What does Revenue Code 278 mean?
Any info is helpful from anyone having the same issue. Revenue code 278 is for implanted devices, and it's pretty common for these to have an associated HCPCS code, and there are unlisted codes (e.g. L8699) available for those items that don't have specific code.
Does Rev Code 278 require HCPCS?
Code 278 for other implants. Code 320 for x-rays (rluoroscopy) Code 370 for general anesthesia (bill time as units) Click to see full answer. Also asked, does rev code 278 require Hcpcs? Commercial payers consider both revenue codes 278 and 636 for additional carve-out payments.
What is the difference between revenue code 270 and 272?
Within most revenue code categories there are subcategories that better define what's going on or what was being used. For instance, revenue code 270 is the general code for supplies. But within that category are nine subcategories: 271 - Nonsterile Supply. 272 - Sterile Supply.
Do commercial payers consider Revenue Codes 278 and 636 for carve-out payments?
Commercial payers consider both revenue codes 278 and 636 for additional carve-out payments. RC278 does not require a HCPCS code for CMS, but it is highly recommended to assign HCPCS codes when applicable on outpatient claims.
Does rev code 278 require HCPCS?
RC278 does not require a HCPCS code for CMS, but it is highly recommended to assign HCPCS codes when applicable on outpatient claims.Mar 15, 2019
What is revenue code 272?
According to AccessData.FDA.gov, the FDA does not classify “Catheter, Percutaneous, Cardiac Ablation, For Treatment Of Atrial Flutter” as “implants.” The best practice recommendation is to assign UB-04 revenue code 272 (sterile supply) to these devices.Sep 15, 2017
WHAT IS THE REV code for implants?
0278Instruct your hospitals to report implantable orthotic and prosthetic devices and implantable durable medical equipment (DME) under another revenue code such as 0278 – other implants.
What is Rev code in medical billing?
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 250 used for?
There are several ways revenue code 250 can be used for billing outpatient medications. The first pertains to billing for a covered medication which does not have a valid HCPCS or CPT code. In this instance, revenue code 250 may be billed without a corresponding code.
What is a 270 revenue code?
* Revenue code 270 should be reported only once on the outpatient claim. It is to be reported for medical or surgical supplies or both combined.
Does rev code 250 require a CPT?
Revenue code 250 does not require HCPCS coding. However, drugs that can be self-administered are not covered by Medicare. The professional services listed below when provided in a hospital outpatient department are separately covered and paid as the professional services of physicians and other practitioners.
What is revenue Code 260?
Table 1 – Procedure Codes Linked to Revenue Code 260 – IV Therapy – General.Apr 5, 2022
Does rev code 0710 require HCPCS?
0710 Revenue Code doesn't qualify as an allowable code for outpatient facility claims and will be denied. The following revenue codes when billed under OPPS without HCPCS codes are packaged services for which no separate payment is made.Apr 28, 2019
What is Procedure Code 300?
2012 ICD-9-CM Diagnosis Code 300 : Anxiety, dissociative and somatoform disorders.
Does rev code 636 require HCPCS?
Revenue Code 636 is used. It requires HCPCS. Other inpatient drugs continue to be billed without HCPCS codes under pharmacy. Electronic billers must enter the HCPCS code in field 5 of Record Type 60.
What is revenue code 274?
Revenue Code 274 – Prosthetic/orthotic devices.
What is revenue code 270?
For instance, revenue code 270 is the general code for supplies. But within that category are nine subcategories:
Why does revenue code end in 9?
Every revenue code category has a subcategory that ends in "9" to denote items that don't fit a specific revenue code.
What is the revenue code for observation?
For each 24-hour increment or day of an observation stay in the outpatient setting, a separate line item must be billed under revenue code 762 with the service date on each line. Revenue code 762 for observation requires a CPT or HCPCS code on the line. Claims will be returned if the code is not provided on
What is the CPT code for emergency room?
An easy example to use here would be to match up CPT code 99282, which is for an emergency room visit of low to moderate severity, and revenue code 450, which stands for emergency room. 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.
What is the place of service 22?
The professional services providers (physician/physician extenders) may bill for services using the professional provider number for the clinic location and must use Place of Service 22 (Outpatient Hospital).
What is a hospital revenue code?
Revenue codes are 3-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.
When putting them in a charge master, would you add the correct revenue code to the CPT code you were?
When putting them in a charge master, you would add the correct revenue code to the CPT code you were going to use for a particular department. It's the use of revenue codes which allows hospitals to use the same CPT code in multiple departments because it will show which department the services were provided in.
When a device or implant was obtained by the provider at no cost or a reduced cost, must it be submitted?
When a device or implant was obtained by the provider at no cost or a reduced cost it must be submitted with the appropriate condition code, value code, and modifier.
What is UB04 reimbursement?
This reimbursement policy applies to services reported using the UB04 claim form or its electronic equivalent or its successor form. This policy applies to all products, all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals.
What is coding policy?
For outpatient hospital services, this policy describes the coding guidelines associated with reporting devices, implants, and skin substitutes with their associated procedures. The policy also describes required coding associated with devices or implants obtained by the provider at no cost or at a reduced cost.
