What Is Revenue Code 278 on Your Oncology Bill?

Healthcare billing can appear intricate, involving a systematic approach to categorize services. Providers use standardized identifiers for clarity and consistency in recording patient care and costs. Deciphering these codes helps individuals understand charges on their medical statements. This article clarifies a specific code often found on oncology medical bills, helping patients interpret these financial documents.

What Are Healthcare Revenue Codes?

Healthcare revenue codes are standardized three or four-digit numbers used by facilities to categorize services, departments, or cost centers for patient care. These codes are primarily used on the Universal Bill (UB-04) form, the standard claim form for institutional providers like hospitals. The UB-04 form, also known as the CMS-1450 form, provides detailed information on services rendered.

The primary purpose of these codes is consistent billing and record-keeping across the healthcare system. They help insurance payers understand the type and location of services, essential for accurate reimbursement. For instance, a revenue code differentiates between services performed in an emergency room versus a standard treatment room, as pricing may vary. The National Uniform Billing Committee (NUBC) maintains and updates these codes.

Details of Revenue Code 278

Revenue Code 278 represents “Other Ancillary Services – Oncology” on an oncology bill. Ancillary services are supportive services aiding in diagnosing or treating a patient, while oncology refers to the branch of medicine dealing with cancer. Therefore, Code 278 on an oncology bill signifies charges for specific devices or materials used in cancer care.

This code covers “Other Implants” or “Other Implantable Devices,” which are materials or objects inserted or grafted into the body for prosthetic, therapeutic, or diagnostic purposes. Examples of items billed under Revenue Code 278 in oncology include radioactive seeds used in brachytherapy, ports implanted for chemotherapy, or other specialized devices for cancer treatment. This code is for implantable items and does not cover routine supplies or items that do not remain in the body after a procedure.

Understanding Code 278 on Your Bill

When reviewing your hospital bill, specifically the UB-04 form, revenue codes are found in fields 42-49. Seeing Revenue Code 278 indicates a charge for an oncology-related implantable device or material used during your cancer treatment. This knowledge helps cross-reference billed services with the care received, contributing to billing accuracy.

While Revenue Code 278 identifies the service or item category, it does not provide granular details like specific brand, dosage, or individual cost. For a more detailed breakdown of charges, including product names and procedure costs, refer to an itemized statement from the hospital. Understanding these codes empowers patients to comprehend the general nature of charges, ensuring the bill aligns with services provided during oncology care.