EVV Service Codes

The EVV Service Bill Codes table below provides billing codes for EVV-relevant services in Long-Term Care, Acute Care, and Managed Care programs. The table identifies billing codes that are currently in use and those codes with changes effective Sept. 1, 2019 for STAR+PLUS services, see the table column ‘Procedure Effective Begin Date’.

Program providers must use the correct Healthcare Common Procedure Coding System (HCPCS) code and modifier combinations listed in the EVV Service Bill Codes table to prevent EVV visit transaction rejections and EVV claim match denials.

The EVV Service Bill Codes table has been provided in a Microsoft Excel format and an Adobe Acrobat PDF format.  The notification describing the STAR+PLUS bill code changes effective Sept. 1, 2019 is also listed below.