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Updated Claims Information for Freestanding Substance Use Disorder Facilities

CareFirst BlueCross BlueShield·Psychiatry·Provider News
Effective date
Jul 16, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Freestanding inpatient substance use disorder facilities must now use bill type 86X for all inpatient services claims submitted to CareFirst. The previous instruction to use bill type 89X was incorrect and has been corrected.

Action Required

Action needed
Immediately: Billing teams at freestanding substance use disorder facilities must update billing systems to use bill type 86X for all inpatient detoxification, rehabilitation, and residential treatment claims submitted to CareFirst. Stop using bill type 89X immediately. Claims submitted with incorrect bill type will be rejected and must be resubmitted with 86X.