*Asterisked codes are exempt from the outpatient cap. Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. A revenue code and corresponding HCPCS or CPT code must be compatible. X 3468.1b The standard system edit shall also check that if one of the “Q” codes is billed that it must be billed with revenue code 270. The provider must enter revenue code 0001 instead in FL 42. J. This page contains billing and coding information including HIPPS codes, HHPPS Grouper Software and Documentation, HHPPS Pricer files and User manual, DMEPOS Codes that can be billed separately during an HH episode of care and HH Consolidated Billing Master Code list. It must enter the appropriate numeric revenue code on the adjacent line in FL 42 to explain each charge in FL 47. So what is a 750 and 759?? Dec 15, 2010 #4 Revenue codes for Colonoscopy and EGD It does help, thanx. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). Additionally, there is no fixed "Total" line in the charge area. These services can be reported under revenue code 0370 with or without a HCPCS code. • Revenue Code 761 is acceptable when an exam or relatively minor treatment or procedure is performed. Category Description Please note that not all revenue codes apply to every type of bill code. For more clarification regarding how and when to use these codes, refer back to the National Uniform Billing Editor. Providers are encouraged to refer to the FISS revenue code file for allowable bill types. Outpatient anesthesia services are reimbursed separately from other hospital oupatient services. Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part B MAC. Outpatient anesthesia codes with established fees will continue to process according to their EC. In this case, revenue code 450 is the only code that could be used for this CPT code, thus making this one easy to code. applicable HCPCS codes in the 29000 series. Outpatient facility and hospital claims may be denied when received without the corresponding codes associated with the following revenue codes… F. fredcpc Guru. A more complex example to use would be something like CPT 12001, which is a simple laceration repair of a wound on the scalp, trunk of … Facilities should indicate type of bill (TOB) 13x and include one of the following revenue codes: 370, 371, 372, or 379. 1, 2010 and after. fluoro has a different revenue code and so does anesthesia or conscious sedation services, but for the codes you listed -- each one is rev code 490 hope this helps . The following revenue codes require a CPT/HCPCS code when billed on an outpatient claim. Section 3: Revenue Codes – Inpatient updated 07/25/11 Section 4: Inpatient Hospital Certification Reviews updated 11/28/12 Section 5: UB–04 Claim Filing … Revenue code - In relation to inpatient admissions • Revenue Code 760 is not allowed because it fails to specify the nature of the services. Messages 184 Location Honolulu Best answers 0. The provider enters the appropriate revenue codes to identify specific accommodation and/or ancillary charges. X 3468.1a The standard system shall allow revenue code 270 only after 07/01/01 with specific HCPCS, standard system edit shall also not allow 270 prior to 07/01/01. Billing Codes January 2020 Revenue Codes: Codes from the Uniform Billing Editor are used to indicate the various services provided during a hospitalization. Refer to the current Uniform Billing Editor for appropriate code sets. Can be reported under revenue code 636 relates to HCPCS rev code 370 continue to according! 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