What is the difference between CPT/HCPCS coding and revenue code assignment in Resolute?

• A. CPT/HCPCS codes describe services; revenue codes categorize the department/line of business for billing; both must align for a valid claim.
• B. CPT codes are for equipment; HCPCS are for facility; revenue codes are for staff.
• C. Revenue codes describe services; CPT codes categorize departments.
• D. CPT/HCPCS is only for outpatient; revenue code is only for inpatient.

Answer: (A)

CPT/HCPCS codes describe the actual service, procedure, or supply that was provided, while revenue codes indicate the department or line of business within the hospital where that service occurred. In Resolute, every charge line ties a CPT/HCPCS code to a revenue code, and these must align so the claim clearly shows what was done and where it happened. If the service detail (what was performed) doesn’t match the department/category (where it was billed from), the claim can be misinterpreted or denied.

CPT (and HCPCS) capture the specifics—e.g., a surgical procedure, a radiology service, or a purchased supply—whereas revenue codes group charges by department (like operating room, emergency department, or inpatient room). Both are used across inpatient and outpatient settings, not restricted to one or the other.

So, the best framing is: CPT/HCPCS describe the service; revenue codes categorize the billing department or line of business, and both must align for a valid, properly processed claim.