The federal government will end the COVID-19 emergency declarations on May 11, 2023. This means starting May 12, 2023, standard health plan provisions will apply with cost shares as applicable for COVID-19 testing, related services and vaccine administration. Read more
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.