Coding and Billing Information

Home Health PPS Coding and Billing Information includes:

• Home Health Web Pricer - Program used by CMS to calculate Home Health Resource Group (HHRG) rates and all applicable adjustments. A user manual for the program is included in the Downloads section.
• Home Health Consolidated Billing Master Code List (ZIP) - Updated 09/27/2024 - An Excel workbook file containing complete lists of all codes ever subject to consolidated billing provision of HH PPS. A master list worksheet shows the dates each code was included and excluded from consolidated billing editing on claims, with associated CMS transmittal references. The master list also associates each code with any related predecessor and successor codes. Supplemental worksheets show the list of included codes for each CMS transmittal to date.