US · guidance
CMS Pub. 100-04, ch. 5, § 100.7
Payment of Drugs, Biologicals, and Supplies in a CORF
Drugs
Drugs and biologicals generally do not apply in a CORF setting. Therefore, contractors
are to advise their CORFs not to bill for them.
Supplies
The CORFs should not bill for the supplies they furnish when such supplies are part of
the practice expense for that service. Under the MPFS, nearly all of these expenses are
already taken into account in the practice expense relative values. However, CORFs may
bill separately for certain splint and cast supplies, represented by HCPCS codes Q4001
through Q4051, when furnishing a cast/strapping application service in the CPT code
series 29000 through 29750.
Vaccines
The CORFs should refer to Chapter 18, Preventive and Screening Services, for billing
guidance on influenza, pneumococcal pneumonia, and Hepatitis B vaccines and their
administration.
History
(Rev. 1459; Issued: 02-22-08; Effective: 07-01-08; Implementation: 07-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
91f47df1b01c82d502e4981e431a35dc31f49bd1ab73ac5b54d53142eac2e11a
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