Table of Contents
What are medical 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.
Is DRG same as revenue code?
DRG is a reimbursement methodology that uses information on the claim form (including revenue codes, diagnosis and procedure codes, patient’s age, discharge status and complications) to classify the hospital stay into a group.
What is a medical code?
Medical codes translate the documentation into standardized codes that let payers know things, such as: A patient’s diagnosis. The medical necessity for treatments, services, or supplies the patient was given. Any abnormal circumstances or medical condition that affected those treatments and services.
What is revenue code 110?
Room and board
Private
| Revenue Code | Description |
|---|---|
| 110 | Room and board |
| 111 | Medical/Surgical/Gyn |
| 112 | OB |
| 113 | Pediatric |
What is the difference between CPT and DRG codes?
DRG codes are used to classify inpatient hospital services and are commonly used by many insurance companies and Medicare. The DRG code, the length of the inpatient stay and the CPT code are combined to determine claim payment and reimbursement.
What is revenue code 949?
Service Definitions by Revenue Code
| Service | Revenue Codes |
|---|---|
| Other Diagnostic Services | 92x |
| Other Therapeutic Services | 940, 941, 944-949 |
| Other Therapeutic – Education / Training | 942 |
| Other Therapeutic – Cardiac Rehab | 943 |
What are the types of medical codes?
Medical Coding involves the following types of codes.
- ICD Codes.
- CPT Codes.
- HCPCS Codes.
- DRG Codes.
- Modifiers.
How many medical codes are there?
CPT (Current Procedural Terminology) codes are published by the American Medical Association, and there are approximately 10,000 CPT codes currently at use.
What are the different revenue codes for medical supplies?
For instance, revenue code 270 is the general code for supplies. But within that category are nine subcategories: 271 – Nonsterile Supply. 272 – Sterile Supply. 273 – Take-Home Supply. 274 – Prosthetic/Orthotic Devices. 275 – Pacemaker. 276 – Intraocular Lens.
What is a re Revenue Code on a hospital bill?
Revenue codes. Revenue Code and Description: DEF: Revenue codes are 3-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.
When is revenue code 761 acceptable for an outpatient bill type?
• Revenue Code 761 is acceptable when an exam or relatively minor treatment or procedure is performed. If Revenue Code 761 is used for an outpatient bill type, a CPT code describing the treatment or procedure must be also present.