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Recommended Bill Types*: 86X; 11X Recommended Revenue Codes: 1002; 0902
Note: some specific clearinghouses used by providers have additional edits on certain Bill Type / Revenue Code combinations and providers should work with their clearinghouse or billing vendors to ensure that any editing that prevents this combination is bypassed for successful submission to the plan.
*Providers are required to ensure they are billing distinctly and accurately for the range of services covered in their unique contract and work with their clearinghouse and/or billing vendor to adhere to established UB-04 coding guidelines.