Reimbursement policy update: Outpatient Facility Revenue Code Billing Requirements — Facility

Beginning with dates of service on or after November 1, 2024, Anthem will update the Related Coding section of the Outpatient Facility Revenue Code Billing Requirements — Facility reimbursement policy to require corresponding CPT^® or HCPCS codes. The policy requires HCPCS or CPT codes to be submitted for reimbursement when submitted with certain revenue codes. The policy is updated to include the following revenue codes that require a corresponding HCPCS or CPT code:

• 0920 Other diagnostic services — General
• 0940 Other therapeutic services — General

For specific policy details, visit the Kentucky reimbursement policy page: tinyurl.com/3z54aavv.