Revenue Code

Understanding revenue code requires examining multiple perspectives and considerations. Revenue Codes - JE Part A - Noridian. Note: Any codes not listed within this table are not currently in use by CMS. This includes any code ranges that are considered Reserved for National Assignment. Search for a Revenue Code

Type of Bill Code Structure - JE Part A - Noridian. View bill types.JE Part A Browse by Topic Claims Type of Bill Code Structure Quick Reference Billing Guide RHC Billing Guide - JE Part A - Noridian. Beginning October 1, 2016, report modifier CG on one revenue code 052X and/or 0900 service line to receive AIR and charges are subject to coinsurance and deductible.

This guide includes information on billing, coding, documentation requirements, medical necessity criteria, practitioner, benefit period, and more. Revenue code 096X, 097X or 098X List QDC corresponding to quality action performed by the EP Include a $0.01 line-item charge Last Updated Apr 16 , 2025 This perspective suggests that, adjustment/Cancel Claim Change Use this table to determine which condition code is the most appropriate in coding an adjustment/cancel claim. Hospital-Based Ambulance Billing Guide - JE Part A - Noridian.

This perspective suggests that, x - Intermediate stop at physician's office on way to hospital (destination code only) In addition, institutional-based providers must report one of the following modifiers with every HCPCS code to describe whether the service was provided under arrangement or directly: QM - Ambulance service provided under arrangement by a provider of services or 3-Day Payment Window - JE Part A - Noridian. The three day payment window applies to hospitals and units excluded from IPPS, this provision applies only to services furnished within one day prior to and including the date of the beneficiary’s admission. Critical Access Hospitals (CAHs) are not subject to the 3-day (nor 1-day) DRG payment window. This page lists the revenue codes which must be rolled into the inpatient window. Reason Code 15202 - Skilled Nursing Facility - Noridian.

Reason Code Narrative UNITS OF SERVICE: ON INPATIENT OR SNF CLAIMS WITH COVERED DAYS GREATER THAN ZERO THE ACCOMMODATION DAYS SHOWN WITH REVENUE CODE 10X-21X MUST BE EQUAL TO THE COVERED DAYS IN ITEM 7, AND IN COST REPORT DAYS (PG 1). FQHC services must be billed with the FQHC revenue codes listed below and a Healthcare Current Procedural Coding System (HCPCS) code describing the encounter: 0521 - Clinic visit by member to FQHC 0522 - Home visit by FQHC practitioner 0524 - Visit by FQHC practitioner to a member in a covered Part A stay at the SNF (Skilled Nursing Facility)