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PT/OT · pos 1
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Skilled Nursing · Reference
SNF HIPPS Decoder
Enter a 5-character PDPM HIPPS code to label each position by payment component, and use the reference tables for the component group sets.
Decode a HIPPS code
5 characters–
SLP · pos 2
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Nursing · pos 3
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NTA · pos 4
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AI · pos 5
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Position semantics match the PDPM Calculator on this site: PT/OT · SLP · Nursing · NTA · AI. Group names use the calculator group set; confirm the exact group→character crosswalk against the CMS PDPM HIPPS code list / grouper before billing.
PT & OT case-mix groups
PT and OT use the same inputs: the PT/OT clinical category and the Section GG function score band.
| Clinical category | Function score 0–5 | 6–9 | 10–23 | 24 |
|---|---|---|---|---|
| Major Joint Replacement or Spinal Surgery | TA | TB | TC | TD |
| Other Orthopedic | TE | TF | TG | TH |
| Medical Management | TI | TJ | TK | TL |
| Non-Orthopedic Surgery & Acute Neurologic | TM | TN | TO | TP |
CMS PDPM Classification Walkthrough, Table 3 (PT) / Table 7 (OT). 16 PT and 16 OT groups.
NTA groups
| Group | NTA score |
|---|---|
| NA | 12+ |
| NB | 9–11 |
| NC | 6–8 |
| ND | 3–5 |
| NE | 1–2 |
| NF | 0 |
SLP & Nursing
SLP — 12 groups (SA–SL) from the clinical-determinant count and swallowing/diet status. Check an SLP group →
Nursing — 25 groups across Extensive Services, Special Care High, Special Care Low, Clinically Complex, Behavioral Symptoms & Cognitive Performance, and Reduced Physical Function — selected by clinical conditions, services, and the nursing function score (0–16).
CMS PDPM Classification Walkthrough; RAI User's Manual ch. 6.