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Thread: Code 490

  1. #1

    Default Code 490

    AAPC: Back to School
    Ambulatory Surgery Centers not billing with rev code 490 with a bill type 831, they are billing with a 360 instead. Anyone aware of any documnetation stating this shouldn't be billed this way I would greatly appreciate you sharing this information. This is needed ASAP as I have already spoke with the provider.

  2. #2
    Join Date
    Apr 2007
    Palm Beach


    Rev code 360 is used for OR Services and is used by hospitals. ASC's should bill with Rev code 490 (Ambulatory Surgical Care) which emcompasses all facilities fees, not just the OR.

  3. #3

    Default Rev code 490

    We are trying to find documentation that states a 490 should be used by ASC's and have not had any luck. Do you know where we can find this to forward on to a provider??

  4. #4
    Join Date
    Apr 2007
    El Paso


    Try this link and go to page 88 to see Rev 490 for ASC. This is the manual that contains the revenue codes and other information associated with CMS-1450 (UB04).

    Susan M. Garrett, CPC, COC
    Past President El Paso Texas Chapter AAPC
    Past Member AAPCCA Board of Directors
    cell 915-204-8333

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