HIM 205 Chargemaster Layout File Based on the information provided, answer the following questions Charge Item General HCPCS HCPCS Charges Revenue Activity Code Description Ledger Medicare Medicaid Code Date Key 4967893 CT of the 3 70450 70450 500.00 0511 1/1/08 head w/o contrast 4968765 CT of head 3 70460 675.00 0511 1/1/08 w/ contrast What dept is identified in the three digit rev code? What does the 4th digit indicate? “1” How are charge codes assigned? What does the general ledger key identify? Charge Item General HCPCS Charges Revenue Activity Code Description Ledger Medicaid Code Date Key 495258 ED Visit 3 99283-25 550.00 0456 8/5/08 495258 Radiologic 3 73090-LT 285.00 0456 8/5/08 exam, forearm, 2 views 495258 Short Arm 3 29125-LT 175.00 0456 8/5/08 splint 1) What are the charges for the facility in this case? 2) What does the modifier 25 appended? 3) Will the organization receive reimbursement for all their charges? 4) If the term is inherent in the item description, would the be assigned? Or would you “bilateral” “lt” assign a CPT code? “unilateral”
HIM 205 Chargemaster Layout File Based on the information provided, answer the following questions Charge Code Item Description General Ledger Key HCPCS Medicare HCPCS Medicaid Charges Revenue Code Activity Date 4967893 CT of the head w/o contrast 3 70450 70450 500.00 0511 1/1/08 4968765 CT of head w/ contrast 3 70460 675.00 0511 1/1/08 What dept is identified in the three digit rev code? What does the 4th digit “1” indicate? How are charge codes assigned? What does the general ledger key identify? Charge Code Item Description General Ledger Key HCPCS Medicaid Charges Revenue Code Activity Date 495258 ED Visit 3 99283-25 550.00 0456 8/5/08 495258 Radiologic exam, forearm, 2 views 3 73090-LT 285.00 0456 8/5/08 495258 Short Arm splint 3 29125-LT 175.00 0456 8/5/08 1) What are the charges for the facility in this case? 2) What does the modifier 25 appended? 3) Will the organization receive reimbursement for all their charges? 4) If the term “bilateral” is inherent in the item description, would the “lt” be assigned? Or would you assign a “unilateral” CPT code?
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