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First Coast Service Options Inc.
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Last Modified: 10/24/2011 Location: FL, PR, USVI Business: Part A

32206

The revenue code is invalid for this type of bill.
Resources/tips to avoid or correct this return to provider (RTP) code
Verify the revenue code submitted on your claim.
In direct data entry (DDE) pdf file, choose option -1 (inquiries), and option -13 (revenue codes). Key in the revenue code and press enter. The revenue code table inquiry screen shows the following columns of information:
Type of bill (TOB)
Allow: Effective-Date (EFF-DT) and Termination Date (TRM-DT)
Healthcare Common Procedure Coding System (HCPCS): EFF-DT and TRM-DT
Units: EFF-DT and TRM-DT
Rate: EFF-DT and TRM-DT
When reviewing data on this screen, if there is a "Y" in the 'Allow' field, the revenue code is allowed for the TOB; if a "Y" is in any field with a current effective date, you can submit the code on the claim. Note: When the revenue code file contains a "V", "Y", "F", or "H" in the 'HCPCS' field, the HCPCS code will be validated.
If there is an "N" or termination date before the date of service, you cannot submit the code on the claim.
If you do not use DDE, you can review the Centers for Medicare & Medicaid Services (CMS), Internet-only manual (IOM), publication 100-04, chapter 25-Completing and processing the form CMS-1450 data set external link to pdf.
Correct the claim and resubmit.
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Source: FCSO Education Action Team

First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.