UB04 Revenue Codes 0160 in section: 016X - Other Room & Board (Medical or General) (2024)

FAQs

What is UB 04 inpatient revenue codes? ›

FOR AN INPATIENT HOSPITAL STAY, REVENUE CODES 0100 - 0249 DESCRIBE ROOM AND BOARD (OR ACCOMMODATIONS). CODES IN THE RANGE 0250 - 0999 DESCRIBE ANCILLARY SERVICES.

160. In any action against the county to quiet title allowed under this division, service of process shall be made on the tax collector of the county where the real property is situated.

It is a three or four-digit code carrying information-specific procedures to designate the services performed by the provider. Revenue codes are universal codes that make the process smoother for a clean claim.

Inpatient hospitals must use national revenue codes to summarize the charges for each Cost Center.

What coding sets are used for Inpatient versus Outpatient coding? For the most part, Outpatient uses Current Procedural Terminology (CPT) for procedures, while Inpatient utilizes ICD-10-PCS (AMA, 2022).

Hospital Inpatient and Observation Care Services CPT^® Code range 99221- 99239.

Here is an example to better understand this complex subject. A medical professional can perform a blood transfusion in the emergency room or a treatment room. If the patient receives the transfusion in the emergency room, then the revenue code used is 0450. If performed in a treatment room, the code is 0761.

Revenue Code 0161: Hospital at Home, R&B/Hospital at Home. Occurrence Span Code 82: Hospital at Home Care Dates.

Where are revenue codes found? ›

A valid procedure code must be accompanied by a revenue code for it to be accepted by the insurance provider. There are 81 fields on the UB-04 and the Revenue Codes are located by field 42-49 (FL42-49). The Revenue Codes were developed for the Medicare system but were soon adopted as standard for hospitals.

16. Discharge Hour Enter the hour (using a two-digit code below) that the patient entered the facility.

You may be wondering, “What does UB-04 mean?” Simply put, this form can be used by any institutional provider for billing medical and mental health claims. This uniform billing form was created by The Centers for Medicare and Medicaid (CMS) to be used by institutional providers for claim billing.

Hospital Inpatient and Observation Care Services CPT^® Code range 99221- 99239.

Inpatient hospitals must use national revenue codes to summarize the charges for each Cost Center.

CPT codes 99234-99236, observation or inpatient care, are used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date. All services provided on the day of discharge from inpatient status are coded 99238 or 99239.

Hospitals must bill Part B inpatient services on a 12x Type of Bill.