CMS Pub. 100-04, ch. 7, § 20

SNF-530, SNF-530.3

HCPCS is required for reporting all SNF services paid under Part B, whether paid by

Medicare fee schedules or by some other mechanism. A description of HCPCS codes is

found in the Medicare Claims Processing Manual, Chapter 23.

The SNF should use the CPT-4 portion of HCPCS and/or Level II as directed by the

manual sections applicable to the Part B service that is being billed. Currently, HCPCS

codes are not applicable on SNF Part A inpatient claims.

For Part B claims, there are separate codes for the technical component, professional

component, and/or complete procedure. Generally, SNFs bill for the technical

component only, using the code that describes the procedure provided.

There may be specific rules for use of HCPCS codes for specific types of services (e.g.,

SNF's must bill global services for therapies). These will be described in the manual

sections for the applicable service.

Revenue codes, HCPCS codes, line item dates of service, and units are required. Charges

must be reported by HCPCS code. If the same revenue code applies to two or more

HCPCS codes, the SNF should repeat the revenue code and show the line item date of

service, units and charge for each HCPCS code on a separate line.