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2006 SNF CB Update for Services Billed to Fiscal Intermediaries for Payment 2006 First Quarterly Update The codes below are listed as being added or removed from the 2006 annual update. This update is effective for claims with dates of service on or after 01/01/2006 unless otherwise noted below. Major Category I. A. - Computerized Axial Tomography (CT) Scans REMOVE - 76375 Major Category I. D. - Radiation Therapy REMOVE - C9722, G0242, G0338 Major Category I. E. - Angiography, Lymphatic, Venous and Related Procedures ADD - 36598 Note: This code should be added to the SNF CB file effective April 1, 2006. Major Category I. F. - Outpatient Surgery and Related Procedures--INCLUSION REMOVE – 15810, 15811, G0345 Major Category I. H. - Ambulance Trips--With Application to Major Category II REMOVE – Q3019, Q3020 Major Category II. A. - Dialysis Supplies REMOVE – A4656 Major Category III. B. -Chemotherapy Administration ADD – 96409, 96411, 96413, 96415, 96416, 96417, C8953, C8954, C8955 REMOVE–96408, 96410, 96412, 96414, 96520, 96530, G0357, G0358, G0359, G0360, G0361, G0362 2006 Annual Update: The SNF consolidated billing file reflects new codes that have been developed for 2006 and codes that have been discontinued for 2006. In addition, the file reflects any additions and deletions 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 Fiscal Intermediaries 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 1/01/2006 unless otherwise noted below. The following HCPCS coding changes were made with the 2006 Annual Update: Major Category I. D.-Radiation Therapy ADD - C9725 and C2637. Major Category I. F.-Outpatient Surgery and Related Procedures-INCLUSION ADD – 20979, G0345, 37195, 92977 REMOVE - 64550 Major Category II.A.3 (Dialysis) Coding Applicable to EPO and Aranesp Services ADD – J0882, J0886 REMOVE – Q4054, Q4055 Major Category III. A. - Chemotherapy ADD - J9025, J9027, J9035, J9098 (retroactive to 1/1/04), J9225, J9264 Major Category III. B. – Chemotherapy Administration REMOVE - G0363 Major Category III. C. – Radioisotopes and their Administration ADD – A9542, A9543, A9544, A9545 REMOVE – C1080, C1081, C1082 and C1083 (discontinued) Major Category III. D. – Customized Prosthetic Devices ADD - L5703, L5858, L5971, L6621, L6677, L7367, L7368, L7400, L7401, L7402, L7403, L7404, L7405 Major Category V. A. Therapies ADD - 97760 (renumbered from 97504), 97761 (renumbered from 97520), 97762 (renumbered from 97703), 0019T REMOVE - 96115, 97020 (combined with 97024), 97504 (renumbered to 97760), 97520 (renumbered to 97761), 97703 (renumbered to 97762), G0279, G0280 NOTE: It is important and necessary for providers and FIs to view the Major Category Explanation file posted below in order to understand the Major Categories including additional exclusions that are not driven by HCPCS codes.
Page Last Modified: 03/15/2006 1:48:00 PM
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