Refer to National Uniform Billing Committee (NUBC) information for expanded definitions of codes.

Revenue Code	Description
0001	Total Charges
001X	Reserved for internal payer use
002X	Health Insurance Prospective Payment System (HIPPS) 0020-0021 Reserved 0022 - Skilled Nursing Facility (SNF) PPS 0023 - Home Health PPS 0024 - Inpatient Rehabilitation Facility (IRF) PPS 0025-0029 - Reserved
003X-009X	Reserved
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 - OB 0113 - Pediatric 0114 - Psychiatric 0115 - Hospice 0116 - Detoxification 0117 - Oncology 0118 - Rehabilitation 0119 - Other
012X	Room and Board Semiprivate (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 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
022X	Special Charges 0220 - General 0221 - Admission Charge 0222 - Technical Support Charge 0223 - UR 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 0250 - General 0251 - Generic drugs 0252 - Nongeneric 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 0270 - General 0271 - Nonsterile 0272 - Sterile 0273 - Take-home supplies 0274 - Prosthetic/orthotic devices 0275 - Pacemaker 0276 - Intracular lens 0277 - Take-home oxygen 0278 - Other implants 0279 - Other
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
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-administerable 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 (nonrespite) 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	Reserved
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 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	Reserved
088X	Miscellaneous Dialysis 0880 - General 0881 - Ultrafiltration 0882 - Home dialysis aid visit 0889 - Other
089X	Reserved
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 alos 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
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
101X-209X	Reserved
210X	Alternative Therapy Services 2100 - General 2101 - Acupuncture 2102 - Acupressure 2103 - Massage 2104 - Reflexology 2105 - Biofeedback 2106 - Hypnosis 2109 - Other
211x - 300X	Reserved
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
311X-999X	Reserved