What is a revenue code on a claim?
What is a revenue code on a claim?
In short, Revenue Codes are descriptions and dollar amounts charged for hospital services provided to a patient. The revenue code tells an insurance company whether the procedure was performed in the emergency room, operating room or another department.
What is revenue code 260 used for?
Intravenous therapy
Administration
| Revenue Code | Description | Code |
|---|---|---|
| 260 | Intravenous therapy: general classification | Q0081-22 |
| 76x | Treatment/observation room |
What is revenue code 0440?
UB04 Revenue Codes 0440 in section: 044X – Speech Therapy.
What is meant by revenue code in medical billing?
A revenue code is used in UB-04 or CMS-1450 to indicate the department or place in which a procedure or treatment is performed—an emergency room, operating room, or some other department. This helps the insurance companies to identify the type, place, and supplies used for a procedure while making the payment.
What is revenue code in US healthcare?
What is revenue code 250 used for?
Pharmacy
| Revenue Code | Description |
|---|---|
| 250 | Pharmacy |
| 251 | Generic drug |
| 252 | Non-generic drug |
| 255 | Drugs incident to radiology |
What is revenue code 0932?
0932 in section: 093X – Medical Rehabilitation Day Program.
What is revenue code 0500?
0500 in section: 050X – Outpatient Services.
What Revenue Codes are available in field 44 of the UB-04?
The following chart identifies revenue codes that require a specific CPT/HCPCS code in field 44 of the UB-04. 0300 – 0309 Laboratory – Clinical Diagnostic Code for lab procedure performed 0310 – 0319 Laboratory – Pathology Code for pathology procedure performed 0320 – 0329 Radiology – Diagnostic Code for radiology procedure performed
Which Revenue Code is entered last in FL 42?
Instead, revenue code “0001” is always entered last in FL 42. Thus, the adjacent charge entry in FL 47 is the sum of charges billed. This is also the same line on which noncovered charges, if any, in FL 48 are summed.
What is the Revenue Code for cardiac catheterization?
• Revenue Code 769 is only to be used when a highly intensive outpatient procedure is performed (i.e., cardiac catheterization, pacemaker procedures, etc.) and an ICU/CCU level of post procedure treatment and observation is necessary and appropriate. The diagnosis code should indicate the need for this level of care.
What is the Revenue Code for adjacent charges in FL 47?
The provider must enter revenue code 0001 instead in FL 42. Thus, the adjacent charges entry in FL 47 is the sum of charges billed. This is the same line on which non-covered charges, in FL 48, if any, are summed.
