Revenue Codes

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

X
 
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

 

Last Updated Sep 26, 2018