Jan. 14, 2024
As of April 14, 2025, we will revise Clinical Payment and Coding Policy CPCP018, Revenue Codes Requiring Supporting CPT, HCPCS and/or NDC Codes − Outpatient Facility Claims.
CPCP018 addresses revenue coding that requires supporting Current Procedural Terminology (CPT®) codes from the American Medical Association, Healthcare Common Procedure Coding System codes from the Centers for Medicaid & Medicare Services and National Drug Codes for outpatient facility claims.
Changes to CPCP018 include updates to bill types. For more details, refer to the revised policy here.
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The information provided does not constitute coding or legal advice. Physicians and other health care providers should use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment, and to submit claims using the most appropriate code(s) based upon the medical record documentation, coding guidelines and reference materials.