They are required in the original guides but not in the addenda.  The
requirement is removed in the addenda because HCPC codes do not exist for
these revenue codes.  In recent testing with a specific payer, two agreed
upon defaults were used for the HCPC value.  After starting with "XXXXX", we
agreed on a default of "99199" (unlisted special service, procedure or
report).

Along the lines of the recent thread of default/dummy data, our company has
received bulletins from CMS contractors indicating that they will "gap fill"
where necessary.

----- Original Message -----
From: "Havenhill-Jacobs, Tamara" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Friday, December 06, 2002 8:26 AM
Subject: HCPCS on 250 and 270



Currently, we are not required to use HCPCS codes with revenue codes 250
and 270.  In the 837I Implementation Guide, it states that HCPCS coding
is required on all outpatient claims.

Does anyone know if HCPCS codes are truly required for revenue codes 250
and 270 on outpatient claims?  This has a big impact on billing and
charge master for us and we've been unable to find anyone who knows.

thanks

Tamara Havenhill-Jacobs
HIPAA Project Lead
Exempla Healthcare
303-837-6737
email:  [EMAIL PROTECTED]




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The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
on this listserv therefore represent the views of the individual participants, and do 
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If 
you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
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