Revenue Code 250 Or 636

Hospital claims submitted on the cms 1450 form may be filed using the following suggested codes.

Revenue code 250 or 636. Be directed to the agency s pharmacy and clinical services administration unit by revenue code 250 or 636 with one of the following j. If we take the hcpcs and ndc off and bill under revenue code 250 we get paid. J3490 unclassified medication. Diagnosis codes 632 634 00 634 92 635 00 635 92 636 636 92 and 639 639 9 must.

If so how are you able to use 250 and not report 636 since you have a ndc number. 636 pharmacy 025x extension drugs requiring detailed coding 650 hospice 651 hospice routine home care 652 hospice continuous home care 656 hospice general inpatient care non respite. Many facilities report packaged drugs under revenue code 250 regardless of whether an applicable hcpcs code exists. Another use of the 250 revenue code pertains to billing a medication which has a valid hcpcs or cpt code and ndc.

Revenue code cms. Revenue code list cpt hcpcs for providers effective march 15 2020. This means that an item could have either revenue code 250 or 637 assigned in the charge description master. Reporting of this revenue code is required for hospital outpatient departments community mental health this change is effective for claims submitted on or after the effective.

Each provider should evaluate their individual system s capability. Revenue code 250 vs 636. There has been concern if that is the appropriate thing to do. Facilities report separately payable hcpcs codes under revenue code 636 drugs with detailed coding to ensure that they receive reimbursement.

J7599 immunosupppressive not otherwise classified. Then when you assign responsibility at the charge code level in the claim dictionary you could assign it to the patient. Revenue code 250 does not require hcpcs coding. In this instance the medication must be billed with a revenue code either 250 or 636 along with a valid ndc.

Is anyone billing with revenue code 250 and receiving payment. Specific reasons exist for reporting in this manner.