CommercialBilling CodesMedium impact
[Georgia] Reimbursement policy update: Outpatient Facility Revenue Code Billing Requirements — Facility
Anthem BCBS·GA·Claims & Billing
Effective date
May 1, 2026
We identified it
May 18, 2026
Summary
Effective May 1, 2026, Anthem Georgia is adding revenue code 0300 (Laboratory – General) to the Related Coding section of the Outpatient Facility Revenue Code Billing Requirements policy. Facilities must now report current and valid CPT or HCPCS codes alongside this revenue code in accordance with NUBC guidelines.
Action Required
By April 30, 2026: Billing team must update billing system configuration to ensure revenue code 0300 (Laboratory – General) requires valid, current CPT or HCPCS codes per NUBC guidelines for all outpatient facility claims submitted to Anthem Georgia. Verify that billing software enforces this coding requirement and test claims with revenue code 0300 to confirm proper code pairing before the effective date. Update any internal billing procedures or templates that reference outpatient facility revenue code requirements. Failure to include valid CPT/HCPCS codes with revenue code 0300 may result in claim denials or rejection.