Revenue Code 278 Other Implants Billed charges for revenue code 278 may require a vendor’s invoice to support implants used that correspond to the services rendered unless otherwise agreed upon. Prior authorization or other services billed on the same claim may still apply. Mar 23, 2020. Revenue code 0278 (medical/surgical supplies and devices – other transplant), along with the billed charge Do not report revenue code 0624 or IDE number (i.e., G160022) or other type of IDE description in the description field. Additionally, there is no fixed "Total" line in the charge area. The provider must enter revenue code 0001 instead in FL 42. For Medicare, revenue codes must be included for each service on a CMS 1450 (UB-04) claim form. Revenue Codes Major Category Description X indicates that a HCPCS or CPT code is required for outpatient UB-04 claims ... 0278 Medical /Surgical Supplies 0279 Medical /Surgical Supplies 0280 Oncology X 0289 Oncology X 0290 Durable Medical Equipment X … CPT codes 52000, 52005, 52010, 52234, 52260 etc. Hello! The implantable can include an insert and now "there is no permanency absent a contractual provision to the contrary. In order to bypass the return to provider (RTP) reason code W7050 (non-covered based on statutory exclusion), the charges must be submitted as … The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). Major Revenue code list Revenue Codes Major Category Description X indicates that a HCPCS or CPT code is required for outpatient UB-04 claims ... 0278 Medical /Surgical Supplies 0279 Medical /Surgical Supplies 0280 Oncology X 0289 Oncology X 0290 Durable Medical Equipment X Revenue Code: 0278 – Other Implants . If It may be appropriate for hospitals to capture the cost of products used for the procedures described above within Revenue Code 0278 (Medical/Surgical Supply – Other Implant) or Revenue Code 0360 (Operating Room Services - General). Updated Guidance on Other Implant Revenue Code (0278) NUBC Announcement for COVID-19 Claims . CPT Code(s): L8679 SC** – Implantable neurostimulator, pulse generator, any type* *Both are required **Must be only modifier on claim line. 0278 Other implants : The itemized invoice, the operative report, the implant log and the circulating nurses’ notes. NUBC Member-Only Conference Call Schedule. Is this applicable to cystourethroscopy procedures? Apr 8, 2020. These units must be clearly indicated on the vendor invoices submitted with the claim. E.g. The provider enters the appropriate revenue codes to identify specific accommodation and/or ancillary charges. Seeking clarification on the new guidance from NUBC on revenue code 0278. 1 per date of service . It must enter the appropriate numeric revenue code on the adjacent line in FL 42 to explain each charge in FL 47. Inpatient Revenue Codes for Fee-for-Service Providers Revenue Code Description Category 0001 Total Charge ... 0278 Other Implant (a) SUPPLY/IMPLANTS Medical/Surgical Supplies and Devices (also see 062X, an extension of 027X) 0279 Other Supplies/Devices SUPPLY/OTHER Revenue Code : 0278 See ICD-10 diagnosis codes associated with revenue code 0360 list 0270 Medical/Surgical Supplies . Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. Updated COVID-19 Announcement. 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