Blue Button 2.0 Implementation Guide

CodeSystem: rev-cntr-stus-ind-cd

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Revenue Center Status Indicator Code

This variable indicates how the service listed on the revenue center record was priced for payment purposes. The revenue center status indicator code is most useful with outpatient hospital claims, where multiple methods may be used to determine the payment amount for the various revenue center records on the claim (for example, some lines may be bundled into an APC and paid under the outpatient PPS, while other lines may be paid under other fee schedules). Source: https://bluebutton.cms.gov/resources/variables/revcntrstusindcd

This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-stus-ind-cd defines the following codes:

CodeDisplayDefinition
A Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)
B Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)
C Inpatient procedure (not paid under OPPS)Inpatient procedure (not paid under OPPS)
E Non-allowed item or service (not paid by OPPS or any other Medicare payment system)Non-allowed item or service (not paid by OPPS or any other Medicare payment system)
F Corneal tissue acquisition, certain CRNA services and Hepatitis B vaccinationsCorneal tissue acquisition, certain CRNA services and Hepatitis B vaccinations
G Drug/biological pass-through (separate APC includes this pass-through amount)Drug/biological pass-through (separate APC includes this pass-through amount)
H Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)
J New drug or new biological pass-throughNew drug or new biological pass-through
J1 Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)
K Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)
L Flu/PPV vaccinesFlu/PPV vaccines
M Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)
N Packaged incidental service (no separate APC payment)Packaged incidental service (no separate APC payment)
P Paid partial hospitalization per diem APC paymentPaid partial hospitalization per diem APC payment
Q1 Separate payment made; OPPS - APC (effective 2009)Separate payment made; OPPS - APC (effective 2009)
Q2 No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)
Q3 May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)
R Blood productsBlood products
S Significant procedure not subject to multiple procedure discountingSignificant procedure not subject to multiple procedure discounting
T Significant procedure subject to multiple procedure discountingSignificant procedure subject to multiple procedure discounting
U BrachytherapyBrachytherapy
V Medical visit to clinic or emergency departmentMedical visit to clinic or emergency department
W Invalid HCPCS or invalid revenue code with blank HCPCSInvalid HCPCS or invalid revenue code with blank HCPCS
X Ancillary serviceAncillary service
Y Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)
Z Valid revenue with blank HCPCS and no other SI assignedValid revenue with blank HCPCS and no other SI assigned