Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
Medicare coverage: Carrier judgment
Status: active (July 2026 file)
MUE: max 1 units per day (practitioner), rationale: Code Descriptor / CPT Instruction