New reimbursement policy: Revenue Code Billing (Facility)

Beginning with dates of service on or after January 1, 2019, BCBSGa will require that facilities billing outpatient services on a UB04 report current and valid CPT or HCPCS codes with revenue codes as specified by the National Uniform Billing Committee (NUBC).  BCBSGa will also require that outpatient facilities report current and valid CPT or HCPCS codes for remaining revenue codes when, and if, appropriate CPT or HCPCS codes are available for the revenue codes being reported.  In addition, BCBSGa will require that applicable CPT or HCPCS modifiers be reported with the CPT or HCPCS codes to clarify or improve the accuracy of the procedure being reported when appropriate.  For more information about this new policy, visit the Reimbursement Policy page on our bcbsga.com/provider website.