Billing Codes January 2020 Revenue Codes: Codes from the Uniform Billing Editor are used to indicate the various services provided during a hospitalization. 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. So what is a 750 and 759?? Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. Category Description 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 … Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part B MAC. Facilities should indicate type of bill (TOB) 13x and include one of the following revenue codes: 370, 371, 372, or 379. 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. For more clarification regarding how and when to use these codes, refer back to the National Uniform Billing Editor. • Revenue Code 761 is acceptable when an exam or relatively minor treatment or procedure is performed. J. Revenue code - In relation to inpatient admissions • Revenue Code 760 is not allowed because it fails to specify the nature of the services. Outpatient anesthesia codes with established fees will continue to process according to their EC. Refer to the current Uniform Billing Editor for appropriate code sets. Outpatient anesthesia services are reimbursed separately from other hospital oupatient services. A revenue code and corresponding HCPCS or CPT code must be compatible. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). The provider enters the appropriate revenue codes to identify specific accommodation and/or ancillary charges. *Asterisked codes are exempt from the outpatient cap. These services can be reported under revenue code 0370 with or without a HCPCS code. Outpatient facility and hospital claims may be denied when received without the corresponding codes associated with the following revenue codes… 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. Dec 15, 2010 #4 Revenue codes for Colonoscopy and EGD It does help, thanx. It must enter the appropriate numeric revenue code on the adjacent line in FL 42 to explain each charge in FL 47. Messages 184 Location Honolulu Best answers 0. applicable HCPCS codes in the 29000 series. Additionally, there is no fixed "Total" line in the charge area. Providers are encouraged to refer to the FISS revenue code file for allowable bill types. 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. 1, 2010 and after. 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. F. fredcpc Guru. The provider must enter revenue code 0001 instead in FL 42. Please note that not all revenue codes apply to every type of bill code. 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