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Revenue code cms 1500. Each code must be accompanied by an amount. Instructions and guideline for cms 1500 claim form and ub 04 form. How to bill value and revenue codes in ub 04 a. Revenue code description 0651 routine home care i 0652 continuous home care 0655 inpatient respite care 0656 general inpatient care 0657 physician services.
Update to mammography editing. Home health revenue codes 0420 0430 0424 0421 revenue code description home health care visits 0642 home iv therapy services iv site care central line. Instructions and guideline for cms 1500 claim form and ub 04 form. Use the revenue codes listed below.
The purpose of this change request cr is to modify existing editing to ensure only revenue codes 0401 0403 0520 0521 096 097 or 098 are billed on claims containing.
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