Jan. 14, 2025
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.
CPT copyright 2024 American Medical Association. All rights reserved. CPT is a registered trademark of the AMA.
Information provided by Blue Cross and Blue Shield of Illinois is for informational and educational purposes and the information presented is not intended to replace or supersede any requirements set forth in your contract with BCBSIL. Any samples in these resources are for illustrative and/or educational purposes only and should not be relied on in determining how a specific provider will be reimbursed. In the event of a conflict between the information in this presentation and your contract, your contract will control.
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.