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> ----------
> From: Frank Schiffel[SMTP:SchifF@MAIL.HEALTH.STATE.MO.US]
> Reply To: Frank Schiffel
> Sent: Monday, January 25, 1999 10:56 AM
> To: SAS-L@UGA.CC.UGA.EDU
> Subject: Re: Hospital revenue codes
>
> CPT codes are procedure codes, usually used in an outpatient setting. AMA
> is responsible for them.
>
> ICD-9 codes have diagnosis and procedures and are the standard for coding
> them. American Hospital Association is one publisher.
>
> neither are revenue codes.
>
> perhaps you are refering to DRGs, or diagnosis related groups and how that
> is paid by HCFA?
>
Hospital Revenue Codes are part of the UB-92 form specification (in a
loosely defined sort of a way). I believe UB-92 is specified by Medicare,
aka HCFA. Grubbing around their web site might produce something of
interest. Hmmm... no, looks like there's a third party involved, see links
below.
More information is available here:
(http://www.hcfa.gov/medicare/edi/edi5.htm), search for 'HCFA-11450 (UB-92)'
in the page.
A full specification of the UB-92, including rev codes, is here:
http://www.hcfa.gov/medicare/edi/3604.pdf
> --
> Karsten M. Self (Karsten.Self@schwab.com)
> Trilogy Consulting
>
> What part of "gestalt" don't you understand?
>
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