Q/A: Correct revenue code for wound care depends on provider, location
APCs Weekly Monitor, February 19, 2010
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
Q: Which revenue code should we use to report wound care, if an occupational therapist or physical therapist performs the service? Which revenue code should we use if a registered nurse performs the services?
A: CMS discusses reporting of “sometimes therapy codes” in the Medicare Claims Processing Manual, chapter 4, section 200.9. However, CMS does not dictate which revenue code is applicable for reporting these services when performed as non-therapy services.
CMS expects providers to report the service with the appropriate revenue code based on who provided the service and where. A particular department’s mapping in the cost report; the design of a hospital’s individual charging structure, and the requirements of non-Medicare payers affect this decision. Each facility must review the structure and decide which revenue code is most appropriate. Many facilities report these services with 0761 (treatment room) when a qualified nurse provides the service.
Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- HIPAA Q&A: Level of encryption needed for email
- QA:Coding multiple initial infusions
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- Hospitals are not bound by InterQual criteria for determining patient status
- ED-to-inpatient transfers are flawed with safety gaps
- Searched
