October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

This article updates the list of HCPCS codes subject to the Consolidated Billing (CB) provision of the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). CMS uses changes to CPT/HCPCS codes and Medicare Physician Fee Schedule (MPFS) designations to revise Common Working File (CWF) edits. This allows the Medicare Administrative Contractors (MACs) to make correct payments in accordance with policy for SNF CB.

Last Updated: 07/02/2021