Snf Rug Codes List

Snf skilled nursing facility rug resource utilization group adl medicare primer crs reports congress gov.
Snf rug codes list. Jun 18 2014 rehabilitation therapy snf rug categories since irf patients with icd 9 codes from snf claims used as a second source for diagnoses. Effective october 1 2014 excel. A federal government website managed by the centers for medicare medicaid services 7500 security boulevard baltimore md 21244. R2239cp pdf centers for medicare medicaid services.
Due to rounding a slight variance may exist between the spreadsheets below and actual medicare payments. Minimum data set 3 0 coding and minimum data set kentucky. Rug codes will be no longer applicable. Effective october 1 2015 excel.
Hipps code master list see file below an excel spreadsheet that provides a complete list of all valid hipps codes with their effective dates payment settings and code definitions. Effective october 1 2016 excel. Prospective payment system and consolidated billing for skilled nursing facilities. Access the listings of resource utilization groups rugs for skilled nursing facilities snfs from the links below.
Ba1 ba2 bb1 bb2 ca1 ca2 cb1 cb2 cc1 cc2 cd1 cd2 es1 es2 hb1 hb2 hc1 hc2 hd1 hd2 he1 he2 ib1 ib2. Rug iv classification system 66 group with medicare ok gov. The medicare snf benefit covers skilled system pps rates are expected to note. Diem under a pps this snf pps per diem represents medicare s a stay other than a small list of excluded services billed separately.
Most commonly used medicaid rug codes. Beginning october 1 2019 the pdpm will replace the current case mix classification system which is the resource utilization group version iv rug iv. Snf rug code list. 31 jul 2018 a list of commonly used acronyms as well as information on 3 hhs fiscal.
Oct 1 2010 total medicare rate and are used for medicare snf pps rug iv index major rug. List of ai codes see page 22. This will impact all facilities reimbursed under the snf pps specifically standalone snfs and non cah swing bed units of hospitals. Spotlight the fy 2021 pdpm icd 10 mappings zip have been updated to reflect non substantive updates to the icd 10 code set for fy 2021 as well as substantive changes finalized in the fy 2021 snf pps final rule.
Search the file for the applicable hcpcs code and look in column d. The complete list of rug codes and ais billed for part a snf. Updates to the value based. These codes are effective as of october 1 2020.