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Old 04-05-2012, 03:32 PM
isjjj1
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Default Revenue Codes

Could someone please help me with regards to Revenue Codes if you happen to work with those? What are they please? I understand CPT codes and the way they are broken down. But how do revenue codes fit into the big picture?

Thank you in advance. And I did spell this out completely, for your convenience. Thank you
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Old 04-05-2012, 03:46 PM
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Do you understand the difference between UB04 and CMS1500 claim forms? Revenue codes are found on UB04s and generally tell you where the service was provided. Beyond that, I rely on lookup tables if I ever have to do research based on revenue codes.
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Old 04-05-2012, 03:57 PM
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Thank you! I believe Ub040 is for hospital claim form, altho not quite certain about CMS1500 (I believe it is for physician). I saw a cross walk revenue code/cost center from CMS, would that be helpful here please?
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Old 04-05-2012, 05:26 PM
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Revenue code is a description of which department within a hospital is billing the claim
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Old 04-05-2012, 05:30 PM
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let's say you were getting MRI at hospital, within a certain dept (say the Radiology Dept). Would you then get a CPT code as well as Revenue code? In contrast, say to getting the MRI outside the hospital, where you would only maybe get the CPT?
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Old 04-05-2012, 06:25 PM
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yeah, the MRI claim would contain CPT code(s) for a radiology service(s) along with the radiology department revenue code. if the MRI occurs at a facility then the claim should contain both the CPT and revenue code. if the MRI is given at a doctors office then no revenue code because no UB claim

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http://www.actexmadriver.com/productdetails.cfm?PC=1696
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Old 04-05-2012, 07:17 PM
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oh wonderful! Thank you! that was awesome, really clarifies this. Thank you!
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