CommercialBilling CodesMedium impact
[New York] Reimbursement policy update: Outpatient Facility Revenue Code Billing Requirements — Facility
Anthem BCBS·NY·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 New York. 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 recognize revenue code 0300 (Laboratory – General) as a valid outpatient facility code requiring associated CPT or HCPCS codes per NUBC guidelines. Review current laboratory billing workflows to ensure all lab claims submitted on or after May 1, 2026 include valid CPT/HCPCS codes paired with revenue code 0300. Verify billing software enforces this requirement. Failure to include valid codes will result in claim denials or rejections.