Revenue code list 2016

Jurisdiction E - Medicare Part A. This is the same line on which non-covered charges, in FL 4 if any, are summed. To assist in bill review, the provider must list revenue codes in ascending numeric sequence. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). Injections: Code List. All Cigna products and services are provided exclusively by or through operating subsidiaries of.

Place “61” in the first value code field locator and the CBSA code in the dollar amount column followed by two zeros. Federal Information Processing Standards (FIPS) State and County Code for what county the services were provided. FIPS codes are required on all 32X TOB.

This section contains a comprehensive list of Medi-Cal reimbursable injection codes. If your business has more than one activity, use the code that most closely describes your main business activity. For example, you might operate a bookstore in which you sell postage stamps. This page provides downloadable files for the current release point.

Titles in bold have been changed since the last release point. A medical claim will not be paid if this is missing from a bill. SECTION REVENUE CODES – OUTPATIENT HOSPITAL FACILITY Only the revenue codes listed below are recognized on the outpatient hospital claim as facility revenue codes. Appendix C - Ambulatory Surgery Fee Schedule. For non-DRG reimbursed hospitals, revenue code 1has multiple uses.

Revenue codes go along with procedure codes. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. United States may have more current or accurate information.

In compliance with Anthem Behavioral Health policy, the following revenue codes must. ICD-codes may be submitted as appeals. Anthem Blue Cross and Blue Shield’s behavioral health plans.

Reimbursement is based on your institutional contract with Anthem and member benefit. Each code must be accompanied by an amount. All codes are two alphanumeric digits.

To limit the number of line items on each bill, it should sum revenue codes at the zero level to the extent possible. Chapter Procedures regarding assessment tax. Facility services directly related to the services provided as part of the emergency room care.

Use this page to navigate to all sections within Title 26. Expand sections by using the arrow icons. The revenue codes with descriptions accepted by Blue Cross from participating home health agencies listed in this manual. Upper intestinal endoscopy is performed with a lighte flexible, fiberoptic instrument passed through the cricopharynx. The patient receives conscious sedation.

A topical anesthetic is sometimes applied to the posterior pharynx. The first column on this list has the HCPCS codes that require an NDC for providers submitting outpatient prospective payment system (OPPS) claims. The second column has the HCPCS codes that require an NDC for all other providers, not the OPPS providers. Claims submitted without all three will be denied.

At this time, only EAPC claims require a revenue code.