20Condition CodeSNF
The beneficiary requested that the claim be submitted for a formal coverage determination.
Related SNF codes
55The patient's SNF admission was delayed more than 30 days because no bed was available.56The patient's SNF admission was delayed more than 30 days for medical appropriateness reasons.57The patient is being readmitted to a SNF within 30 days of a prior Medicare-covered SNF stay.58The SNF patient's enrollment in a Medicare Advantage plan has been terminated.
Frequently asked questions
What does condition code 20 mean?
The beneficiary requested that the claim be submitted for a formal coverage determination.
What category is condition code 20 in?
20 falls under the SNF category of UB-04 condition codes.
Descriptions sourced from CMS Medicare Claims Processing Manual. Always verify codes with authoritative sources before making billing decisions.