Question:

Where do we find the revenue code to put on our hospital claim for a Swan Ganz catheter used when a right heart catheterization is performed?

Answer:

There isn’t a “definite” revenue code for such supplies. Medicare says the following about revenue codes in the Claims Processing Manual, chapter 4: “20.5 – Clarification of HCPCS Code to Revenue Code Reporting Generally, CMS does not instruct hospitals on the assignment of HCPCS codes to revenue codes for services provided under OPPS since hospitals’ assignment of cost vary. Where explicit instructions are not provided, providers should report their charges under the revenue code that will result in the charges being assigned to the same cost center to which the cost of those services are assigned in the cost report.” A Swan Ganz catheter would normally fall under one of the revenue codes in either the 027X series or the 062X series.

Facebook
Twitter
LinkedIn
Email
Print

CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.