Is revenue Code same as 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.
Is 59025 a surgical code?
CPT® 59025, Under Antepartum and Fetal Invasive Services for Maternity Care and Delivery. The Current Procedural Terminology (CPT®) code 59025 as maintained by American Medical Association, is a medical procedural code under the range – Antepartum and Fetal Invasive Services for Maternity Care and Delivery.
What is revenue Code 0250?
Revenue code 0250—pharmacy is not appropriate for billing these categories of drugs. Billing patterns for these services will continue to be monitored, and may be subject to audits for incorrect coding as necessary (e.g., chemotherapy drugs billed under revenue code 0250—pharmacy).
Can 76818 and 59025 be billed together?
If the physician only ordered the fetal biophysical profile (76818), or the non-stress test (59025), and the physician did not document a separate order for the second test, you cannot report both codes with modifier -59.
Where is revenue Code on CMS 1500?
UB-04
Revenue Code on UB-04 Note that you can’t report revenue codes on a CMS-1500 form, but you can report them on a UB-04.
What are revenue codes?
In short, Revenue Codes are descriptions and dollar amounts charged for hospital services provided to a patient. The revenue code tells an insurance company whether the procedure was performed in the emergency room, operating room or another department.
Does 59025 require a modifier?
Code 59025 should be reported subsequently with modifier 76, to identify the repeated procedure(s) by the same physician; or with modifier 77 appended, to identify that the repeated procedure(s) was performed by another physician.
Does CPT code 59025 need a modifier?
The FNST code 59025 can be billed as a global service, as interpretation only (modifier -26), or as a technical component only (modifier -TC).
What is revenue Code 0258?
***Revenue code 0258 requires specific HCPCS when billed on all surgical and medical claims. This revenue code is part of the surgical roll-up for surgical claims. Surgical codes should be submitted on the same claim for the same stay.
What is revenue Code 0636?
0636 – Drugs requiring detailed coding.
What is the CPT code for fetal biophysical profile?
76818
Code 76819 is reported per fetus. A biophysical profile performed along with a nonstress test is coded 76818. A nonstress test performed without a biophysical profile is coded 59025.
What goes in box 33b on a CMS 1500?
Billing Provider
What is it? Box 33b is used to indicate a payer-assigned identifier of the Billing Provider. Some payers require the provider’s taxonomy code be listed in Box 33b.