What's a Rev Code?

What's a Rev Code?

Revenue codes are 4-digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment, or what type of item a patient might have received as a patient. A medical claim will not be paid if this is missing from a bill.

Is a revenue code the same as a CPT code?

Revenue codes are used along with procedure codes like CPT codes (and sometimes HCPCS codes). It is because there are various procedures that may be performed either in an emergency room or operating room. In such a case, the procedure code (CPT/HCPCS) remains the same but the revenue code varies.

What is a 250 rev code?

Q: Some of our drug charges with HCPCS J-codes are rolled into revenue code 250 (pharmacy) on the claim; we report others under revenue code 636 (drugs with detailed coding). ... CMS uses HCPCS coded drugs to establish the percentage of payment added to the ASP to cover pharmacy overhead and expenses.

James H. Sterling
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James H. Sterling

James Sterling reports on renewable energy developments, climate policy, ecological conservation, and green tech innovations around the globe.