CommercialBilling CodesMedium impact
[Ohio] Reimbursement policy update: Outpatient Facility Revenue Code Billing Requirements — Facility
Anthem BCBS·OH·Claims & Billing
Effective date
May 1, 2026
We identified it
May 18, 2026
Summary
Effective May 1, 2026, Anthem Blue Cross and Blue Shield is adding revenue code 0300 (Laboratory – General) to the Related Coding section of the Outpatient Facility Revenue Code Billing Requirements policy for Ohio. Facilities must now report current and valid CPT or HCPCS codes alongside this revenue code in accordance with NUBC guidelines. This is a billing requirement change with no impact on member care or balance billing restrictions.
Action Required
By April 30, 2026: Billing team must update billing system and encounter forms to ensure that revenue code 0300 (Laboratory – General) is submitted with current and valid CPT or HCPCS codes for all outpatient facility laboratory claims. Verify that billing software enforces the requirement for valid CPT/HCPCS codes when reporting this revenue code. Staff should review the full policy at https://anthem.com/provider to understand specific coding requirements. Failure to include valid CPT/HCPCS codes with revenue code 0300 may result in claim denials or rejections.