Revenue Codes - JE Part A
Revenue Codes
Refer to National Uniform Billing Committee (NUBC) information for expanded definitions of codes.
Note: Any codes not listed within this table are not currently in use by CMS. This includes any code ranges that are considered Reserved for National Assignment.
X
| Revenue Code | Description |
|---|---|
| 0001 | Total Charge |
| 001X | Payer Code |
| 002X | Health Insurance Prospective Payment System (HIPPS) 0022 - Skilled Nursing Facility PPS 0023 - Home Health PPS 0024 - Inpatient Rehabilitation Facility (IRF) PPS |
| 010X | All-inclusive Rate 0100 - All inclusive room and board plus ancillary 0101 - All inclusive room and board |
| 011X | Room and Board Private (one bed) 0110 - General 0111 - Medical/Surgical/GYN 0112 - Obstetrics (OB) 0113 - Pediatric 0114 - Psychiatric 0115 - Hospice 0116 - Detoxification 0117 - Oncology 0118 - Rehabilitation 0119 - Other |
| 012X | Room and Board Semi-private (two beds) 0120 - General 0121 - Medical/Surgical/GYN 0122 - OB 0123 - Pediatric 0124 - Psychiatric 0125 - Hospice 0126 - Detoxification 0127 - Oncology 0128 - Rehabilitation 0129 - Other |
| 013X | Room and Board (3 and 4 beds) 0130 - General 0131 - Medical/Surgical/GYN 0132 - OB 0133 - Pediatric 0134 - Psychiatric 0135 - Hospice 0136 - Detoxification 0137 - Oncology 0138 - Rehabilitation 0139 - Other |
| 014X | Room and Board Deluxe Private 0140 - General 0141 - Medical/Surgical/GYN 0142 - OB 0143 - Pediatric 0144 - Psychiatric 0145 - Hospice 0146 - Detoxification 0147 - Oncology 0148 - Rehabilitation 0149 - Other |
| 015X | Room and Board Ward 0150 - General 0151 - Medical/Surgical/GYN 0152 - OB 0153 - Pediatric 0154 - Psychiatric 0155 - Hospice 0156 - Detoxification 0157 - Oncology 0158 - Rehabilitation 0159 - Other |
| 016X | Other Room and Board 0160 - General 0161 - Hospital at home, R&B/hospital at home (effective for claims received on or after July 1, 2022) 0164 - Sterile 0167 - Self-care 0169 - Other |
| 017X | Nursery 0170 - General 0171 - Newborn Level I 0172 - Newborn Level II 0173 - Newborn Level III 0174 - Newborn Level IV 0179 - Other |
| 018X | Leave of Absence 0180 - General 0182 - Patience convenience - charges billable 0183 - Therapeutic leave 0185 - Nursing home (for hospitalization) 0189 - Other |
| 019X | Subacute Care 0190 - General 0191 - Level I 0192 - Level II 0193 - Level III 0194 - Level IV 0199 - Other |
| 020X | Intensive Care Unit 0200 - General 0201 - Surgical 0202 - Medical 0203 - Pediatric 0204 - Psychiatric 0206 - Intermediate ICU 0207 - Burn Care 0208 - Trauma 0209 - Other |
| 021X | Coronary Care Unit 0210 - General 0211 - Myocardial Infarction 0212 - Pulmonary Care 0213 - Heart Transplant 0214 - Intermediate CCU 0219 - Other Coronary CCU |
| 022X | Special Charges 0220 - General 0221 - Admission Charge 0222 - Technical Support Charge 0223 - U.R. Service Charge 0224 - Late Discharge - Medically Necessary 0229 - Other |
| 023X | Incremental Nursing Charge 0230 - General 0231 - Nursery 0232 - OB 0233 - ICU 0234 - CCU 0235 - Hospice 0239 - Other |
| 024X | All-inclusive Ancillary 0240 - General 0241 - Basic 0242 - Comprehensive 0243 - Specialty 0249 - Other |
| 025X | Pharmacy (Also see 063X, an extension of 250X) 0250 - General 0251 - Generic drugs 0252 - Non-generic drugs 0253 - Take-home drugs 0254 - Drugs incident to Other diagnostic services 0255 - Drugs incident to radiology 0256 - experimental drugs 0257 - Nonprescription 0258 - IV solutions 0259 - Other |
| 026X | IV Therapy 0260 - General 0261 - Infusion pump 0262 - Pharmacy services 0263 - Drug/supply delivery 0264 - Supplies 0269 - Other |
| 027X | Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) 0270 - General 0271 - Nonsterile 0272 - Sterile 0273 - Take-home supplies 0274 - Prosthetic/orthotic devices 0275 - Pacemaker 0276 - Intraocular lens 0277 - Take-home oxygen 0278 - Other implants 0279 - Other supplies/devices |
| 028X | Oncology 0280 - General 0289 - Other |
| 029X | Durable Medical Equipment (Other than Renal) 0290 - General 0291 - Rental 0292 - Purchase of new DME 0293 - Purchase of used DME 0294 - Supplies/Drugs for DME 0299 - Other equipment |
| 030X | Laboratory 0300 - General 0301 - Chemistry 0302 - Immunology 0303 - Renal patient (home) 0304 - Nonroutine dialysis 0305 - Hematology 0306 - Bacteriology and Microbiology 0307 - Urology 0309 - Other |
| 031X | Laboratory Pathology 0310 - General 0311 - Cytology 0312 - Histology 0314 - Biopsy 0319 - Other |
| 032X | Radiology Diagnostic 0320 - General 0321 - Angiocardiography 0322 - Arthrography 0323 - Arteriography 0324 - Chest X-ray 0329 - Other |
| 033X | Radiology Therapeutic and/of Chemotherapy Administration 0330 - General 0331 - Chemotherapy administration - injection 0332 - Chemotherapy administration - oral 0333 - Radiation therapy 0335 - Chemotherapy administration - IV 0339 - Other |
| 034X | Nuclear Medicine 0340 - General 0341 - Diagnostic 0342 - Therapeutic 0343 - Diagnostic radiopharmaceuticals 0344 - Therapeutic radiopharmaceuticals 0349 - Other |
| 035X | CT Scan 0350 - General 0351 - Head scan 0352 - Body scan 0359 - Other |
| 036X | Operating Room Services 0360 - General 0361 - Minor surgery 0362 - Organ transplant - other than kidney 0367 - Kidney transplant 0369 - Other |
| 037X | Anesthesia 0370 - General 0371 - Incident to radiology 0372 - Incident to other diagnostic services 0374 - Acupuncture 0379 - Other |
| 038X | Blood and Blood Products 0380 - General 0381 - Packed red cells 0382 - Whole blood and blood products 0383 - Plasma 0384 - Platelets 0385 - Leukocytes 0386 - Other components 0387 - Other derivatives (cryoprecipitates) 0389 - Other |
| 039X | Administration, Processing and Storage for Blood and Blood Components 0390 - General 0391 - Administration (e.g., transfusions) 0392 - Processing and storage 0399 - Other processing and storage |
| 040X | Other Imaging Services 0400 - General 0401 - Diagnostic mammography 0402 - Ultrasound 0403 - Screening mammography 0404 - Positron Emission Tomography 0409 - Other |
| 041X | Respiratory Services 0410 - General 0412 - Inhalation services 0413 - Hyperbaric oxygen therapy 0419 - Other |
| 042X | Physical Therapy 0420 - General 0421 - Visit charge 0422 - Hourly charge 0423 - Group rate 0424 - Evaluation or reevaluation 0429 - Other |
| 043X | Occupational Therapy 0430 - General 0431 - Visit charge 0432 - Hourly charge 0433 - Group rate 0434 - Evaluation or reevaluation 0439 - Other |
| 044X | Speech Therapy Language Pathology 0440 - General 0441 - Visit charge 0442 - Hourly charge 0443 - Group rate 0444 - Evaluation or reevaluation 0449 - Other |
| 045X | Emergency Room 0450 - General 0451 - EMTALA emergency medical screening services 0452 - ER beyond EMTALA screening 0456 - Urgent care 0459 - Other |
| 046X | Pulmonary Function 0460 - General 0469 - Other |
| 047X | Audiology 0470 - General 0471 - Diagnostic 0472 - Treatment 0479 - Other |
| 048X | Cardiology 0480 - General 0481 - Cardiac cath lab 0482 - Stress test 0483 - Echocardiology 0489 - Other |
| 049X | Ambulatory Surgical Care 0490 - General 0499 - Other |
| 050X | Outpatient Services 0500 - General 0509 - Other |
| 051X | Clinic 0510 - General 0511 - Chronic pain center 0512 - Dental clinic 0513 - Psychiatric clinic 0514 - OB/GYN clinic 0515 - Pediatric clinic 0516 - Urgent care clinic 0517 - Family practice clinic 0519 - Other |
| 052X | Freestanding Clinic 0520 - General 0521 - Clinic visit by member to RHC/FQHC 0522 - Home visit by RHC/FQHC practitioner 0523 - Family practice clinic 0524 - Visit by RHC/FQHC practitioner to member in a Part A covered stay in SNF 0525 - Visit by RHC/FQHC practitioner to member in a stay not covered by Part A in a SNF, NF or ICF MR or other residential facility 0526 - Urgent care clinic 0527 - Visiting nurse services to member's home in a home health shortage area 0528 - Visit by RHC/FQHC practitioner to other non-RHC/FQHC site (e.g., scene of accident) 0529 - Other |
| 053X | Osteopathic Services 0530 - General 0531 - Osteopathic therapy 0539 - Other |
| 054X | Ambulance 0540 - General 0541 - Supplies 0542 - Medical transport 0543 - Heart mobile 0544 - Oxygen 0545 - Air ambulance 0546 - Neonatal ambulance 0547 - Pharmacy 0548 - EKG transmission 0549 - Other |
| 055X | Skilled Nursing 0550 - General 0551 - Visit charge 0552 - Hourly charge 0559 - Other |
| 056X | Home Health Medical Social Services 0560 - General 0561 - Visit charge 0562 - Hourly charge 0569 - Other |
| 057X | Home Health Aide 0570 - General 0571 - Visit charge 0572 - Hourly charge 0579 - Other |
| 058X | Home Health Other Visits 0580 - General 0581 - Visit charge 0582 - Hourly charge 0583 - Assessment 0589 - Other |
| 059X | Home Health Units of Service 0590 - General |
| 060X | Home Health Oxygen 0600 - General 0601 - Stat/Equip/Supply or contents 0602 - Stat/Equip/Supply Under 1 LPM 0603 - Stat/Equip Over 4 LPM 0604 - Portable Add-on 0609 - Other |
| 061X | Magnetic Resonance Technology (MRT) 0610 - General 0611 - Brain/brain stem 0612 - Spinal cord/spine 0614 - Other MRI 0615 - Head and neck 0616 - Lower extremities 0618 - Other MRA 0619 - Other MRT |
| 062X | Medical/Surgical Supplies - Extension of 027X 0621 - Incident to Radiology 0622 - Incident to Other Diagnostic services 0623 - Surgical Dressings 0624 - FDA investigational devices |
| 063X | Pharmacy - Extension of 025X 0631 - Single source drug 0632 - Multiple source drug 0633 - Restrictive prescription 0634 - Erythropoietin (EPO) less than 10,000 units 0635 - Erythropoietin (EPO) 10,000 or more units 0636 - Drugs requiring detailed coding 0637 - Self-administered drugs |
| 064X | Home IV Therapy Services 0640 - General 0641 - Nonroutine nursing, central line 0642 - IV site care, central line 0643 - IV start/care, peripheral line 0644 - Nonroutine nursing, peripheral line 0645 - Training patient/caregiver, central line 0646 - Training disabled patient, central line 0647 - Training patient/caregiver, peripheral line 0648 - Training disabled patient, peripheral line 0649 - Other |
| 065X | Hospice Service 0650 - General 0651 - Routine home care 0652 - Continuous home care 0655 - Inpatient respite care 0656 - General inpatient care (non-respite) 0657 - Physician services 0658 - Hospice room and board - nursing facility 0659 - Other |
| 066X | Respite Care 0660 - General 0661 - Hourly charge/nursing 0662 - Hourly charge/aide/homemaker/companion 0663 - daily respite charge 0669 - Other |
| 067X | Outpatient Special Residence Charges 0670 - General 0671 - Hospital owned 0672 - Contracted 0679 - Other |
| 068X | Trauma Response 0681 - Level I 0682 - Level II 0683 - Level III 0684 - Level IV 0689 - Other |
| 069X | Pre-Hospice/Palliative Care Services 0690 - General 0691 - Visit charge 0692 - Hourly charge 0693 - Evaluation 0694 - Consultation and education 0695 - Inpatient care 0696 - Physician services 0699 - Other |
| 070X | Cast Room 0700 - General |
| 071X | Recovery Room 0710 - General |
| 072X | Labor Room/Delivery 0720 - General 0721 - Labor 0722 - Delivery 0723 - Circumcision 0724 - Birthing center 0729 - Other |
| 073X | EKG/ECG Electrocardiogram 0730 - General 0731 - Holter monitor 0732 - Telemetry 0739 - Other |
| 074X | EEG Electroencephalogram 0740 - General |
| 075X | Gastrointestinal Services 0750 - General |
| 076X | Specialty Services 0760 - General 0761 - Treatment room 0762 - Observation hours 0769 - Other |
| 077X | Preventive Services 0770 - General 0771 - Vaccine administration |
| 078X | Telemedicine 0780 - General |
| 079X | Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) 0790 - General |
| 080X | Inpatient Renal Dialysis 0800 - General 0801 - Inpatient hemodialysis 0802 - Inpatient peritoneal (non-CAPD) 0803 - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD) 0804 - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD) 0809 - Other |
| 081X | Acquisition of Body Components 0810 - General 0811 - Living donor 0812 - Cadaver donor 0813 - Unknown donor 0814 - Unsuccessful organ search - donor bank charges 0815 - Stem cells - allogeneic (effective 1/1/17) 0819 - Other |
| 082X | Hemodialysis - Outpatient or Home 0820 - General 0821 - Composite or other rate 0822 - Home supplies 0823 - Home equipment 0824 - Maintenance/100% 0825 - Support Services 0829 - Other |
| 083X | Peritoneal Dialysis - Outpatient or Home 0830 - General 0831 - Composite or other rate 0832 - Home supplies 0833 - Home equipment 0834 - Maintenance/100% 0835 - Support Services 0839 - Other |
| 084X | Continuous Ambulatory Peritoneal Dialysis (CAPD)- Outpatient or Home 0840 - General 0841 - Composite or other rate 0842 - Home supplies 0843 - Home equipment 0844 - Maintenance/100% 0845 - Support Services 0849 - Other |
| 085X | Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home 0850 - General 0851 - Composite or other rate 0852 - Home supplies 0853 - Home equipment 0854 - Maintenance/100% 0855 - Support Services 0859 - Other |
| 086X | Magnetoencephalography 0860 - General 0861 - MEG |
| 087X | Cell/Gene Therapy 0870 - General 0871 - Cell Collection 0872 - Specialized Biologic Processing and Storage - Prior To Transport 0873 - Storage and Processing After Receipt of Cells from Manufacturer 0874 - Infusion of Modified Cells (Effective 4/1/19) 0875 - Injection of Modified Cells (Effective 4/1/19) |
| 088X | Miscellaneous Dialysis 0880 - General 0881 - Ultrafiltration 0882 - Home dialysis aid visit 0889 - Other |
| 089X | Pharmacy - Extension of 025X and 063X 0890 - Reserved (Use 0250 For General Classification) (Effective 4/1/19) 0891- Special Processed Drugs - FDA Approved Cell Therapy (Effective 4/1/19) 0892 - Special Processed Drugs – FDA Approved Gene Therapy (Effective 4/1/20) |
| 090X | Behavioral Health Treatments/Services (also see 091X, and extension of 090X) 0900 - General 0901 - Electroshock 0902 - Milieu therapy 0903 - Play therapy 0904 - Activity therapy 0905 - Intensive outpatient services - psychiatric 0906 - Chemical dependency 0907 - Community behavioral health program - day treatment |
| 091X | Behavioral Health Treatments/Services - Extension of 090X 0911 - Rehabilitation 0912 - Partial hospitalization - less intensive 0913 - Partial hospitalization - intensive 0914 - Individual therapy 0915 - Group therapy 0916 - Family therapy 0917 - Biofeedback 0918 - Testing 0919 - Behavioral health treatments |
| 092X | Other Diagnostic Services 0920 - General 0921 - Peripheral vascular lab 0922 - Electromyelogram 0923 - Pap smear 0924 - Allergy test 0925 - Pregnancy test 0929 - Other |
| 093X | Medical Rehabilitation Day Program 0931 - Half day 0932 - Full day |
| 094X | Other Therapeutic Services - See also 095X 0940 - General 0941 - Recreational 0942 - Education/training 0943 - Cardiac rehabilitation 0944 - Drug rehabilitation 0945 - Alcohol rehabilitation 0946 - Complex medical equipment - routine 0947 - Complex medical equipment - ancillary 0948 - Pulmonary rehabilitation 0949 - Other |
| 095X | Other Therapeutic Services (Extension of 094X) 0951 - Athletic training 0952 – Kinesiotherapy 0953 - Chemical dependency (drug and alcohol) |
| 096X | Professional Fees 0960 - General 0961 - Psychiatric 0962 - Ophthalmology 0963 - Anesthesiologist (MD) 0964 - Anesthesiologist (CRNA) 0969 - Other |
| 097x | Professional Fees (Extension of 096X) 0971 - Laboratory 0972 - Radiology - diagnostic 0973 - Radiology - therapeutic 0974 - Nuclear medicine 0975 - Operating room 0976 - Respiratory therapy 0977 - Physical therapy 0978 - Occupational therapy 0979 - Speech pathology |
| 098X | Professional Fees (Extension of 096X and 097X) 0981 - Emergency room 0982 - Outpatient services 0983 - Clinic 0984 - Medical social services 0985 - EKG 0986 - EEG 0987 - Hospital visit 0988 - Consultation 0989 - Private-duty nurse |
| 099X | Patient Convenience Items 0990 - General 0991 - Cafeteria/guest tray 0992 - Private linen service 0993 - Telephone/telegraph 0994 - TV/radio 0995 - Nonpatient room rentals 0996 - Late discharge charge 0997 - Admission kits 0998 - Beauty shop/barber 0999 - Other |
| 100X | Behavioral Health Accommodations 1000 - General 1001 - Residential treatment - psychiatric 1002 - Residential treatment - chemical dependency 1003 - Supervised living 1004 - Halfway House 1005 - Group Home 1006 - Outdoor/wilderness behavioral health (effective 7/1/17) |
| 210X | Alternative Therapy Services 2100 - General 2101 - Acupuncture 2102 - Acupressure 2103 - Massage 2104 - Reflexology 2105 - Biofeedback 2106 - Hypnosis 2109 - Other |
| 310X | Adult Care 3101 - adult daycare, medical and social - hourly 3102 - Adult daycare, social - hourly 3103 - Adult daycare, medical and social - daily 3104 - Adult daycare, social - daily 3105 - Adult foster care - daily 3109 - Other |
Last Updated Mon, 24 Apr 2023 17:19:34 +0000