Revenue Code For Emergency Room
If revenue code 761 is used for an outpatient bill type a cpt code describing the treatment or procedure must be also present.
Revenue code for emergency room. 0989 private duty nurse. 0975 operating room. 0977 physical therapy. Outpatient services billed on a paper ub04 or electronic 837i version 5010 will only be reimbursed when submitted.
Per cpt definition the codes 99281 99285 are for reporting evaluation and management services in the emergency department. Professional fees extension of 096x and 097x 0981 emergency room. Refer to the. Claims in the medpar file are identified via the emergency room charge amount field when the amount is 0.
99285 er all inclusive payment. Use appropriate cpt hcpcs codes that describe the services rendered when applicable. A revenue code and corresponding hcpcs or cpt code must be compatible. 0978 occupational therapy.
Revenue code 761 is acceptable when an exam or relatively minor treatment or procedure is performed. 0450 emergency room general 0451 emergency room emergency medical treatment and active labor act emtala 0452 emergency room er beyond emtala screening. 0982 outpatient services. However in this instance since there are two ed e m visits to the same revenue center 45x condition code g0 zero must be reported in form locator 24 or the corresponding electronic version of the ub92.
Use appropriate cpt hcpcs codes that describe the services rendered when applicable. Claims in the outpatient and inpatient files are identified via revenue center code values of 0450 0459 emergency room or 0981 professional fees emergency room. Revenue code for emergency room asc and dialysis billing on ub04 outpatient services will be reimbursed on a fee for service basis unless otherwise specified. 0979 speech pathology.
In this case revenue code 450 is the only code that could be used for this cpt code thus making this one easy to code. 0976 respiratory therapy. An easy example to use here would be to match up cpt code 99282 which is for an emergency room visit of low to moderate severity and revenue code 450 which stands for emergency room.