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2012 Part A MAC Update

The SNF consolidated billing file reflects new codes that have been developed for 2012. 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 1/01/2012 unless otherwise noted below.

Major Category III. A. -Chemotherapy

Add – J9043, J9179, and J9228

Major Category III.D – Customized Prosthetic Devices

Add – L5312, L6715 and L6880