13.11.2026
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Posted by Provider Relations
Accurate billing of Neonatal Intensive Care Unit (NICU) services helps support timely and appropriate claim processing. Fidelis Care encourages facility providers to review key billing, coding, and documentation requirements when submitting inpatient claims for NICU services.
NICU room and board services should be reported using the appropriate revenue code:
- 0172: Nursery-Newborn Level II
- 0173: Nursery-Newborn Level III
- 0174: Nursery-Newborn Level IV
Providers should maintain documentation that supports the services billed and reimbursement requested, including applicable claim information, itemized billing records, revenue code information, facility billing records, and contracted or negotiated reimbursement information.
For additional information, providers can review the NICU Level of Care Payment Policy (CC.PP.083).