Revenue code list

Revenue Code List 0901 to 2101

REVENUE CODE	DESCRIPTION
0901	ELECTRO SHOCK
0902	MILIEU THERAPY
0903	PLAY THERAPY
0904	ACTIVITY THERAPY
0905	INTENSIVE OUTPATIENT
0906	INTENSIVE OUTPATIENT
0907	COMMUNITY BEHAVIORAL
0911	PSYCH/REHAB
0912	PSYCH/DAYCARE
0913	PSYCH/NIGHTCARE
0914	PSYCH/INDIV RX
0915	PSYCH/GROUP RX
0916	PSYCH/FAMILY RX
0917	PSYCH/BIOFEED
0918	PSYCH/TESTING
0919	PSYCH/OTHER
0920	OTHER DX SVS
0921	PERI VASCUL LAB
0922	EMG
0923	PAP SMEAR
0924	ALLERGY TEST
0925	PREG TEST
0929	ADDITIONAL DX SVS
0940	OTHER RX SVS
0941	RECREATION RX
0942	EDUC/TRAINING
0943	CARDIAC REHAB
0944	DRUG REHAB
0945	ALCOHOL REHAB
0946	COMPLEX MED EQUIP
0947	COMPLEX MED EQUIP (SNF)
0949	ADDITIONAL RX SVS
1001	BEHAVIORAL HEALTH ACCOM.
1002	BEHAVIORAL HEALTH ACCOM.
2101	ALTERNATIVE THERAPY SERV

Major Revenue code list

Revenue Codes Major Category Description X indicates that a HCPCS or CPT code is required for outpatient UB-04 claims

0001 Total Charge
0020-0024 Health Insurance Prospective Payment System (HIPPS)
0010-0239 Room and Board
0240-0249 All Inclusive Ancillary X
0250 Pharmacy – General Classification
0251-0259 Pharmacy: Specified X
0260-0264 IV Therapy X
0269 IV Therapy X
0270-0273 Medical /Surgical Supplies
0274 Medical Surgical : Prosthetic/Orthotic X
0275-0277 Medical /Surgical Supplies
0278 Medical /Surgical Supplies
0279 Medical /Surgical Supplies
0280 Oncology X
0289 Oncology X
0290 Durable Medical Equipment X
0291-0294 Durable Medical Equipment X
0299 Durable Medical Equipment X
0300-0307 Laboratory X
0309 Laboratory X
0310-0314 Laboratory Pathology X
0319 Laboratory Pathology X
0320-0324 Radiology Diagnostic X
0329 Radiology Diagnostic X
0330-0335 Radiology – Therapeutic and/or Chemotherapy Administration X
0339 Radiology – Therapeutic and/or Chemotherapy Administration X
0340-0344 Nuclear Medicine X
0349 Nuclear Medicine X
0350-0352 CT Scan X
0359 CT Scan X
0360-0362 Operating Room Services X
0367 Operating Room Services X
0369 Operating Room Services X
0370-0372 Anesthesia
0374 Anesthesia
0379 Anesthesia
0380-0387 Blood and Blood Components X
0389 Blood and Blood Components X
0390-0392 Administration, Processing and Storage for Blood and Blood Components X
0399 Administration, Processing and Storage for Blood and Blood Components X
0400-0404 Other Imaging Services X
0409 Other Imaging Services X
0410-0413 Respiratory Services X
0419 Respiratory Services X
0420-0424 Physical Therapy X
0429 Physical Therapy X
0430-0434 Occupational Therapy X
0439 Occupational Therapy X
0440-0444 Speech Therapy X
0449 Speech Therapy X
0450-0452 Emergency Room X
0456 Emergency Room X
0459 Emergency Room X
0460 Pulmonary Function X
0469 Pulmonary Function X
0470-0472 Audiology X
0479 Audiology X
0480-0483 Cardiology X
0489 Cardiology X
0490 Ambulatory Surgical Care X
0499 Ambulatory Surgical Care X
0500 Outpatient Services X
0509 Outpatient Services X
0510-0517 Clinic X
0519 Clinic X
0520-0529 Free-Standing Clinic X
0530-0531 Osteopathic Services X
0539 Osteopathic Services X
0540 Ambulance X
0542-0549 Ambulance X
0550-0552 Skilled Nursing X
0559 Skilled Nursing X
0560-0562 Home Health – Medical Social Services X
0569 Home Health – Medical Social Services X
0570-0572 Home Health Aid X
0579 Home Health Aid X
0580-0583 Home Health – Other Visits X
0589 Home Health – Other Visits X
0590 Home Health Units of Service X
0600-0604 Home Health Oxygen X
0609 Home Health Oxygen X
0610-0617 Magnetic Resonance Technology X
0619 Magnetic Resonance Technology X
0621-0624 Medical Surgical Supplies X
0631-0635 Pharmacy X
0636 Pharmacy X
0637 Pharmacy X
0640 Home IV Therapy Services
0641-0649 Home IV Therapy Services X
0650-0652 Hospice Services X
0655-0659 Hospice Services X
0660-0669 Respite Care
0670-0679 Outpatient Special Residence Charges
0680-0684 Trauma Response
0689 Trauma Response
0690 - 0694 Pre-hospice/Palliative Care Services (Revenue code is effective January 1, 2014) X
0696 Pre-hospice/Palliative Care Services (Revenue code is effective January 1, 2014) X
0699 Pre-hospice/Palliative Care Services (Revenue code is effective January 1,2014) X
0700 Cast Room
0710 Recovery Room
0720-0724 Labor Room/Delivery
0729 Labor Room/Delivery
0730-0732 EKG/ECG (Electrocardiogram) X
0739 EKG/ECG (Electrocardiogram)
0740 EEC (Electroencephalogram) X
0750 Gastro-Intestinal (GI) Services X
0760 Specialty Services
0761 Specialty Services X
0762 Specialty Services
0769 Specialty Services
0770-0771 Preventive Care X
0780 Telemedicine
0790 Extra-Corporeal Shock Wave Therapy X
0800-0809 Inpatient Renal Dialysis
0810-0814 Acquisition of Body Components X
0819 Acquisition of Body Components X
0820-0825 Hemodialysis – Outpatient or Home X
0829 Hemodialysis – Outpatient or Home X
0830-835 Peritoneal Dialysis – Outpatient or Home X
0839 Peritoneal Dialysis – Outpatient or Home X
0840-0845 Continuous Ambulatory Peritoneal Dialysis (CAPD) X
0849 Continuous Ambulatory Peritoneal Dialysis (CAPD) X
0850-0855 Continuous Cycling Peritoneal Dialysis (CCPD) X
0859 Continuous Cycling Peritoneal Dialysis (CCPD) X
0880-0882 Miscellaneous Dialysis X
0889 Miscellaneous Dialysis X
0900 Behavioral Health Treatment/Services X
0901-0907 Behavioral Health Treatment/Services X
0914-0918 Behavioral Health Treatment/Services X
0919 Behavioral Health Treatment/Services X
0920 Other Diagnostic Services X
0921-0922 Other Diagnostic Services X
0923-0925 Other Diagnostic Services X
0929 Other Diagnostic Services X
0931-0932 Medical Rehabilitation Day Program
0940-0943 Other Therapeutic Services X
0944 Other Therapeutic Services X
0945-0949 Other Therapeutic Services X
0951-0953 Other Therapeutic Services X
0960-0964 Professional Fees X
0969 Professional Fees X
0971-0979 Professional Fees X
0981-0989 Professional Fees X
0990-0999 Patient Convenience Items
1000-1005 Behavioral Health Accommodations
2100-2109 Alternative Therapy Services
3100-3109 Adult Care