CommercialBilling CodesMedium impact
Policy Revised on Revenue Codes Requiring Supporting Codes for Outpatient Facility Claims, Effective April 14, 2025
BCBS Texas·TX·General
Effective date
Apr 14, 2025
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas is revising Clinical Payment and Coding Policy CPCP018, which governs which revenue codes require supporting CPT, HCPCS, and/or NDC codes for outpatient facility claims. The revision includes updates to bill types, affecting how outpatient facilities must submit claims with proper supporting codes.
Action Required
Before April 14, 2025: Billing team must review the revised CPCP018 policy to understand updated bill type requirements for outpatient facility claims. Update billing software and procedures to ensure proper CPT, HCPCS, and NDC codes are included with revenue codes as required by the new policy. Train staff on changes to prevent claim denials.