MEMORANDUM TO: All Hospitals FROM: EDS and NH Medicaid DATE: August 2008 SUBJECT: Procedure Codes Required on Outpatient Hospital Claims Please note that effective with dates of service (DOS) beginning September 1, 2008, NH Medicaid will expand the list of revenue codes that require the submission of a corresponding HCPC/CPT code. This requirement is already in place for laboratory and radiology services. The additional revenue codes that will require a corresponding HCPC/CPT code are listed below. The laboratory and radiology revenue codes are also included for your convenience. Revenue Codes Requiring Corresponding Procedure Codes for Outpatient Services Effective September 1, 2008, DOS Any claim submitted with any of the following revenue codes for outpatient services must also contain the corresponding HCPC/CPT code. 260-269 273-277 280-290 300-369 380-620 622-637 681-709 720-729 730-799 820-821 900-989 When Form Locator 42 contains one of the above listed revenue codes: 1. Form Locator 43 should contain the national description of the revenue code as per the NUBC (National Universal Billing Committee), AND 2. Form Locator 44 must contain the appropriate HCPC/CPT code. Beginning September 1, 2008, if claims are submitted for DOS of September 1, 2008 or later, and revenue codes are submitted without the corresponding HCPC/CPT code, claims will not be denied. You will receive an informational Explanation of Benefits (EOB) reminding you of the requirement to include HCPC/CPT codes. Beginning October 1, 2008, claims for DOS of September 1, 2008 or later will be denied if they do not indicate a corresponding HCPC/CPT code for the above revenue codes. If you have any questions regarding this notice, covered codes, or billing for these services, please contact the Communications Unit at: 1-800-423-8303 (NH & VT only) or (603) 224-1747.