SNF PPS Adds Single Code in October Update
Only one code, L5670 Addition to lower extremity, below knee, molded supracondylar suspension (‘PTS’ or similar), receives a change in the Oct. 1 quarterly update to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) consolidated billing (CB) list, according to the Centers for Medicare & Medicaid Services (CMS) Transmittal 1750, posted June 5.
Code L5670 will be added to the File 1 Coding List for consolidated billing for dates of service on or after Jan. 1. Durable Medical Equipment Medicare Administrative Contractors (DME MACs) will re-open and re-process claims brought to their attention. The change will be implemented Oct. 5.
MLN Matters article MM6503 explains this change in detail.