Corporate

February 12, 2019

Update to Value Code 85

Change Request (CR) 10782External PDF, implemented January 7, 2019, requires all Requests for Anticipated Payment (RAPs) and home health claims, Types of Bill (TOBs) 032x, received on or after January 1, 2019, for home health services furnished on or after January 1, 2019, must report value code (VC) 85 and an associated Federal Information Processing Standards (FIPS) State and County Code.

When entering the FIPS State and County Code, the number would be keyed, followed by two zeros. For example, 19153 would be keyed as 1915300 or 19153.00. 

NOTE: If the FIPS State and County Code begins with a zero, do not enter the zero.  Enter the four digits that follow the zero.  For example, 08019 would be keyed as 801900 or 8019.00.

The FIPS State and County Codes may be found at either of the following links:

Note: In addition to VC 85, the Core Based Statistical Area (CBSA) code reported with VC 61 continues to be required on all home health RAPs and claims.

References:
Change Request (CR) 10782External PDF
MLN Matters Number: MM10782External PDF

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