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.”
This purpose of this Change Request is to implement into the data set the newly created condition code “KX” to allow providers to report when documentation is on file to support that requirements specified in the medical policy have been met and value code “92” to allow providers to report invoice cost when required by federal regulation.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 11, 2024
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