Revenue Code Billing Guidelines

Behavioral health specific billing guidelines the following information is intended to assist you when billing behavioral health.

Revenue code billing guidelines. 0022 skilled nursing facility snf pps. This policy outlines the level of care for newborns and crosswalks them to appropriate revenue codes for billing purposes. Ub 04 revenue code requirements for behavioral health services. Updated guidance on other implant revenue code 0278 effective july 1 2020.

0024 inpatient rehabilitation facility irf pps. If multiple cpt or hcpcs are necessary to reflect multiple distinct or independent visits with the same revenue code repeat the revenue code as required. Refer to section 3 6 revenue codes 681 682 and 683 will be covered effective for dates of service on or after 7 1 2018. Welcome to the newly redesigned website of the national uniform billing committee.

In compliance with anthem behavioral health policy the following revenue codes must be used when submitting claims for behavioral health services billed on ub 04 claim forms for members of anthem blue cross and blue shield s behavioral health plans. 20 5 hcpcs revenue code chart 20 5 1 appropriate revenue codes to report medical devices that have been granted pass through status 20 5 1 1 packaged revenue codes 20 5 1 2 clarification regarding revenue codes 0274 and 0290 20 5 1 3 clarification of hcpcs code to revenue code reporting 20 5 2 hcpcs revenue code edits. To limit the number of line items on each bill it should sum revenue codes at the zero level to the extent possible. Use of revenue code 0910 to report certain psychiatric psychological treatment and services was discontinued by the national uniform billing committee on 10 15 03.

Cms has allowed for revenue code 0910 to be used until 10 04 04 when necessary systems changes can be implemented. In order to facilitate the payment of claims the level of care assigned should be the least intensive that is appropriate for the delivery of services consistent with the actual intensity of services and clinical care. A revenue code must be assigned for each line item. Reimbursement guidelines per nubc outpatient ub 04 claims must be billed with both a revenue code and a cpt or hcpcs code.

Reserved for internal payer use. To assist in bill review the provider must list revenue codes in ascending numeric sequence and not repeat on the same bill to the extent possible. Updated guidance on other implant revenue code 0278 nubc announcement for covid 19 claims. Health insurance prospective payment system hipps 0020 0021 reserved.