Revenue Code Outpatient Hospital
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Use code 0513 in conjunction with the following revenue codes.
Revenue code outpatient hospital. Revenue code description. There are 81 fields on the ub 04 and the revenue codes are located by field 42 49 fl42 49. Revenue codes and procedure code combinations that are submitted on outpatient claims should reflect the services that were. Observation is not reported under this code.
Reserved for internal payer use. Use code 0513 in conjunction with the following revenue codes. 0510 general classification 0513 psychiatric clinic note. All electronic claims submitted by an outpatient facility provider or hospital must include a supporting hcpcs or cpt code with a revenue code unless otherwise specified in the provider contract.
Non surgical 0510 outpatient clinical. Billing requirements for outpatient hospital revenue codes policy page 2 of 2 065x. 0510 general classification 0513 psychiatric clinic note. Revenue codes and procedure code combinations that are submitted on electronic outpatient claims should reflect the services that were provided to the patient on that date of service.
Medica is a registered service mark of medica health plans. 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. Do not list both a facility code and a cpt hcpcs code. Facility code description revenue code outpatient clinical.
It is reported under revenue code 0762. The revenue codes were developed for the medicare system but were soon adopted as standard for hospitals. Psych services other. Health insurance prospective payment system hipps 0020 0021 reserved.
Medica refers to the family of health plan. 051x clinic charges for scheduled non emergency outpatient clinic visits for the purpose of providing diagnostic preventative curative and rehabilitative services. All electronic claims submitted by an outpatient facility provider or hospital must include a supporting hcpcs or cpt code with a revenue code. A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider.
Revenue codes outpatient hospital facility only the revenue codes listed below are recognized on the outpatient hospital claim as facility revenue codes.
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