Revenue Code In Hospital Billing
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Revenue code in hospital billing. There are 81 fields on the ub 04 and the revenue codes are located by field 42 49 fl42 49. 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. A medical claim will not be paid if this is missing from a bill. Revenue codes revenue codes are 3 digit medical billing codes used by hospitals to identify for insurers the area of the hospital where the patient was when receiving the procedure or the type of procedure performed.
The revenue code is found in the ub 04 manual for billing hospital claims. Hospital outpatient services billing codes january 2020 revenue codes. The main reason why these codes are requested is because certain types of services can happen in more than one area. A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider.
We therefore see the tremendous role that revenue codes have in the revenue cycle of a hospital. Medical revenue codes are four digit numbers used by medical billers and coders. Health insurance prospective payment system hipps 0020 0021 reserved. Any charge on a bill for medical services must have a medical revenue code attached to each charge.
Codes from the uniform billing editor are used to indicate the various services provided during a hospitalization. Why revenue codes are important. Pathology services must be billed with the appropriate pathology cpt code and the revenue code 031x. All revenue codes should be extended to four digits.
For more clarification regarding how and when to use these codes refer back to the national uniform billing editor. Revenue codes go on hospital bills to show insurance companies either which department of the hospital a procedure occurred or what type of procedure occurred.
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