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US · guidance

CMS Pub. 100-04, ch. 4, § 90

Discontinuation of Value Code 05 Reporting

activein force · 2026-08-25 – presentas-observed

Value code 05, “Professional Component Included in Charges and Also Billed Separately

to Carrier,” was discontinued with the implementation of OPPS, including claims for

Critical Access Hospitals and other hospitals not subject to OPPS.

History

(Rev. 1777; Issued: 07-24-09; Effective Date: 01-01-08; Implementation Date: 01- 04-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
6273f538aadcbbf8eb36e58b9064105ba8a8b270dcb3eb8b6d9093fdbd1430b2
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