US · guidance
CMS Pub. 100-04, ch. 6, § 30.2
Coding PPS Bills for Ancillary Services
When coding PPS bills for ancillary services associated with a Part A inpatient stay, the
traditional revenue codes will continue to be shown, e.g., 0250 - Pharmacy, 042x -
Physical Therapy, in conjunction with the appropriate entries in Service Units and Total
Charges.
• SNFs are required to report the number of units based on the procedure or service.
• For therapy services, that is revenue codes 042x, 043x, and 044x, units represent
the number of calendar days of therapy provided. For example, if the beneficiary
received physical therapy, occupational therapy or speech-language pathology on
May 1, that would be considered one calendar day and would be billed as one
unit.
• SNFs are required to report the actual charge for each line item, in Total Charges.
History
(Rev. 3230, Issued: 04-03-15, Effective: 06-15-15, Implementation: 06-15-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
57b8d69b7b85fc395db23ee5c338bfd82e9e35fba8ac02b81deece7bd67b4514
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