When Should revenue Code 636 be used?
Revenue Code 636 is used. It requires HCPCS. Other inpatient drugs continue to be billed without HCPCS codes under pharmacy. Electronic billers must enter the HCPCS code in field 5 of Record Type 60.
What are radiology revenue codes?
330
Radiology
| Revenue Code | Description |
|---|---|
| 323 | Arteriography |
| 324 | Chest X-ray |
| 329 | Other |
| 330 | Radiology – therapeutic |
What is revenue Code 636 used for?
CMS uses HCPCS-coded drugs to establish the percentage of payment added to the average sales price to cover pharmacy overhead and expenses. CMS includes drugs reported under revenue code 636 in this calculation.
What is the difference between REV code 250 and 636?
A: Many facilities report packaged drugs under revenue code 250 regardless of whether an applicable HCPCS code exists. CMS has recommended that facility providers report all drugs with a HCPCS code under revenue code 636 to better capture actual pharmacy overhead cost through claims data.
What is Procedure Code 710?
2012 ICD-9-CM Diagnosis Code 710 : Diffuse diseases of connective tissue.
When to report HCPCS code, revenue code 636?
Facilities report separately payable HCPCS codes under revenue code 636 (drugs with detailed coding) to ensure that they receive reimbursement. CMS notes in the 2010 OPPS final rule that HCPCS codes reported under revenue code 250 are “lost” during claims processing procedures and therefore not available for rate-setting consideration under OPPS.
What’s the difference between Revenue Code 250 and 636?
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). What is the difference and should we use revenue code 636 to report all drugs with HCPCS codes?
What are the non covered Revenue Codes for inpatient services?
NON-COVERED REVENUE CODES – INPATIENT SERVICES 001X-0100
What are the Revenue Codes for radiation therapy?
1 0330 – General 2 0331 – Chemotherapy administration – injection 3 0332 – Chemotherapy administration – oral 4 0333 – Radiation therapy 5 0335 – Chemotherapy administration – IV 6 0339 – Other