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The revenue code is found in the ub 04 manual for billing hospital claims.
Revenue code health insurance. A medical claim will not be paid if this is missing from a bill. Revenue code listing below revenue codes must be filed with appropriate cpt and hcpcs codes for outpatient and ambulatory surgery ub 04 or. Behavioral health treatment services. 4 revenue codes added to edit i 359 in july 2015.
This revenue procedure provides guidance that a taxpayer may use to compute the deduction under 162 of the internal revenue code for health insurance costs for self employed individuals and the premium tax credit allowed under 36b. Medical revenue codes are four digit numbers used by medical billers and coders. The revenue code tells an insurance company whether the procedure was performed in the emergency room operating room or another department. The revenue code 270 is a generic catch all code that just means supplies many insurance companies won t pay for general supplies so this basically means the hospital is capturing the amount of costs associated with the supply but most probably isn t getting any money for it.
Behavioral health treatment services. 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. Any charge on a bill for medical services must have a medical revenue code attached to each charge. Revenue codes go along with procedure codes.
Information given by revenue codes. In short revenue codes are descriptions and dollar amounts charged for hospital services provided to a patient. Behavioral health treatment services. Insurance companies use these codes to determine which procedures will be covered by insurance and which will not.
Background 01 under 162 l a taxpayer who is an employee within the meaning of.
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