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.

 
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 Dec 09 , 2023