Billing for SNF Medicare patient
A SNF Medicare patient is sent to the hospital for G-tube removal. Revenue code 361 (minor surgery) and CPT code 43760 (change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance) are billed by the hospital. Is the SNF responsible for these charges billed from the hospital? CPT 43760 is in file 1 but that only means that the professional charge is excluded...is that correct?
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On page 8, there is a chart that seems very helpful in knowing which services to do and who gets to do it.
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/snfprospaymtfctsht.pdf
And also CMS Best Practices for SNF
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/flowchart.pdf