SNF CPT Codes Reference
Last updated May 2026
Ostomy & urological
A4253 (test strips), A4351 (intermittent catheter, straight tip), A4352 (intermittent catheter, coude tip), A4357 (bedside drainage bag), A5051 (closed pouch with barrier).
Surgical dressings
A6196 (alginate, pad ≤16 sq in), A6209 (foam dressing, pad ≤16 sq in), A6234 (hydrocolloid dressing), A6402 (gauze, non-impregnated, sterile).
Enteral nutrition
B4035 (enteral feeding supply kit, pump fed), B4150 (enteral formula, category I, semi-synthetic), B9002 (enteral nutrition infusion pump).
Drugs (select)
J7613 (albuterol, inhalation solution), J1885 (Toradol), J1100 (dexamethasone).
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Frequently asked questions
- Most Part B supply items are billed with HCPCS Level II codes, such as A-codes and L-codes. CPT codes cover procedures and services, which is a different part of the claim.
- No. Coding is the last step. Payment depends on medical necessity documented in the clinical record, benefit status, and the coverage criteria in your MAC's policy for that item.
- Our certified billers assign codes from the documented encounter. Nothing is coded from a supply invoice or an order alone.
Related insights
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Read articleMedicare Part B Surgical Dressing Billing for SNFs: Coverage, Documentation, Codes and Claims
A billing and DON reference for Part B surgical dressing billing in SNFs, coverage rules, documentation, HCPCS code categories, and claims steps.
Read articleThe Day Part A Ends, Part B Supply Billing Opens
When Part A ends, consolidated billing drops to therapy only and Part B supply billing opens. See which SNF supplies qualify and what each claim needs.
Read articlePrimary sources
Part B rules, audit triggers, and reimbursement policy referenced on this page come from the official sources below. Coverage policy changes; confirm current requirements with CMS and your Medicare Administrative Contractor before billing.
- CMS — Healthcare Common Procedure Coding System (HCPCS)
- CMS — Medicare Coverage Database (LCDs and policy articles)
This page is general educational information, not legal, coding, or compliance advice. Burst does not guarantee reimbursement, claim approval, or any audit outcome.
Reviewed by Cara Hansen, Chief Operating Officer · August 2026. Code references were reviewed against current CMS HCPCS descriptors and the applicable Medicare coverage policy.
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