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Supply and Implant Revenue Code Appropriateness
As a reminder, in accordance with Blue Cross NC Revenue Code reimbursement policy, we require CPT/HCPCS be submitted with appropriate corresponding revenue codes.
Blue Cross NC has identified providers incorrectly billing supplies (e.g. guidewires, catheters, needles) with implant revenue codes (e.g. 278).
Providers may correct a claim using a more appropriate revenue code that aligns with the CPT/HCPCS submitted.
This applies to Medicare Advantage including Experience Health, Commercial, Host and Federal Employee Program (FEP). This will not apply to IPP Home.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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