R12947OTN

Transmittal #
R12947OTN
Issue Date
2024-11-05
Subject

Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “Documentation on file. Requirements specified in the medical policy have been met.” and Implementation of a New NUBC Value Code “92”, “Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.”

Implementation Date
2025-04-07
CR #
13803
Provider Education
MLN Connects® Newsletter Message
Provider Education Release Date
2024-10-17
Publication #
100-20
Transmittal Year
2024

MLN Connects® Newsletter Message

National Uniform Billing Committee: New Codes Effective July 1

See the instruction to your Medicare Administrative Contractor (PDF) for information on new codes effective July 1, 2025:

  • Condition code KX (documentation on file): Requirements specified in the medical policy are met
  • Value code 92 (invoice cost of drug or biologic): Revenue category 0636 is required

Downloads