31428

FISS Narrative
For 81x or 82x type of bill with statement from date on or after January 1, 2010, with the following conditions:

The claim does not contain revenue codes 0655 or 0656 but does contain one or more of the following visit revenue codes without the appropriate HCPCS code:

  • Revenue code 042x with HCPCS G0151
  • Revenue code 043x with HCPCS G0152
  • Revenue code 044x with HCPCS G0153
  • Revenue code 055x with HCPCS G0154
  • Revenue code 056x with HCPCS G0155
  • Revenue code 057x with HCPCS G0156

Explanation and Suggestion
Claims that contain one or more of the following visit revenue codes must include the appropriate HCPCS code:

  • Revenue code 042x with HCPCS G0151
  • Revenue code 043x with HCPCS G0152
  • Revenue code 044x with HCPCS G0153
  • Revenue code 055x with HCPCS G0154
  • Revenue code 056x with HCPCS G0155
  • Revenue code 057x with HCPCS G0156

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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