Revenue Code: 0278 – Other Implants . These units must be clearly indicated on the vendor invoices submitted with the claim. Is this applicable to cystourethroscopy procedures? Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. 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 … The implantable can include an insert and now "there is no permanency absent a contractual provision to the contrary. 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. No prior authorization is required for this claim line. The provider enters the appropriate revenue codes to identify specific accommodation and/or ancillary charges. 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). 0278 Other implants : The itemized invoice, the operative report, the implant log and the circulating nurses’ notes. Mar 17, 2020. Revenue Code : 0278 See ICD-10 diagnosis codes associated with revenue code 0360 list 0270 Medical/Surgical Supplies . E.g. Updated COVID-19 Announcement. 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 For Medicare, revenue codes must be included for each service on a CMS 1450 (UB-04) claim form. 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 Seeking clarification on the new guidance from NUBC on revenue code 0278. 1 per date of service . CPT Code(s): L8679 SC** – Implantable neurostimulator, pulse generator, any type* *Both are required **Must be only modifier on claim line. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). 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. In order to bypass the return to provider (RTP) reason code W7050 (non-covered based on statutory exclusion), the charges must be submitted as … Updated Guidance on Other Implant Revenue Code (0278) NUBC Announcement for COVID-19 Claims . Mar 23, 2020. Hello! Prior authorization or other services billed on the same claim may still apply. If The outpatient code editor (OCE) status indicator is ‘E’ (non-covered) when revenue code 0637 is submitted without a HCPCS. It must enter the appropriate numeric revenue code on the adjacent line in FL 42 to explain each charge in FL 47. Additionally, there is no fixed "Total" line in the charge area. ". The provider must enter revenue code 0001 instead in FL 42. 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