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NICU/PICU Services Code Conversion Policy Overview

May 7, 2019

Effective for dates of service on or after June 1, 2019, Neonatal and Pediatric Intensive Care Unit (NICU/PICU) services will no longer be billed using HCPCS Level III local codes and will require specified CPT national codes.

Providers submitting claims with dates of service on or after June 1, 2019, must include the appropriate HIPAA-compliant billing codes described in the NICU/PICU Services Code Conversion Crosswalk published in February 2019.

Providers submitting Service Authorization Requests (SARs)/Electronic SARs (eSARs) for NICU/PICU services are encouraged to refer to the NICU/PICU Services Code Conversion: SAR/eSAR Policy Notice.

Provider Resources
Providers should refer to the NICU/PICU Services section of the HIPAA: Code Conversions web page for a complete list of NICU/PICU services resources.