Anthem Connecticut New Facility Revenue Code Billing Reimbursement Policy

October 2018 ~

For dates of service on or after January 1, 2019, Anthem Blue Cross Blue Shield of Connecticut (Anthem CT) will require that facilities billing outpatient services report current and valid CPT or HCPCS codes with revenue codes as specified by the National Uniform Billing Committee (NUBC).

Anthem CT 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.  Additionally, the insurer will also 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.

Source(s): October 2018 Anthem Connecticut Provider Newsletter;