Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 40.4
Edit Requirements for Revenue Codes
40.4 - Edit Requirements for Revenue Codes
(Rev. 1921, Issued: 02-19-10, Effective: 04-01-10, Implementation: 04-05-10)
Medicare contractors edit to assure the presence of a HCPCS code when revenue codes
0420, 0430, 0440, or 0470 are reported. However, Medicare contractors do not edit the
matching of revenue code to certain HCPCS codes or edit to limit provider reporting to
only those HCPCS listed in section 20.