Revenue Code 068X on Critical Access Hospital Claims The Centers for Medicare & Medicaid Services (CMS) is aware that charges billed by Method I and II Critical Access Hospitals (CAH) under revenue code 068X (trauma response, charges for a trauma team activation) are being rejected as non-billable when submitted on type of bill 85X (CAH). Trauma response/trauma team activation services are billable by CAHs, as well as hospitals. Revenue code 068X may be used by trauma centers/hospitals licensed or designated by the state or local government authority authorized to do so, or as verified by the American College of Surgeons. Fiscal Intermediaries (FI) and A/B MACs will update their Revenue Code Table to allow type of bill 85X for revenue code 068X with an effective date of October 1, 2002.
FIs and A/B MACs will adjust claims brought to their attention but will not search their files for claims to adjust. For more information on revenue code 068X, see Chapter 25, §60.4 of Pub.100-04, Medicare Claims Processing Manual. CMS Joint Signature Memorandum (JSM)-07036 (November 1, 2006) |
