US · guidance
CMS Pub. 100-04, ch. 32, § 410.3
Institutional Claims Bill Type and Revenue Coding Information
Effective for claims with DOS on or after January 21, 2020, contractors shall recognize acupuncture for cLBP services
reported on institutional claims on types of bill (TOBs) 12X, 13X, 71X, 77X, and 85X (and revenue codes not equal to
096X, 097X, and 098X for CAH Method I).
Effective for claims with DOS on or after January 21, 2020, contractors shall recognize acupuncture for cLBP services
reported with Revenue Code 0940 on institutional claims.
Effective for claims with DOS on or after January 21, 2020, contractors shall recognize acupuncture for cLBP services
reported on institutional claims on TOB 12X, 71X, 77X 85X CAH Method II with revenue codes 096X, 097X, and
098X.
History
(Rev. 10337, Issued: 08-027-20, Effective: 01-21-20, Implementation: 06-24 - 20 - A/B MACs; 10-05-20-SSM Edits; 01- 04-21 - BR 13 CWF only)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
df4d00b01f093b9ce29849acf275c7e1022a7a258649e9fd6892e8bea1e556a2
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