What is Revenue Code 274?
Revenue Code 274 – Prosthetic/orthotic devices.
What is Procedure Code 305?
ICD-9 code 305 for Nondependent abuse of drugs is a medical classification as listed by WHO under the range -NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316).
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 Revenue Code 250?
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 120?
Description. 120. Room and board. 121. Medical/Surgical/Gyn.
What is a 450 Revenue Code?
Service Code Payment Status. 450. Emergency room: general classification. Use appropriate CPT/HCPCS codes that describe the services rendered when applicable. (e.g. 99285)
What is Revenue Code 361?
If the patient is treated in a treatment room, use revenue code 761. Finally, if the patient was seen in a minor surgical room, use revenue code 361.
What is Revenue Code 200?
Small hospitals may bill revenue code 200 to represent either medical ICU (202) or surgical ICU (201) but code 200 may not be used to represent codes 203 thru 209.
Are revenue codes on professional claims?
Revenue codes represent services provided by the hospital such as room/board, equipment, supplies and other services. Professional services would be billed separately.
What is Revenue Code 150?
UB04 Revenue Codes 0150 in section: 015X – Room & Board – Ward (Medical or General)
What is the fourth digit in the Revenue Code?
4 Type of Bill Required This field is for reporting the type of bill for the purposes of third-party processing of the claim such as inpatient or outpatient. The first digit is a leading zero. The fourth digit defines the frequency of the bill for processional claims.
What is a 121 bill type?
These services are billed under Type of Bill, 121 – hospital Inpatient Part B. A no-pay Part A claim should be submitted for the entire stay with the following information: A remark stating that the patient did not meet inpatient criteria.
What is a 711 bill type?
The Bill type is officially a four-digit field, but historically users have known it as a three-digit field, hence the usage of the bill type ‘711’. If however you print a UB-04 for a claim with a 711 bill type (a new claim), you will see it prints 0711 in the top right bill type field.
What is the bill type for CAH outpatient visits?
Outpatient services are billed on a TOB 85X. Professional fees are billed with revenue codes 096X, 097X, or 098X with the appropriate Healthcare Common Procedure Coding System codes and charges.
What is TOB 71x?
Rural Health Clinics (TOB 71x) and Federally Qualified Health Centers (TOB 77x) Ensure there is a valid qualifying visit/encounter visit billed on the appropriate revenue code. Additional FQHC information is available in the FQHC (Federally Qualified Health Centers) Center.
What is Method II billing?
Method II (Optional Method) Overview Method II allows the CAH to receive cost-based payment for facility services, plus 115% of fee schedule payment for professional services. For facility services, payment will be the same as indicated under Method I. Professional services are billed to and reimbursed by the MAC.
How does Medicare reimburse CAH?
Medicare pays CAH DPU psychiatric services under the Inpatient Psychiatric Facility PPS. Medicare pays CAH swing-bed patient bills under (Section 1862(a)(14) of the Act) and in the regulations at 42 CFR § 411.15(m). Instead, Medicare pays CAHs based on 101 percent of reasonable swing-bed services.
Can a CAH have an ICU?
Most CAHs admit patients to the ICU daily or weekly, primarily treating cardiac, respiratory, gastrointestinal, endocrine, and drug- or alcohol-related conditions.
What is the 96 hour rule?
In order for a Critical Access Hospital (CAH) to receive payment under Medicare Part A, Medicare currently requires physicians to certify that patients will be reasonably discharged or transferred to another hospital within 96 hours.