Home » Categories » Chargemaster

Supply HCPCS Codes- A6234


Question

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.

Answer

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
Clean Catch Urine Collection Kit
Viewed 1228 times since Fri, Jul 22, 2011
Orthotics Are They DME Supplies?
Viewed 4396 times since Thu, Dec 2, 2010
Stress Electrodes
Viewed 1563 times since Wed, Mar 28, 2012
Revenue Codes For Image Guidance Tissue Marker Placement
Viewed 3091 times since Mon, Dec 20, 2010
Billing for Electronic Cigarette
Viewed 1900 times since Thu, Apr 21, 2011
Pulmonary Rehab
Viewed 79 times since Thu, Jan 20, 2011
Supply Codes
Viewed 1920 times since Thu, May 5, 2011
CPT/NRV Question
Viewed 2822 times since Thu, Sep 29, 2011
Recovery Room
Viewed 2188 times since Tue, Dec 7, 2010
BIS Monitor Used in Surgery
Viewed 655 times since Thu, Oct 25, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506