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Susan Posted Wed 19th of March, 2014 14:17:09 PM

how are valid revenue codes assigned to cpt codes?

SuperCoder Answered Wed 19th of March, 2014 20:02:30 PM

Outpatient UB-04 claims must be billed with both a revenue code and a CPT or HCPCS code. A revenue code must be assigned (Form Locator [FL] 42) for each line item. If multiple CPT or HCPCS are necessary to reflect multiple, distinct, or independent visits with the same revenue code, repeat the revenue code as required.
Absence of a CPT or HCPCS code for any revenue code not listed on the policy may affect claim payment or result in a claim denial. When required, CPT and HCPCS codes are assigned in FL 44.

Revenue code Description
0250–02593 Pharmacy
0270–0273, 0275–0279 M&S supplies and device
0370–0379 Anesthesia
0620–0622 Supplies
0710, 0719 Recovery room

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