CMS Pub. 100-04, ch. 6, § 20.1

The following services are beyond the scope of the SNF Part A benefit and are excluded

from payment under Part A SNF PPS and from the requirement for consolidated billing.

These services must be paid to the practitioner or provider that renders them and are

billed separately by the rendering provider/supplier/practitioner to the A/B MAC (A) or

(B). The SNF may not bill excluded services separately under Part B for its inpatients

entitled to Part A benefits. HCPCS procedure codes representing these excepted services

for services billed to the A/B MACs (A), (B), (HHH), and DME MACs are updated as

frequently as quarterly on the CMS Web site at:

https://www.cms.gov/Medicare/Billing/SNFConsolidatedBilling/ Physicians, non-physician practitioners, and suppliers billing the A/B MAC (B) should consult the above

link for lists of separately billable services.

Note: There are separate Annual Update files for service billed to A/B MACs (B)/DME

MACs and services billed to A/B MACs (A) or (HHH) posted to the Web site mentioned

above.