Nicole Posted Tue 27th of November, 2012 03:39:49 AM
We are a critical access hospital and our CRNA performed an emergency intubation in the emergency department. We had charges a fee of 6 base units and it was under rev code 0964. Medicare denied it and returned to provider asking for a different rev code. What revenue code should be used for the cpt 31500?
SuperCoder Answered Tue 27th of November, 2012 06:29:35 AM
Ideally "041X - Respiratory Services" should be the revenue code.
Choose the 4th digit based on service provided:
0410 Respiratory services-general classification
0412 Respiratory services-inhalation services
0413 Respiratory services-hyperbaric oxygen therapy
0419 Respiratory services-other
The code 31500 has 4 types of rev. codes but other than 041X, rest does not seem appropriate for "emergency intubation".
041X Respiratory Services
042X Physical Therapy
043X Occupational Therapy
046X Pulmonary Function
Nicole Posted Tue 27th of November, 2012 15:25:13 PM
However respiratory is NOT providing these services. Our CRNA who is an employee of the hospital is performing the intubation and we are charging the base units for this service. So could not use rev code for respiratory
Nicole Posted Sat 23rd of March, 2013 22:23:37 PM
I do not feel this question was completely or correctly answered. I had asked what rev code to use for when our CRNA performs the emergency intubation in the ER or ICU. This would be a profee for our CRNA. THis is not being done by the respiratory department. Could you please provide a better answer as this is still an issue we are having.