Revenue Code On A Claim
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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.
Revenue code on a claim. Revenue code description revenue code description 0261 iv therapy. The last digit represents the subcategory examples. The revenue codes were developed for the medicare system but were soon adopted as standard for hospitals. Every line on a facility claim must contain a revenue code.
The provider enters the appropriate revenue codes from the following list to identify specific accommodation and or ancillary charges. The provider enters the appropriate revenue codes to identify specific accommodation and or ancillary charges. Basic billing concept ub 04 ub 04 field 39 42. 020x intensive care unit 0201 intensive care unit surgical.
Four digit numeric code. Fl 42 revenue code required. Prosthetic orthotic devices 065x hospice service. Additionally there is no fixed total line in the charge area.
0022 snf only 0023 hh only 0024 irfs only. Infusion pump 064x home iv therapy services 0274 medical surgical supplies. Acceptable revenue codes for bill type 121. Revenue code description 240 all inclusive ancillary general 260 intravenous iv therapy 261 intravenous iv therapy infusion pump 262 intravenous iv therapy pharmacy services 263 intravenous iv therapeutic drug supply and delivery 264 intravenous iv therapy supplies 269 intravenous iv therapy other 274.
There are 81 fields on the ub 04 and the revenue codes are located by field 42 49 fl42 49. Revenue codes go along with procedure codes. A medical claim will not be paid if this is missing from a bill. It must enter the appropriate numeric revenue code on the adjacent line in fl 42 to explain each charge in fl 47.
Additionally there is no fixed total line in the charge area. Sep 22 2014 on the part a claim by including the occurrence span code m1 and the. Revenue codes requiring cpt hcpcs codes the following revenue codes require a cpt hcpcs code when billed on an outpatient claim. The provider must enter revenue code 0001 instead in fl 42.
For bill type 21x 32x 33x or 11x irf facilities the following revenue codes require a 5 position hipps code.
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