TMPPM 2008 > Texas Medicaid Services > Hospital (Medical/Surgical Acute Care Facility) > Outpatient

   
 

25.3.3.8 Chemotherapy Administration

Hospitals must submit outpatient charges using the appropriate revenue codes for room charges, supplies, IV equipment, and pharmacy.

For chemotherapy administration, outpatient facilities should submit charges using the appropriate revenue codes, such as the revenue codes listed below:

Revenue Code
Description

B-264

IV therapy, IV therapy/supplies

B-450
or
B456
or
B-459

Emergency room
or
Emergency room, urgent care
or
Emergency room-other

B-510
or
B-511
or
B-512
or
B-514
or
B-515
or
B-516
or
B-517
or
B-519

Clinic
or
Clinic-chronic pain center
or
Clinic-dental
or
Clinic; OB/GYN
or
Clinic; pediatric
or
Clinic, urgent care clinic
or
Clinic, family practice clinic
or
Clinic-other

B-761

Treatment room

B-762

Observation room


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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