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2010 Part A MAC Update

2010 Annual Update:

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

2010 First Quarterly Update (CR 7002)

The codes below are listed as being added or removed from the 2010 annual update.

Major Category I. C. - Magnetic Resonance Imaging (MRI)

  • Add– 75565, 75571, 75572, 75573 and 75574
  • Remove – 75558, 75560, 75562 and 75564

Major Category I. E. - Angiography, Lymphatic, Venous and Related Procedures

  • Add– 75791
  • Remove – 75790

Major Category I.C. – Magnetic Resonance Imaging (MRI)

  • Add– 75557, 75558, 75559, 75560, 75561, 75562, 75563 and 75564
  • Remove – 75552, 75553, 75554, and 75555

Major Category I.D. – Radiation Therapy

  • Add – A9527, C2639, C2641 and C2643
  • Remove– C1718, C1720 2632 and C2633

Major Category I.F. – Outpatient Surgery and Related Procedures

  • Add – 32550 and 32551
  • Remove– 32019, 32020, 36540 and 36550

Major Category III. A. - Chemotherapy

  • Add– J9171 and J9328
  • Remove – J9170

Major Category III.B. – Chemotherapy Administration

  • Remove C8953, C8954 and C8955

Major Category III.D – Customized Prosthetic Devices

  • Add – L5973
  • Remove – L6639

Major Category V. A. – Therapies

  • Add – 92520