Inpatient Revenue Code Crosswalk

$79 / year

This dataset includes the Inpatient Revenue Code Crosswalk To Suggested Cost Centers for year 2017. 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.

Complexity

Medical coding and billing is a complex procedure. That’s where Revenue Codes come into play to help make the whole process smoother and universal.

Hospitals run on three sets of universal codes:

– ICD-10 (International Classification of Diseases)– for diagnoses
– CPT (Current Procedural Terminology) – for procedures
– HCPCS (Healthcare Common Procedure Coding System) – for medical goods and services.

These codes are located in various places on the UB-04 forms (bill form used by Hospitals and other providers), the purpose of Revenue Codes, however, is to group similar types of charges onto one line in the form.

If a revenue code is attached to a supply code, it identifies the equipment and whether the equipment was used in the hospital or taken home by a patient. This is important because many of the procedures done in the hospital may be done in different areas. For example, stitches may be given to a patient in the emergency room, or in a completely different area of the hospital like the maternity ward. Depending on where the procedure was done the price for the procedure can be drastically different. There is a tremendous role seen in the Revenue Codes for the revenue cycle of a hospital.

A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider. There are 81 fields on the UB-04 and the Revenue Codes are located by field 42-49 (FL42-49). The Revenue Codes were developed for the Medicare system but were soon adopted as the standard for hospitals.

Date Created

2017

Last Modified

2017

Version

2017

Update Frequency

Annual

Temporal Coverage

2017

Spatial Coverage

United States

Source

John Snow Labs => Department Of Health Services

Source License URL

John Snow Labs Standard License

Source License Requirements

NA

Source Citation

NA

Keywords

Denial Codes in Medical Billing, Revenue Codes, Hospital Billing Codes, Revenue Code List, Hospital Codes, CMS Revenue Code Crosswalk, Medicaid Denial Codes, Revenue Code Crosswalk, IP Revenue Code Crosswalk

Other Titles

Inpatient Revenue Code Crosswalk To Suggested Cost Centers 2017, Revenue Codes Data for Inpatient, Inpatient Revenue Code Crosswalk To Suggested Cost Centers

Name Description Type Constraints
Revenue_CodeValid revenue center codestring-
Revenue_Code_DescriptionComplete Revenue Code Description Crosswalk (According to Centers for Medicare & Medicaid Services (CMS))string-
Cost_Center_CodeCost Center Code (Centers for Medicare & Medicaid Services (CMS) 2552-10)integerlevel : Nominal
Cost_Center_DescriptionDescription of the Cost Centerstring-
CommentAny Additional Comments for Codestring-
Non_Allowed_Per_WisconsinNon Allowed Per Wisconsin Forward Health Online Handbookstring-
Revenue_CodeRevenue_Code_DescriptionCost_Center_CodeCost_Center_DescriptionCommentNon_Allowed_Per_Wisconsin
0170Nursery43Nursery
0350CT Scan54CT Scan
0024IRF PPS999Excluded
0010RESERVED999Excluded
0012RESERVED999Excluded
0308RESERVED60Laboratory
0179Other Nursery43Nursery
0351CT Scan: Head54CT Scan
0352CT Scan: Body54CT Scan
0171Newborn-Level I43Nursery