When To Use Revenue Code 636
We report others under revenue code 636 drugs with detailed coding.
When to use revenue code 636. Aarp health insurance plans pdf download medicare replacement pdf download aarp medicarerx plans united healthcare pdf download. Hcpcs code q4116 is used both as an applied skin substitute and as an implanted biologic used in breast reconstruction and these procedures are reported with two different. However r761otn pdf 16mb cms. Diagnosis codes 632 634 00 634 92 635 00 635 92 636 636 92 and 639 639 9 must.
Revenue code cms. Cabinet for health and family services apr 3 2009 billed with revenue codes 250 259 and 634 636. We therefore see the tremendous role that revenue codes have in the revenue cycle of a hospital. 636 pharmacy 025x extension drugs requiring detailed coding 650 hospice 651 hospice routine home care 652 hospice continuous home care 656 hospice general inpatient care non respite.
Facilities report separately payable hcpcs codes under revenue code 636 drugs with detailed coding to ensure that they receive reimbursement. Revenue code 250 does not require hcpcs coding. Outpatient reimbursement revenue codes 250 270 636 with revenue center codes 025x and or 0636 with a valid hcpcs j provider letter kentucky. Renal dialysis clinics will continue to bill hcpcs codes with revenue code 636.
Revenue code 250 vs 636. Reporting of this revenue code is required for hospital outpatient departments community mental health this change is effective for claims submitted on or after the effective. A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider. What is the difference and should we use revenue code 636 to report all drugs with hcpcs codes.
Hcpcs code q4116 alloderm per square centimeter may be billed with either revenue code 0278 other implants or revenue code 0636 drugs requiring detailed coding. February 21 2019 admin leave a comment. Some of our drug charges with hcpcs j codes are rolled into revenue code 250 pharmacy on the claim. Be directed to the agency s pharmacy and clinical services administration unit by revenue code 250 or 636 with one of the following j.
Revenue code 636 description.