Skilled Nursing

Code Sets

ICD-10-CM Codes

ICD-10-CM Diagnosis Codes

CPT Code Set

Procedure Codes (Use 99304-99318 for Nsg Facility Services)

Medicare Required SNF PPS Assessments

Prospective Payment System (SNF PPS) assessments topics

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Click-A-Dex™ Index Search Tool


Step-by-step coding from all major code sets.

NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

Pro-Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

Commercial Payer Policies

View Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations.


Find-A-NPI™ Fast Provider Lookup

CVX Vaccines Codes

CVX Vaccines Codes

Additional Links and Resources

Novitas: Skilled Nursing Resources

Resources and references for Skilled Nursing from Novitas

SNF Inpatient Part A Billing and SNF Consolidated Billing

Ch. 6 Medicare Claims Processing Manual

SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)

Ch. 7 Medicare Claims Processing Manual

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Home Health Medicare Billing Codes Sheet

CGS - Home Health Medicare Billing Codes Sheet

Implementation of the SNF PDPM

Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)

Standard Written Order (SWO)

Dates of Service on or After January 1, 2020

Definition and Uses of Health Insurance Prospective Payment System Codes (HIPPS Codes)

Definition and Uses of HIPPS Codes

SNF Billing Reference

SNF Billing Reference

Completing and Processing the Form CMS-1450 Data Set

Ch.25 Medicare Claims Processing Manual

Payment Model (PDPM)

PDPM Training Presentation

Use this training presentation to educate on PDPM policy and implementation.

Select the title to see a summary and a link to the full article.

PDPM Grouper for Skilled Nursing


The additional grouper for Skilled Nursing, sometimes referred to as (PDPM), is used for classifying SNF patients in a covered Part A stay. This grouper is included with our Home Health Grouper.  Current groupers/calculators include: Home Health PDGM (Patient-Driven Grouping Model) Skilled Nursing Facility PDPM (Patient-Driven Payment Model) What is it? According to CMS, In ...

How to Properly Assign ICD-10-CM Codes for Pain


Pain is a common diagnosis among all specialties so it should not be surprising to find there are 162 ICD-10-CM codes for reporting it and over 80 mentions in the ICD-10-CM Official Guidelines for Coding and Reporting which describe when certain types of pain should be reported and how the codes should be sequenced.

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How to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and Life

In this webinar Dr. Jorgensen will share with you the REAL causes of dental disease and techniques for prevention and healing. You will also learn about dental problems that may be making you or your patients SICK, how to identify them, and what can be done to help them get better. Finally, she will tell you about cutting edge dental and health practices you need to know about to improve your patient's health, and how to find a dentist that can provide this care. Don't miss this life-changing webinar!

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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2020 Pain Management ICD-10-CM Coding Book2020 Pain Management Reimbursement GuideAbout ODGAmerican Nurses Association, IncCapture Billing Medical Services - Commonly Used Medicare Modifiers - GA, GX, GY, GZCGS - Medicare Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolCGS Medicare - Bilateral Surgeries: Claim SubmissionCMS - Medicare Part B Clinical Laboratory Fee ScheduleCMS- Program of All-Inclusive Care for the Elderly -PACE AuditsCompliance Program Guidance for Home Health AgenciesCompliance Program Guidance for Nursing FacilitiesDME Billing guideanceHHS - Summary of the HIPAA Privacy Rule by HHSHospice - Medicare Claims Processing ManualHospice Medicare Billing Codes SheetMedicare Coverage for Skilled NursingMedicare Part A for Skilled NursingMLN - Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable DeviceNoridian - Allowed Amount ReductionsNoridian - Physician Assistant (PA) ResourcesNoridian Diabetes PoliciesNoridian Nonphysician Practitioner (NPP) PoliciesNoridian Surgery PoliciesQ&A on Skilled Nursing Facility Consolidated BillingRural Skilled Nursing Facility Prospective Payment SystemSkilled Nursing Facility Best Practice GuidelinesSkilled Nursing Facility Consolidated BillingSkilled Nursing Facility Education and TrainingSkilled Nursing Facility Federal RegulationsSNF Billing ReferenceSNF Inpatient Part A Billing and SNF Consolidated Billing - Medicare Claims processing ManualSupplemental Compliance Program Guide for Nursing Facilities

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