0049 - Ambulance SNF to SNF Transfer

Submitted by Matthew.Gregor… on Mon, 11/04/2019 - 07:45
Issue Number - Name
0049 - Ambulance SNF to SNF Transfer
Review Type
Automated
Claim Type
Ambulance Providers
Region and State
RAC 1-4 <br/>All States
Date Approved
2017-08-08

Description

Ambulance claims for SNF to SNF transfers (modifier NN) are not separately payable under Part B. The SNF discharging the Beneficiary to another SNF is financially responsible for the transportation fees. Ambulance providers should seek payment from the transferring SNF.

Affected Code(s)

  • A0021, A0080, A0090, A0100, A0110, A0120, A0130, A0160, A0170, A0180, A0190,  A0200, A0210, A0225, A0380, A0382, A0384, A0390, A0392, A0394, A0396, A0398,  A0420, A0422, A0425, A0426, A0427, A0428, A0429, A0432, A0433, A0434, A0888, A0999  

Applicable Policy References

  • Title XVIII of the Social Security Act, Section 1833(e)
  • Title XVIII of the Social Security Act, Section 1862(a)(1)(A)
  • CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 6, 20.3.1
  • CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 15, 30.2.2
  • American Medical Association (AMA), Professional HCPCS Level II Manual 2014 to current
  • CMS Pub. 100-02, Medicare Benefit Policy Manual, Chapter 10, 10.3.3