Revenue Code Private Room
0136 detoxification detox 3 4bed.
Revenue code private room. 011x room board private medical or general ub04 revenue code. 0125 hospice ub04 revenue code. Medical transportthis revenue center code must be used to bill for medical transportation osteopathic services general classification. 0122 ob ub04 revenue code.
0137 oncology oncology 3 4bed. Room and board deluxe private 0140 general. 0131 medical surgical gyn med sur gy 3 4bed. 0119 other ub04 revenue code.
In short revenue codes are descriptions and dollar amounts charged for hospital services provided to a patient. Room board other. Revenue code 769 is only to be used when a highly. Room and board 3 and 4 beds 0130 general.
013x room and board semi private three and four beds 0130 general classification room board 3 4bed. Room board private deluxe 10 1 1989. Private room rate minus semi private room rate equals private room differential e g 500 400 100 no condition code or value code. The revenue code tells an insurance company whether the procedure was performed in the emergency room operating room or another department.
Room and board semi private. 0121 medical surgical gyn ub04 revenue code. 0132 ob ob 3 4bed. 0123 pediatric ub04 revenue code.
11x room and board private medical or general general classification medical surgical gyn ob pediatric page 1 of 14 last updated 10 25 2018. 0134 psychiatric psych 3 4bed. Revenue code description cpt hcpcs code 0300 0309 laboratory clinical diagnostic code for lab. Ub 04 revenue code table.
011x or 11x room board private medical or general. 0120 general classification ub04 revenue code. 0133 pediatric peds 3 4bed. 0124 psychiatric ub04 revenue code.
Revenue code description effective from effective through inpatien t outpatient fqhc rhc dialysis hh pdn rtc hospice nf comments 0010. Paragraph that will be considered in the calculation of the reimbursement is limited to the amount of the filed semi private room rate in effect at the time of service. Room and board private room remarks should reflect. Below is a listing of the private room revenue codes that will require a value code of 01 with average semi private room rate or 02 with 0 00.
Private room o 02 indicating private room only facility with 0 00 when the facility is private room only.