Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 30.2

Coding PPS Bills for Ancillary Services

Last amended: 2015Year: 2015Length: 143 wordsOfficial source
30.2 – Coding PPS Bills for Ancillary Services (Rev. 3230, Issued: 04-03-15, Effective: 06-15-15, Implementation: 06-15-15) 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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 30.2: Coding PPS Bills for Ancillary Services | Justis AI