Sunday, March 13, 2011

Revenue Codes for capsule Endoscopy code & cpt code list

Revenue Code and CPT Codes used for Capsule Endoscopy


Revenue Codes:
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes.
Revenue codes only apply to providers who bill these services to the fiscal intermediary or Part A MAC. Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part B MAC.

Please note that not all revenue codes apply to every type of bill code. Providers are encouraged to refer to the FISS revenue code file for allowable bill types. Similarly, not all revenue codes apply to each CPT/HCPCS code. Providers are encouraged to refer to the FISS HCPCS file for allowable revenue codes.

0409  Other Imaging Services - Other Imaging Services
0519  Clinic - Other Clinic
520X  Free-Standing Clinic - General Classification
0750  Gastro-Intestinal (GI) Services - General Classification
0929  Other Diagnostic Services - Other Diagnostic Service
0960  Professional Fees - General Classification
0972  Professional Fees - Radiology - Diagnostic
0973  Professional Fees - Radiology - Therapeutic
0975  Professional Fees - Operating Room
0982  Professional Fees - Outpatient Services
0983  Professional Fees - Clinic
0987  Professional Fees - Hospital Visit
0988  Professional Fees - Consultation


CPT/HCPCS Codes

For Patency Capsule Testing

CPT 91299 should be reported
GASTROINTESTINAL TRACT IMAGING, INTRALUMINAL (EG, CAPSULE ENDOSCOPY),

91110 ESOPHAGUS THROUGH ILEUM, WITH PHYSICIAN INTERPRETATION AND REPORT
GASTROINTESTINAL TRACT IMAGING, INTRALUMINAL (EG, CAPSULE ENDOSCOPY),

91111  ESOPHAGUS WITH PHYSICIAN INTERPRETATION AND REPORT

91299  UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE

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