Health & Medical Health Care

What Is a Medical Revenue Code?

    Function

    • There are multiple procedures that are performed in a hospital. The revenue code tells an insurance company whether the procedure was performed in the emergency room, operating room or another department. If the revenue code is attached to a supply code, it identifies whether the equipment was sterile or if the patient took it home.

    Effects

    • Revenue codes affect how an insurance company processes a claim and how the facility bills the claim.

    Considerations

    • Trained billers and coders use reference books to code claims. There are many revenue codes to choose from, and they rely on documentation in a patient's chart to determine which revenue and procedure codes accurately reflect what services a patient had.



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