2010."					
					
"Physical, Occupational, and Speech Therapy Services"					
Beneficiary in a Part B Non-Covered Stay					
					
Listed below are codes that will always be denied by the Part B carrier for Medicare beneficiaries in a					
SNF Part B stay.  These codes are subject to SNF consolidated billing and must be billed through the					
SNF. Codes marked with an asterisk are only subject to consolidated billing when provided by a 					
therapist.					
					
CPT only copyright 2009 American Medical Association. All rights reserved. CPT is a registered					
trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to 					
"Government Use. Fee schedules, relative value units, conversion factors and/or related "					
"components are not assigned by the AMA, are not part of CPT, and the AMA is not "					
recommending their use. The AMA does not directly or indirectly practice medecine or dispense					
medical services. The AMA assumes no liability for data contained or not contained herein.					
					
Code	Short Descriptor				
G0281	Elec stim unattend for press	Service never paid by carrier 			
G0283	Elec stim other than wound	Service never paid by carrier 			
G0329	Electromagnitic tx for ulcers	Service never paid by carrier 			
0019T	"Extracorp shock wv tx, ms nos"	Service never paid by carrier 			
0029T	Magnetic tx for incontinence                                              	Service never paid by carrier 			
0183T	Wound ultrasound	Service never paid by carrier 			
64550	Apply neurostimulator	*See note above.			
90901	"Biofeedback train, any meth"	Service never paid by carrier 			
92506	Speech/hearing evaluation	Service never paid by carrier 			
92507	Speech/hearing therapy	Service never paid by carrier 			
92508	Speech/hearing therapy	Service never paid by carrier 			
92520	Laryngeal function studies	Service never paid by carrier 			
92526	Oral function therapy	Service never paid by carrier 			
92597	Oral speech device eval	Service never paid by carrier 			
92605	Eval for nonspeech device rx	Service never paid by carrier 			
92606	Non-speech device service	Service never paid by carrier 			
92607	"Ex for speech device rx, 1hr   "	Service never paid by carrier 			
92608	Ex for speech device rx addl 	Service never paid by carrier 			
92609	Use of speech device service 	Service never paid by carrier 			
92610	Evaluate swalowing function 	Service never paid by carrier 			
92611	Motion fluoroscopy/swallow  	Service never paid by carrier 			
92612	Endoscopy swallow tst (fees) 	Service never paid by carrier 			
92614	Laryngoscopic sensory test 	Service never paid by carrier 			
92616	Fees w/laryngeal sense test 	Service never paid by carrier 			
95831	"Limb muscle testing, manual"	Service never paid by carrier 			
95832	"Hand muscle testing, manual"	Service never paid by carrier 			
95833	"Body muscle testing, manual"	Service never paid by carrier 			
95834	"Body muscle testing, manual"	Service never paid by carrier 			
95851	Range of motion measurements	Service never paid by carrier 			
95852	Range of motion measurements	Service never paid by carrier 			
95992	Canalith repositioning proc	Service never paid by carrier 			
96105	Assessment of aphasia	Service never paid by carrier 			
96110	"Developmental test, lim"	Service never paid by carrier 			
96111	"Developmental test, extend"	Service never paid by carrier 			
96115	Neurobehavior status exam	Service never paid by carrier 			
96125	Cognitive test by hc pro	Service never paid by carrier 			
97001	Pt evaluation	Service never paid by carrier 			
97002	Pt re-evaluation	Service never paid by carrier 			
97003	Ot evaluation	Service never paid by carrier 			
97004	Ot re-evaluation	Service never paid by carrier 			
97010	Hot or cold packs therapy	Service never paid by carrier 			
97012	Mechanical traction therapy	Service never paid by carrier 			
97016	Vasopneumatic device therapy	Service never paid by carrier 			
97018	Paraffin bath therapy	Service never paid by carrier 			
97022	Whirlpool therapy	Service never paid by carrier 			
97024	Diathermy treatment	Service never paid by carrier 			
97026	Infrared therapy	Service never paid by carrier 			
97028	Ultraviolet therapy	Service never paid by carrier 			
97032	Electrical stimulation	Service never paid by carrier 			
97033	Electric current therapy	Service never paid by carrier 			
97034	Contrast bath therapy	Service never paid by carrier 			
97035	Ultrasound therapy	Service never paid by carrier 			
97036	Hydrotherapy	Service never paid by carrier 			
97039	Physical therapy treatment	Service never paid by carrier 			
97110	Therapeutic exercises	Service never paid by carrier 			
97112	Neuromuscular reeducation	Service never paid by carrier 			
97113	Aquatic therapy/exercises	Service never paid by carrier 			
97116	Gait training therapy	Service never paid by carrier 			
97124	Massage therapy	Service never paid by carrier 			
97139	Physical medicine procedure	Service never paid by carrier 			
97140	Manual therapy	Service never paid by carrier 			
97150	Ground therapeutic procedures	Service never paid by carrier 			
97530	Therapeutic activities	Service never paid by carrier 			
97532	Cognitive skills development	Service never paid by carrier 			
97533	Sensory integration	Service never paid by carrier 			
97535	Self care mngment training	Service never paid by carrier 			
97537	Community/work reintegration	Service never paid by carrier 			
97542	Wheelchair mngment training	Service never paid by carrier 			
97597	Active wound care/20 cm or <	Service never paid by carrier 			
97598	Active wound care > 20 cm 	Service never paid by carrier 			
97602	"Wound(s) care, non-selective"	Service never paid by carrier 			
97605	"Neg press wound tx, < 50 cm"	Service never paid by carrier 			
97606	"Neg press wound tx, > 50 cm"	Service never paid by carrier 			
97750	Physical performance test	Service never paid by carrier 			
97755	Assistive technology assess	Service never paid by carrier 			
97760	Orthotic mgmt and training	Service never paid by carrier 			
97761	Prosthetic training	Service never paid by carrier 			
97762	C/o for orthotic/prosth use	Service never paid by carrier 			
97799	Physical medicine procedure	Service never paid by carrier 			
					
CPT only copyright 2009 American Medical Association. All rights reserved. CPT is a registered					
trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to 					
"Government Use. Fee schedules, relative value units, conversion factors and/or related "					
"components are not assigned by the AMA, are not part of CPT, and the AMA is not "					
recommending their use. The AMA does not directly or indirectly practice medecine or dispense					
medical services. The AMA assumes no liability for data contained or not contained herein.					
