Revenue codes are used for hospital billing. Professional fees, (doctor's office, private clinics, etc.) do not use them.
For hospital billing, charges are lumped together for like charges. For example all labs for one date will be billed under one line, with a revenue code of 301, 302, or 305 (among others), with a total quantity and an amount (i.e. Rev Code 301 quantity 5 and total $500.00) rather than line by line. An itemized listing can be made available if the payer requests it.
These are also billed on a UB04 (formerly UB92) rather than a HCFA1500 (otherwise known as the CMS1500).
the UB04, in its original form, is also red and white, like the CMS form. It contains considerably more fields (86 as compared to 33, respectively).
Check it out: Hospital billing is much more involved than doctor office billing. Make sure you know what you're getting into before you begin.
Until next time:
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Author, Medical Billing, Coding, and Reimbursement
A medical billing professional for over 30 years now, I have seen a lot of changes in this field, and there are a lot more on the horizon. Follow me as we see what they mean and for who.