US · guidance
CMS Pub. 100-04, ch. 6, § 110.4
Coding Files and Updates
To correspond with the annual and quarterly coding and payment updates, CWF will be
provided with files of codes that are not included in consolidated billing and can be paid
through the A/B MAC (B) or DME MAC. These codes are available for informational
purposes on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/ConsolidatedBilling.html. Changes in designation of codes
from excluded to included (or vice versa) in consolidated billing will be considered
corrections to align the codes with policy as opposed to changes in policy. Newly
established Healthcare Common Procedure Coding System codes will be added to CWF
edits to allow A/B MACs (B)/DME MACs to make appropriate payments.
History
(Rev. 1757, Issued: 06-19-09, Effective: 07-20-09, Implementation: 07-20-09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4c240a9b12fe28d54434d3905f392d7be36db4c163571e57d1b61139fe8cce9e
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