Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Material Adverse Change (MAC)

Beginning with dates of service on or after March 1, 2023, Empire BlueCross BlueShield will update the Related Coding section of the Treatment Rooms with Office Evaluation and Management Services – Facility policy to include HCPCS code G0463. The code description for G0463 is hospital outpatient clinic visits or assessment and management of a patient. G0463 is not eligible for reimbursement when reported with revenue code 760, 761, or 769.

 

For specific policy details, visit the reimbursement policy page at www.empireblue.com/provider.

 

NYBCBS-CM-012747-22