Wiki CMG Code Inpatient

[WendyJ87]

I am trying to bill a claim to a workers comp and they are telling me that instead of using the rev code 0126 for detox and rev code 0128 for rehab that I need to use 0024 and find the hcpcs/hipps code to go along with that, does anyone have any idea what that may be? They of course said they can't tell me but that the CMG is a five digit code beginning with A, B, C, or D.... This is for inpatient substance abuse tx. the person was her 13 days for detox and 29 for rehab.

 

[thomas7331]

I'm not an expert in this area, but do know that you can find the HIPPS codes and instructions for their use on the CMS web site here: https://www.cms.gov/Medicare/Medica...ent/ProspMedicareFeeSvcPmtGen/HIPPSCodes.html so this might be a starting point for you. These are used in addition to, not instead of the room and board revenue codes.

 

[WendyJ87]

Thank you!