Facilities report separately payable HCPCS codes under revenue code 636 (drugs with detailed coding) to ensure that they receive reimbursement. CMS uses HCPCS-coded drugs to establish the percentage of payment added to the average sales price to cover pharmacy overhead and expenses.
What are medical revenue codes?
Revenue codes are 4-digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment, or what type of item a patient might have received as a patient. A medical claim will not be paid if this is missing from a bill.
What Revenue Code indicates an ER visit?
Claims in the Outpatient and Inpatient files are identified via Revenue Center Code values of 0450-0459 (Emergency room) or 0981 (Professional fees-Emergency room).
What is the revenue code for minor surgery?
Operating Room Services
Organ transplant – other than kidney
Other OR services
What is revenue Code 258?
If the pharmacy is purchasing the fluids, then the cost is being allocated to the pharmacy and you should report revenue code 250 or 258 (pharmacy IV solutions). The revenue code maps to a department in the general ledger, which then maps to the cost report.
What is Revenue Code 258?
What is revenue Code 253?
Revenue codes for dental services 512 (Use when providing dental services as part of an outpatient visit.) Note: Revenue code 253 is exempt from recipient copayment on crossover claims. Revenue code 450 is exempt from copayment for outpatient services.
revenue codes to meet the needs of small hospitals – those with limited bed capacity in ICU or CCU. Small hospitals may bill revenue code 200 to represent either medical ICU (202) or surgical ICU (201) but code 200 may not be used to represent codes 203 thru 209. Small hospitals may bill
Which is Revenue Code does not present Revenue Code?
not present Revenue Code Description 240 All inclusive ancillary, general 260 Intravenous (IV) therapy 261 Intravenous (IV) therapy, infusion pump 262 Intravenous (IV) therapy, pharmacy servi
What kind of Revenue Code does HCPCS stand for?
not present Revenue Code Description 263 Intravenous (IV) therapeutic drug, suppl 264 Intravenous (IV) therapy, supplies 269 Intravenous (IV) therapy, other 274 Medical/surgical supplies and devices, .