Facility Revenue Code Billing Reimbursement Policy

As a reminder, beginning with dates of service on or after January 1, 2019, we require facilities billing outpatient services on a UB-04 to report current and valid CPT or HCPCS codes and applicable modifiers with all revenue codes, as specified in the National Uniform Billing Committee (NUBC) requirements. 

 

In addition, we require that the facility report any available current and valid CPT or HCPCS code modifiers. Modifiers are applicable when they clarify or improve the accuracy of the procedure being reported.

 

To review this outpatient facility policy, visit the Reimbursement Policies page at anthem.com.

 

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