2020-Part-B-MAC-Update

The SNF consolidated billing files reflect new codes that have been developed for 2020 and codes that have been discontinued for 2020. In addition, the files reflect any additions and deletions to categories of services excluded from consolidated billing. These files are effective for claims with dates of service on or after 1/01/2020 unless otherwise noted.

Effective October 1, 2019 the following changes are made to File #1 - Physician Services for SNF CB:

Add

Major Category III. A. – Chemotherapy retroactive to October 1, 2019

J0641-Inj.,levoleucorvin, nos, 0,5mg

J0642-Inj., levoeucorvin, khapzory, 0,5mg

Remove

Part B Therapy Code

29580 - paste/unna boot

29581-29584 - application of multi compression systems

Note: The action to remove 29580 and 29581-29584 is retroactive to January 1, 2015.

 

Effective January 1, 2020, the following changes are made to file #1 – Part A Stay Physician Services

Add

Major Category III. A

J9030 - Bcg live intravesical 1mg

J9036 - Inj. belrapzo/bendamustine

J9118 - Inj. Calaspargase pegol-mknl

J9119 - Inj., cemiplimab-rwlc, 1 mg

J9269 - Inj. tagraxofusp-erzs 10 mcg

J9313 - Inj., lumoxiti, 0.01 mg

J9356 - Inj. herceptin hylecta, 10mg

Q5112 - Inj ontruzant 10 mg

Q5113 - Inj herzuma 10 mg

Q5114 - Inj  ogivri 10 mg

Q5115 - Inj truxima 10 mg

Q5116 - Inj., trazimera, 10 mg

Q5117 - Inj., kanjinti, 10 mg

Q5118 - Inj., zirabev, 10 mg

Revise

J9355 - Inj trastuzumab excl biosimi

 

Effective October 1, 2019, the following changes are made to File #4 – Part B Stay Only Therapy.

Add

29580 - paste/unna boot

29581 - Lower Extremity Application of Strapping-Any Age

29584 - Lower Extremity Application of Strapping-Any Age

Note: This action is retroactive to January 1, 2015.

Page Last Modified:
12/23/2019 05:40 PM