About Us

Back To Claim Processing Edits 

 

Code edit notification

Notification Number: 889

Effective date: 1/24/2010

Notification date: 10/26/2009

Category: Revenue Codes

Topic: Inpatient Nursing Revenue Codes

Providers affected:

  • Physician/Health Care Providers
What is changing?
Inpatient nursing revenue codes 230 – 239 will not be reimbursed in addition to room and board services.
Why is Humana implementing this change?
Humana periodically updates its policies and claims payment systems to be aligned with correct-coding initiatives as well as national benchmarks and industry standards.

Impacted products

  • Select self-funded* products
  • Commercial fully insured products
  • Medicare Advantage HMO products
  • Medicare Advantage PFFS products
  • Medicare Advantage PPO products

Disclaimer

*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.