What are hospital revenue codes?
Revenue codes are 4-digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment, or what type of item a patient might have received as a patient. A medical claim will not be paid if this is missing from a bill.
Does Revenue Code 450 require HCPCS?
Programming logic is in place to deny claims billed with these multiple codes. One revenue code 450 or 459 (as appropriate) should be billed and should be accompanied by the correct, appropriate procedure code 99281-99285. Other procedure/HCPCS codes are inappropriate.
What is a 450 Revenue Code?
Payment Status 450. Emergency room: general classification. Use appropriate CPT/HCPCS codes that describe the services rendered when applicable. (e.g. 99285) ER All-Inclusive Payment.
What is Revenue Code 0333?
UB04 Revenue Codes 0333 in section: 033X – Radiology ? Therapeutic and/or Chemotherapy Administration.
What is the difference between revenue code and procedure code?
Revenue codes are three-digit codes that affect reimbursement and represent the services provided by the ASC facility for a payer. For every CPT code listed on the UB-04 claim form, the CPT code for procedure(s) performed should be listed with a 490 revenue code for ASC surgical procedures.
What is the revenue code for ICU?
200
Intensive Care
| Revenue Code | Description |
|---|---|
| 200 | ICU |
| 201 | Surgical |
| 202 | Medical |
| 203 | Pediatric |
How are revenue codes assigned?
The National Uniform Billing Committee assigns revenue codes at the national level. These are shown in the UB-92 manual. Some revenue codes, including all codes ending in “9”, are assigned by the state uniform billing committees. These should be translated to the general category ending in zero.
What is the revenue code for inpatient stay?
ANCILLARY REVENUE CODES (022X -099X) 022X Special Charges Charges incurred during an inpatient stay or on a daily basis for certain services.
What is the Revenue Code for intravenous therapy?
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
What is the Revenue Code for a hospital?
Unique 4 Digit Numbers. 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 are the Revenue Codes for outpatient hemodialysis?
Revenue Code Description; 820: Hemodialysis – outpatient or home: 821: Hemodialysis/composite rate or other rate: 822: Home supplies: 823: Home equipment: 824: Maintenance/100%: 825: Support services: 829: Outpatient hemodialysis – other
Where are the Revenue Codes on a Medicare Chargemaster?
There are 81 fields on the UB-04 and the Revenue Codes are located by field 42-49 (FL42-49). The Revenue Codes were developed for the Medicare system but were soon adopted as standard for hospitals. Every item in a hospital’s chargemaster (catalog of all services performed by that hospital) must have one revenue code attached to it.