Revenue Code |
Description |
630 |
Drugs |
631 |
Single source drug |
632 |
Multiple source drug |
633 |
Restrictive prescription |
634 |
Erythropoietin (EPO) less than 10000 units |
635 |
Erythropoietin (EPO) 10000 or more units |
636 |
Drugs requiring detailed coding* |
Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal).