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Medicaid Expansion Revenue Codes 025x & 063x Policy - Revised

This is a provider notification revision that Blue Cross Blue Shield of North Dakota (BCBSND) has revised the new policy that lays out the requirements for Medicaid Expansion providers when billing revenue code 025x & 063x on the outpatient institutional UB-04 claim form. The policy can be reviewed at Revenue Codes 025X and 063x | BCBSND with the effective date of October 1, 2022. Our original article indicated revenue code 0250 and it should have been revenue codes 025X.

For questions, contact our Medicaid Expansion Customer Service Center at 1-833-777-5779.