|Home » Categories » Chargemaster|
Supply HCPCS Codes- A6234
|Article Number: 277 | Rating: Unrated | Last Updated: Thu, Mar 10, 2011 12:29 AM|
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.
There are no attachments for this article.
There are no comments for this article. Be the first to post a comment.
Orthotics Are They DME Supplies?
Viewed 3002 times since Thu, Dec 2, 2010
Viewed 766 times since Fri, Nov 2, 2012
Viewed 990 times since Wed, Mar 28, 2012
Oxygen Charges in the OR and Recovery Room
Viewed 1365 times since Thu, Dec 2, 2010
Billing for Atrovent Inhalation Solutions
Viewed 3011 times since Tue, Dec 14, 2010
Viewed 1315 times since Wed, Jan 19, 2011
Viewed 866 times since Wed, Nov 23, 2011
Inpatient CAH Dialysis
Viewed 1779 times since Tue, Jan 18, 2011
Viewed 1486 times since Mon, Apr 25, 2011
BIS Monitor Used in Surgery
Viewed 375 times since Thu, Oct 25, 2012