2021 Part B MAC Update

The April 2021 quarterly update includes revisions to the Part B SNF CB files for 2021, 2020, 2019, and 2017.

The revisions to the Part B SNF CB files for 2021 included in this update (effective with the April 5, 2021 implementation of CR 12212) are as follows:

Revisions to the 2021 Files

File 1

Addition of COVID-19 vaccine and vaccine administration codes. This list includes codes that have been reserved for future use and codes recently implemented:

  • COVID-19 Vaccine Codes Q0201 - Q0250
  • COVID-19 Vaccine Administration Codes M0201 - M0250.

File 4

  • Correction of code duplication – codes 97129 & 97130 were on this file twice. CMS corrected the file to show one entry for both codes. Additionally, codes 97607 and 97608 are already on the Common Working File (CWF) processing file but weren’t added to the CMS web files.

The SNF consolidated billing files reflect new codes that have been developed for 2021 and codes that have been discontinued in 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 1/01/2021 unless otherwise noted.

Effective January 1, 2021 the following changes are made to File #1 - Physician Services for SNF CB:

Removed:  
29580  
29581  
29584  

Added:

 

J9144

0033A
J9223
0034A

J9281

0041A

J9316

0042A

J9317

0043A

A9591

0044A

91300

0051A

91301

0052A

91302

0053A

91303

0054A

91304

0061A

91305

0062A

91306

0063A

91307

0064A
91308 0071A

91309

0072A

91310

0073A

0001A

0074A

0002A

0081A

0003A

0082A

0004A

0083A
0011A 0084A
0012A 0091A

0013A

0092A

0014A

0093A

0021A

0094A

0022A

0101A

0023A

0102A

0024A

0103A

0031A

0104A

0032A

 
Page Last Modified:
04/02/2021 10:03 AM