Return to Provider News

Coding Guideline Changes for Outpatient Hospital Facilities Effective January 1, 2021

Audience: Participating Hospitals

Your opinions and suggestions are very important to us. As the result of the suggestions that we received regarding the upcoming coding guideline changes communicated in our bulletin issued October 9, 2020, additional revenue codes will be removed from the CPT/HCPCS coding requirement list effective January 1, 2021.

Additional codes that will no longer require CPT/HCPCS level information effective January 1 are: 0710,0637,0270-0273, 0275-0279,0720-0729, 0370-0372, 0374, 0379, etc.

The full list of revenue codes that require CPT/HCPCS coding is at: 

Thank you for the quality care that you provide to our valued members. If you have questions, please contact your Provider Relations representative.

Related News
Vitamin D Testing Reminders

Clarification for COVID-19 Vaccine and Monoclonal Antibody Treatment Reimbursement for Commercial and Medicare Advantage Lines of Business

Electronic Claim Adjustment Request Changes

Updated Federal Guidance Related to COVID-19 Viral and Antibody Testing

Medicaid Managed Pharmacy Carve Out Notice for DME Providers



Claims and Billing

IE Browser Modal