Revenue Code Definition In Healthcare

Revenue code 636 relates to hcpcs code so hcpcs is the recommended code to be used in form locator 44.

Revenue code definition in healthcare. Get the definition of revenue code in healthpocket s healthcare glossary. Revenue codes are 3 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. 0023 home health pps. A medical claim will not be paid if this is missing from a bill.

Note that you can t report revenue codes on a cms 1500 form but you can report them on a ub 04. In short revenue codes are descriptions and dollar amounts charged for hospital services provided to a patient. 0022 skilled nursing facility snf pps. Revenue code listing below revenue codes must be filed with appropriate cpt and hcpcs codes for outpatient and ambulatory surgery ub 04 or 837 institutional healthcare claims.

Reserved for internal payer use. Prosthetic orthotic devices 0290. Revenue codes are three digit codes that affect reimbursement and represent the services provided by the asc facility for a payer. 0024 inpatient rehabilitation facility irf pps.

The revenue code tells an insurance company whether the procedure was performed in the emergency room operating room or another department. Or an individual and family health insurance plan we will help you find the right healthcare option and save on your out of pocket healthcare costs. Medical revenue codes are four digit numbers used by medical billers and coders. Payment codes for.

For inpatient services the revenue code identifies the department in which the service was given the types of services provided. Provide utilization review and quality management programs to be consistent with those of their peers in the health care delivery system. The specified units of service to be reported should be in hundreds 100s rounded to the nearest hundred no decimal. Health insurance prospective payment system hipps 0020 0021 reserved.

Revenue codes go along with procedure codes.