Services Beyond the Scope of the Part A SNF Benefit

20.1 - Services Beyond the Scope of the Part A SNF Benefit (Rev. 846, Issued: 02-10-06; Effective: 12-15-05; Implementation: 03-13-06) 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.