Wiki 52356 Hospital Outpatient (Rev code and HCPCS)

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I’m not aware of any restrictions on this. Hospitals can include whatever codes are appropriate to report all of the services, supplies, drugs, implants, labs or other diagnostic tests, etc. that may have been performed or used in the particular procedure or during the pre- and post-operative periods of the encounter, with the exception of codes that NCCI rules would consider bundled with the procedure itself.
 
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lambert82 said:
Example - I have supplies used such as a basket , single use ureteroscopy and/or a fiber. Which codes (Rev code and HCPCS) would be appropriate for these?
Thank you.
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Revenue code assignment can vary from payer to payer, but facilities often set their own cost centers and assign revenue codes based on this. It's not something that's normally up to a coder to determine - it's usually done by whomever maintains the hospital charge master in the finance department. Many supplies will not have a specific HCPCS code but can be charged under revenue codes 270-279. You can often get information from the manufacturer about any assigned HCPCS, if there is one. I have seen that there is a new HCPCS code C1747 this year for a single use ureteroscope, which they recommend reporting with revenue code 272 or 278 per this link, if this is the same item you're using: https://www.bostonscientific.com/content/dam/bostonscientific/uro-wh/portfolio-group/LithoVue/LithoVue Product Shots/SupportingMaterials/URO-1473403-AA-LithoVue-TPT-Coding-Reference-Guide-2023_FINAL.pdf

If you are going to be responsible for revenue code assignment, I recommend getting a subscription to the Uniform Billing Manual as this is where you will find a lot of your guidance: https://www.nubc.org/subscription-information. You'll also need to become familiar with the UB billing requirements as specified in your major payers' policies and contracts.
 
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