US · guidance
CMS Pub. 100-04, ch. 5, § 40.4
Edit Requirements for Revenue Codes
Medicare contractors edit to assure the presence of a HCPCS code when revenue codes
0420, 0430, 0440, or 0470 are reported. However, Medicare contractors do not edit the
matching of revenue code to certain HCPCS codes or edit to limit provider reporting to
only those HCPCS listed in section 20.
History
(Rev. 1921, Issued: 02-19-10, Effective: 04-01-10, Implementation: 04-05-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
25af9eaffd1299a1a79f173110150a3ea82dc23cc44c60470e7419f7199c141c
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