The Centers for Medicare and Medicaid Services (CMS) announced the release of the Skilled Nursing Facility (SNF) Consolidated Billing October 2026 Quarterly Update in the most recent Medicare Learning Network (MLN) Connects Newsletter. While the quarterly update made no substantive changes, it will be helpful for providers to review this list to find out which Healthcare Common Procedure Coding System (HCPCS) codes are excluded from consolidated billing and how to handle vaccines like COVID, RSV, and flu. Recall that providers have the opportunity to request exclusions from consolidated billing each spring in the annual SNF Prospective Payment System (PPS) rule.