Guidelines

What are revenue codes CMS?

What are revenue codes CMS?

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.

What is revenue Code 360 used for?

Use revenue code 360 for operating room services for hospital-based ASCs. Entering specific revenue codes other than 360 will delay processing but will not affect payment.

What are the surgical revenue codes?

0150 – General.

  • 0151 – Medical/Surgical/GYN.
  • 0152 – OB.
  • 0153 – Pediatric.
  • 0154 – Psychiatric.
  • 0155 – Hospice.
  • 0156 – Detoxification.
  • 0157 – Oncology.
  • What is the revenue code for durable medical equipment?

    UB04 Revenue Codes 0290 in section: 029X – Durable Medical Equipment (DME) (Other Than Rental)

    What are the Revenue Codes for medical treatment?

    Revenue Codes Revenue Code Description: 0240: All inclusive ancillary, general: 0260: Intravenous (IV) therapy: 0261: Intravenous (IV) therapy, infusion pump: 0262: Intravenous (IV) therapy, pharmacy services: 0263: Intravenous (IV) therapeutic drug, supply and delivery: 0264: Intravenous (IV) therapy, supplies: 0269: Intravenous (IV) therapy, 0274

    What are the Revenue Codes for home health?

    Revenue Codes 1 -0021 Reserved 2 – Skilled Nursing Facility (SNF) PPS 3 – Home Health PPS 4 – Inpatient Rehabilitation Facility (IRF) PPS 5 -0029 – Reserved

    Where are the Revenue Codes located on Medicare?

    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.

    Which is an example of a Revenue Code?

    Examples of Revenue Codes- 1) – 0450- Emergency Room Service 2) – 0290- Durable medical equipment Revenue codes in medical billing used in hospital billing or institutional claim and used on UB-04 only.