2018 Part A MAC Update
2018 Annual Update:
The SNF consolidated billing file reflects new codes that have been developed for 2018. 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 Part A 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 1/1/2018 unless otherwise noted below.
Major Category I. B. - Cardiac Catheterization
ADD – C9741 (eff. 1/1/16)
Major Category II. A. - (Dialysis) Coding Applicable to EPO and Aranesp Services
ADD – J0604 and J0606
Major Category III. A. - Chemotherapy
ADD – J9022, J9023, J9203, J9285
REMOVE – J9300
Major Category III. C. - Radioisotopes and their Administration
ADD – Eff. 1/1/2016 for all codes as follows: A9606, 77770, 77771 and 77772
REMOVE – Eff. 12/31/15 for all codes as follows: 77785, 77786 and 77787