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. 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:

• 0270 Medical/Surgical Supplies and Devices — General
• 0271 Medical/Surgical Supplies and Devices — Nonsterile
• 0272 Medical/Surgical Supplies and Devices — Sterile
• 0273 Medical/Surgical Supplies and Devices — Take-home supplies
• 0274 Medical/Surgical Supplies and Devices — Prosthetic/orthotic devices
• 0275 Medical/Surgical Supplies and Devices — Pacemaker
• 0276 Medical/Surgical Supplies and Devices — Intraocular lens
• 0277 Medical/Surgical Supplies and Devices — Take-home oxygen
• 0279 Medical/Surgical Supplies and Devices — Other supplies/devices
• 0280 Oncology — General
• 0920 Other diagnostic services — General
• 0940 Other therapeutic services — General

For specific policy details, visit the reimbursement policy page at anthem.com.