Revenue Center Codes

Written by Norene Anderson
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Revenue center codes define patient services and the products provided. This is a four-digit code identifying a specific billing calculation, accommodation, medication, or ancillary service. RCCs 0634 and 0635 are for epoetin alfa for ESRD. Revenue center code 0636 is used for drugs that require specific identification based on procedure codes. A HCPCS code identifies the type of pharmaceutical drug billed and includes the dosage.

The continual process of standardizing medical terminology and procedural identification affects every aspect of medical care. Revenue center codes give a quick view of the status of the patient. Outpatient hospital charges are easily identified by use of the proper codes. Inpatient charges quickly indicate if the patient has had a surgical procedure. All codes should relate to the proper charges. The RCC, ICD-9, and CPT4 codes should correlate the facility charges, diagnosis, procedures, and medications.

Data from Revenue Center Codes

It is easy for national entities such as Medicare or nationwide managed care organizations to do a query for national usage of any of the revenue center codes. For instance, Medicare can isolate a code such as 0636 and determine the amount of money spent in that revenue center code. It is also helpful to track drug pricing and products. It is often used in conjunction with the NDC or HCPCS.

Some managed care organizations and hospitals require specific RCCs to relate to specific primary diagnosis codes. Failure to provide the proper information and codes will result in denial of payment for the claim submitted. Codes make it possible for computer programs to process the insurance claims rapidly.


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