New Facility Revenue Code Billing Reimbursement Policy

Beginning with dates of service on or after January 1, 2019, we 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).  We 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, we 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 Administrative, Billing and Reimbursement Policies page at anthem.com/provider.