Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 40.4

Edit Requirements for Revenue Codes

Last amended: 2010Year: 2010Length: 65 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 40.4: Edit Requirements for Revenue Codes | Justis AI