Pharmacy Revenue Codes 250 or 636
HI all,
Looking for feedback on how you use revenue 250 v 636 for outpatient pharmacy reporting. I've seen where 636 is used only for drugs which are separately payable. And I've seen where 636 is used for any drug that has a defined hcpcs code. Personally, I like the former as it allows for a distinct revenue code where you know you should be receiving payment for drugs. But wanted to know what is most prevalent. Thanks!
Sign In to comment.
Comments
For the most part, we assigned 636 to those charges with HCPCS codes and 250 to those without. There are a few exceptions based on individual payer contracts.
My last facility used 636 for everything (and 637 for self admin.) My new facility does similar to the previous poster, hcpcs gets a 636, no hcpcs gets a 250. Its much easier to audit and maintain that way