US · guidance
CMS Pub. 100-04, ch. 13, § 110.1
Aborted Procedure
When a procedure is not completed, the SNF should bill an unlisted code (e.g., CPT code
ending in 99) and show the actual charges for the procedure. The A/B MAC (A) will
request additional data from the SNF to determine applicable payment. Deductible and
coinsurance apply based on fee schedule rules.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
dd499f449512a0290b2f9ac30c5faf2fca5594f6e910bd964dd9ae2a54874c72
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