2006 FI Update
2006 SNF CB Update for Services Billed to Fiscal Intermediaries for Payment
2006 First Quarterly Update
The codes below are listed as being added or removed from the 2006 annual update. This update is effective for claims with dates of service on or after 01/01/2006 unless otherwise noted below.
Major Category I. A. - Computerized Axial Tomography (CT) Scans
REMOVE - 76375
Major Category I. D. - Radiation Therapy
REMOVE - C9722, G0242, G0338
Major Category I. E. - Angiography, Lymphatic, Venous and Related Procedures
ADD - 36598
Note: This code should be added to the SNF CB file effective April 1, 2006.
Major Category I. F. - Outpatient Surgery and Related Procedures--INCLUSION
REMOVE – 15810, 15811, G0345
Major Category I. H. - Ambulance Trips--With Application to Major Category II
REMOVE – Q3019, Q3020
Major Category II. A. - Dialysis Supplies
REMOVE – A4656
Major Category III. B. -Chemotherapy Administration
ADD – 96409, 96411, 96413, 96415, 96416, 96417, C8953, C8954, C8955
REMOVE–96408, 96410, 96412, 96414, 96520, 96530, G0357, G0358, G0359, G0360, G0361, G0362
2006 Annual Update:
The SNF consolidated billing file reflects new codes that have been developed for 2006 and codes that have been discontinued for 2006. 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 1/01/2006 unless otherwise noted below.
The following HCPCS coding changes were made with the 2006 Annual Update:
Major Category I. D.-Radiation Therapy
ADD - C9725 and C2637.
Major Category I. F.-Outpatient Surgery and Related Procedures-INCLUSION
ADD – 20979, G0345, 37195, 92977
REMOVE - 64550
Major Category II.A.3 (Dialysis) Coding Applicable to EPO and Aranesp Services
ADD – J0882, J0886
REMOVE – Q4054, Q4055
Major Category III. A. - Chemotherapy
ADD - J9025, J9027, J9035, J9098 (retroactive to 1/1/04), J9225, J9264
Major Category III. B. – Chemotherapy Administration
REMOVE - G0363
Major Category III. C. – Radioisotopes and their Administration
ADD – A9542, A9543, A9544, A9545
REMOVE – C1080, C1081, C1082 and C1083 (discontinued)
Major Category III. D. – Customized Prosthetic Devices
ADD - L5703, L5858, L5971, L6621, L6677, L7367, L7368, L7400, L7401, L7402, L7403, L7404, L7405
Major Category V. A. Therapies
ADD - 97760 (renumbered from 97504), 97761 (renumbered from 97520), 97762 (renumbered from 97703), 0019T
REMOVE - 96115, 97020 (combined with 97024), 97504 (renumbered to 97760), 97520 (renumbered to 97761), 97703 (renumbered to 97762), G0279, G0280
NOTE: It is important and necessary for providers and FIs to view the Major Category Explanation file posted below in order to understand the Major Categories including additional exclusions that are not driven by HCPCS codes.
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