Do you have any tips on revenue code 636?


Drugs and biologicals that are mapped to revenue code 636 will appear on the claim on individual line items for detailed reporting of the HCPCS code, unit of measure (the multiple of the code description to represent the billed amount of drug), and the charge for the drug. If a commercial contract specifies the use of revenue code 636 only for high-cost or “carve out” drugs, the facility must use the revenue code as stipulated.

This question was answered in our Coding Essentials for Infusion & Injection Therapy Services. For more hot topics relating to infusion services, please visit our store or call us at 1.800.252.1578, ext. 2.


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.