Wednesday, October 28, 2009

Upcoming New or Changed UB-04 Billing Code(s) Effective 4/1/10


Type of Bill Code: 077x - Federal Qualified Health Center (FQHC)

This resolves the past issue where 073x was officially defined as "Clinical-Freestanding" but Medicare had it defined as "FQHC-Federal Qualified Health Center."

Revenue Codes:

086x Magnetoencephalography (MEG)
0860 General Classification
0861 MEG

This procedure was previously billed under Revenue Code 0740 EEG (Electroencephalogram). We have a question into the NUBC as to why there are two codes for what is basically one procedure; i.e. since there are no further subdivisions in this category, why do we have 0860 and 0861?

Also upcoming for 7/1/10: Changes and deletions in the "Point of Origin for Admission or Visit" codes and some new Condition, Occurrence and Value codes.

As the Context4 Healthcare products are updated biannually for 4/1/10 and 10/1/10, these changes will be included in the 4/1/10 updated data files with the effective date of 7/1/10 noted with the new/changed codes.

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