Rev Code 636 Description

Then when you assign responsibility at the charge code level in the claim dictionary you could assign it to the patient.

Rev code 636 description. Facilities report separately payable hcpcs codes under revenue code 636 drugs with detailed coding to ensure that they receive reimbursement. Some revenue codes require a procedure code for all outpatient hospital. This means that an item could have either revenue code 250 or 637 assigned in the charge description master. Administration unit by revenue code 250 or 636 with one of the following j codes.

Aarp health insurance plans pdf download medicare replacement pdf download aarp medicarerx plans united healthcare pdf download. We therefore see the tremendous role that revenue codes have in the revenue cycle of a hospital. Major revenue code list revenue codes major category description x indicates that a hcpcs or cpt code is required for outpatient ub 04 claims 0001 total charge 0020 0024 health insurance prospective payment system hipps 0010 0239 room and board 0240 0249 all inclusive ancillary x 0250 pharmacy general classification. Mar 7 2008 submission of national drug codes ndcs on claims submitted with certain examples of how unit of measure qualifiers relate to ndc dose volume.

There are 81 fields on the ub 04 and the revenue codes are located by field 42 49 fl42 49. February 21 2019 admin leave a comment. Revenue code list cpt hcpcs for providers effective march 15. Each provider should evaluate their individual system s capability.

Health insurance prospective payment system hipps 0020 0021 reserved. Cms notes in the 2010 opps final rule that hcpcs codes reported under revenue code 250 are lost during claims processing procedures and therefore not available for rate setting consideration under opps. 636 pharmacy 025x extension drugs requiring detailed coding 650 hospice 651 hospice. A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider.

0636 revenue code 636 relates to the hcpcs code for drugs requiring part 3 claims process cms. Revenue code 636 description. Billing procedures regarding national drug code ndc medicaidprovider mt gov.