Birthing Centers

Billing and Reimbursement
Policy Number: RP-P-007

Last Updated: Nov. 1, 2021

Birthing centers are to bill on the CMS 1500 using the facility NPI in Box 24J and birthing center name in Box 31. Procedure codes must have the SB modifier. Contracted birthing center facility charges are payable separately from the professional provider’s charge.