Home » Categories » Chargemaster

Supply HCPCS Codes- A6234


We have an observation claim denied with HCPCS A6234 under rev code 272. Medicare states insurance specific non-covd charge on claim.  Our patient did not have surgery therefore I don’t believe 623 is the appropriate code.


The problem is not the revenue code but the HCPCS code.  In this instance the HCPCS code captures a dressing.  The only time you would report this code on a claim is if you were providing it as a take home supply, in which case, revenue code 623 would be appropriate.  

A-codes that represent supplies should not be reported to Medicare.  This was discussed several years ago in CMS literature.  Unless you have another payer who requires the reporting of these codes for reimbursement purposes, you may want to remove A-codes from your Chargemaster.  This supply in question should be reported under revenue code 272 without a HCPCS code.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Code 93012
Viewed 1617 times since Wed, Jan 19, 2011
Billing for Atrovent Inhalation Solutions
Viewed 4728 times since Tue, Dec 14, 2010
Supply Codes
Viewed 1894 times since Thu, May 5, 2011
Billing for Electronic Cigarette
Viewed 1877 times since Thu, Apr 21, 2011
Recovery Room Service
Viewed 8395 times since Tue, Nov 6, 2012
Recovery Room
Viewed 2188 times since Tue, Dec 7, 2010
BIS Monitor Used in Surgery
Viewed 633 times since Thu, Oct 25, 2012
Thoracic Bioimpedance
Viewed 2199 times since Mon, Apr 25, 2011
Clean Catch Urine Collection Kit
Viewed 1207 times since Fri, Jul 22, 2011
Recovery Charges
Viewed 1115 times since Fri, Nov 2, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506