Just a note about standardized use of revenue codes. Revenue codes are part of the standard transaction sets adopted by HIPPA. The NUBC manual contains the standard definitions for revenue codes. The official electronic version of this manual is available from the AHA and every business office should have access even if they have an editorial version of the codes from another source. In addition to the standard definitions manual, the electronic version comes with an extensive archive of NUBC committee minutes that provide helpful background for some codes/code sets.
That said, payers should be using the codes according to their standard definitions and if you find they are not, you can bring it to their attention and if they do not correct, there is a method of reporting a violation to the OCR - not that it will come to that, but that is a method to enforce compliance. One of the problems I've found is that the definitions are so general that the two codes CMS and the payer are using may both fit and each payer has established their own edits that require the code they are instructing you to use. However, your system should be able to translate these in the background by payer type once you identify the code required (which I know is the big challenge). Good luck!
what revenue code does everyone for the administration of the IM/SQ injections? I am new to the chargemaster and I have a charge in 260 and 1 in a 940. The rev code 260 is for IV Therapy and the 940 is other therapeutic services. I may be over thinking this but according to the NUBC rev 260 is administration is for administration of intravenous solutions.
We have 96372 mapped to 0940 except for ED, where it's mapped to 0450