Revenue Codes
|
No. |
Revenue Code |
Unit Type |
Revenue Description |
|
1 |
0 |
D |
INVALID REVENUE CODE |
|
2 |
001 |
N |
TOTAL CHARGE |
|
3 |
020 |
N |
Reserved |
|
4 |
021 |
N |
Reserved |
|
5 |
022 |
N |
SNF Resource Utilization Group |
|
6 |
023 |
N |
Home Health Resource Group |
|
7 |
024 |
N |
IRF Case Mix Group |
|
8 |
025 |
N |
Reserved |
|
9 |
026 |
N |
Reserved |
|
10 |
027 |
N |
Reserved |
|
11 |
028 |
N |
Reserved |
|
12 |
029 |
N |
Reserved |
|
13 |
100 |
D |
ALL INCLUSIVE R & B + ANCILLAR |
|
14 |
101 |
D |
ALL INCLUSIVE ROOM AND BOARD |
|
15 |
105 |
D |
Rev Code for Southcare |
|
16 |
106 |
D |
Rev Code for Southcare |
|
17 |
110 |
D |
PRIVATE ROOM |
|
18 |
111 |
D |
PRIVATE ROOM GYN |
|
19 |
112 |
D |
PRIVATE ROOM OB |
|
20 |
113 |
D |
PRIVATE ROOM PEDS |
|
21 |
114 |
D |
PRIVATE ROOM PSYCH |
|
22 |
115 |
D |
PRIVATE ROOM HOSPICE |
|
23 |
116 |
D |
PRIVATE ROOM DETOX |
|
24 |
117 |
D |
PRIVATE ROOM ONCOLOGY |
|
25 |
118 |
D |
PRIVATE ROOM REHAB |
|
26 |
119 |
D |
PRIVATE ROOM OTHER |
|
27 |
120 |
D |
SEMI-PRIVATE ROOM |
|
28 |
121 |
D |
SEMI-PRIVATE ROOM MED/SUR/GYN |
|
29 |
122 |
D |
SEMI-PRIVATE ROOM OB |
|
30 |
123 |
D |
SEMI-PRIVATE ROOM PEDS |
|
31 |
124 |
D |
SEMI-PRIVATE ROOM PSYCH |
|
32 |
125 |
D |
SEMI-PRIVATE ROOM HOSPICE |
|
33 |
126 |
D |
SEMI-PRIVATE ROOM DETOX |
|
34 |
127 |
D |
SEMI-PRIVATE ROOM ONCOLOGY |
|
35 |
128 |
D |
SEMI-PRIVATE ROOM REHAB |
|
36 |
129 |
D |
SEMI-PRIVATE ROOM OTHER |
|
37 |
130 |
D |
3/4 BED ROOM |
|
38 |
131 |
D |
3/4 BED ROOM MED/SUR/GYN |
|
39 |
132 |
D |
3/4 BED ROOM OB |
|
40 |
133 |
D |
3/4 BED ROOM PEDS |
|
41 |
134 |
D |
3/4 BED ROOM PSYCH |
|
42 |
135 |
D |
3/4 BED ROOM HOSPICE |
|
43 |
136 |
D |
3/4 BED ROOM DETOX |
|
44 |
137 |
D |
3/4 BED ROOM ONCOLOGY |
|
45 |
138 |
D |
3/4 BED ROOM REHAB |
|
46 |
139 |
D |
3/4 BED ROOM OTHER |
|
47 |
140 |
D |
PRIVATE DELUXE ROOM |
|
48 |
141 |
D |
PRIVATE DELUXE ROOM MED/SUR/GY |
|
49 |
142 |
D |
PRIVATE DELUXE ROOM OB |
|
50 |
143 |
D |
PRIVATE DELUXE ROOM PEDS |
|
51 |
144 |
D |
PRIVATE DELUXE ROOM PSYCH |
|
52 |
145 |
D |
PRIVATE DELUXE ROOM HOSPICE |
|
53 |
146 |
D |
PRIVATE DELUXE ROOM DETOX |
|
54 |
147 |
D |
PRIVATE DELUXE ROOM ONCOLOGY |
|
55 |
148 |
D |
PRIVATE DELUXE ROOM REHAB |
|
56 |
149 |
D |
PRIVATE DELUXE ROOM OTHER |
|
57 |
150 |
D |
WARD 5-6 BED |
|
58 |
151 |
D |
WARD 5-6 BED MED/SUR/GYN |
|
59 |
152 |
D |
WARD 5-6 BED OB |
|
60 |
153 |
D |
WARD 5-6 BED PEDS |
|
61 |
154 |
D |
WARD 5-6 BED PSYCH |
|
62 |
155 |
D |
WARD 5-6 BED HOSPICE |
|
63 |
156 |
D |
WARD 5-6 BED DETOX |
|
64 |
157 |
D |
WARD 5-6 BED ONCOLOGY |
|
65 |
158 |
D |
WARD 5-6 BED REHAB |
|
66 |
159 |
D |
WARD 5-6 BED OTHER |
|
67 |
160 |
D |
ROOM & BOARD OTHER |
|
68 |
164 |
D |
ISOLATION |
|
69 |
167 |
D |
SELF-CARE |
|
70 |
169 |
D |
OTHER |
|
71 |
170 |
D |
NURSERY GENERAL |
|
72 |
171 |
D |
NURSERY NEWBORN LEVEL I |
|
73 |
172 |
D |
NURSERY NEWBORN LEVEL II |
|
74 |
173 |
D |
NURSERY NEWBORN LEVEL III |
|
75 |
174 |
D |
NURSERY NEWBORN LEVEL IV |
|
76 |
175 |
D |
NURSERY NEWBORN NICU |
|
77 |
179 |
D |
NURSERY BOARDER/OTHER |
|
78 |
180 |
D |
LOA |
|
79 |
181 |
D |
RESERVED |
|
80 |
182 |
D |
LOA/PT CONV |
|
81 |
183 |
D |
LOA/THERAPEUTIC |
|
82 |
184 |
D |
LOA/ICF/MR |
|
83 |
185 |
D |
LOA/NURS HOME |
|
84 |
189 |
D |
LOA/OTHER |
|
85 |
190 |
D |
SUBACUTE |
|
86 |
191 |
D |
SUBACUTE/LEVEL I |
|
87 |
192 |
D |
SUBACUTE/LEVEL II |
|
88 |
193 |
D |
SUBACUTE/LEVEL III |
|
89 |
194 |
D |
SUBACUTE/LEVEL IV |
|
90 |
199 |
D |
SUBACUTE/OTHER |
|
91 |
200 |
D |
ICU |
|
92 |
201 |
D |
ICU/SURGICAL |
|
93 |
202 |
D |
ICU/MEDICAL |
|
94 |
203 |
D |
ICU/PEDS |
|
95 |
204 |
D |
ICU/PSTAY |
|
96 |
205 |
D |
Special Accommodation (Non-MCA) |
|
97 |
206 |
D |
ICU/INTERMEDIATE |
|
98 |
207 |
D |
ICU/BURN CARE |
|
99 |
208 |
D |
ICU/TRAUMA |
|
100 |
209 |
D |
ICU/OTHER |
|
101 |
210 |
D |
CCU |
|
102 |
211 |
D |
CCU/MYO INFARCT |
|
103 |
212 |
D |
CCU/PULMONARY |
|
104 |
213 |
D |
CCU/TRANSPLANT |
|
105 |
214 |
D |
CCU/INTERMEDIATE |
|
106 |
219 |
D |
CCU/OTHER |
|
107 |
220 |
N |
SPECIAL CHARGES |
|
108 |
221 |
N |
ADMIT CHARGE |
|
109 |
222 |
N |
TECH SUPPORT CHARGE |
|
110 |
223 |
N |
UR CHARGE |
|
111 |
224 |
N |
LATE DISCH/MED NEC |
|
112 |
229 |
N |
OTHER SPEC CHG |
|
113 |
230 |
N |
NURSING INCREM |
|
114 |
231 |
N |
NUR INCR/NURSERY |
|
115 |
232 |
N |
NUR INCR/OB |
|
116 |
233 |
N |
NUR INCR/ICU |
|
117 |
234 |
N |
NUR INCR/CCU |
|
118 |
235 |
N |
NUR INCR/HOSPICE |
|
119 |
239 |
N |
NUR INCR/OTHER |
|
120 |
240 |
N |
ALL INCL ANCIL |
|
121 |
241 |
N |
All-Inclusive Ancillary, Basic |
|
122 |
242 |
N |
All-Inclusive Ancillary, Comp |
|
123 |
243 |
N |
All-Inclusive Ancillary, Spec |
|
124 |
249 |
N |
ALL INCL ANCIL/OTHER |
|
125 |
250 |
N |
PHARMACY |
|
126 |
251 |
N |
DRUGS/GENERIC |
|
127 |
252 |
N |
DRUGS/NONGENERIC |
|
128 |
253 |
N |
DRUGS/TAKEHOME |
|
129 |
254 |
N |
DRUGS/INCIDENT ODX |
|
130 |
255 |
N |
DRUGS/INCIDENT RAD |
|
131 |
256 |
N |
DRUGS/EXPERIMT |
|
132 |
257 |
N |
DRUGS/NONPRESCRIPT |
|
133 |
258 |
N |
IV SOLUTIONS |
|
134 |
259 |
N |
DRUGS/OTHER |
|
135 |
260 |
N |
IV THERAPY |
|
136 |
261 |
N |
IV THER/INFUSN PUMP |
|
137 |
262 |
N |
IV THER/PHARM/SVC |
|
138 |
263 |
N |
IV THER/DRUGS/SUPPLY/DELV |
|
139 |
264 |
N |
IV THER/SUPPLIES |
|
140 |
269 |
N |
IV THERAPY/OTHER |
|
141 |
270 |
N |
MED-SUR SUPPLIES |
|
142 |
271 |
N |
NON-STER SUPPLY |
|
143 |
272 |
N |
STERILE SUPPLY |
|
144 |
273 |
N |
TAKEHOME SUPPLY |
|
145 |
274 |
N |
PROSTH/ORTH DEV |
|
146 |
275 |
N |
PACEMAKER |
|
147 |
276 |
N |
INTRA OC LENS |
|
148 |
277 |
N |
OXYGEN -TAKE HOME |
|
149 |
278 |
N |
SUPPLY/IMPLANTS |
|
150 |
279 |
N |
SUPPLY/OTHER |
|
151 |
280 |
N |
ONCOLOGY |
|
152 |
289 |
N |
ONCOLOGY/OTHER |
|
153 |
290 |
N |
MED EQUIP/DURAB |
|
154 |
291 |
N |
MED EQUIP/RENT |
|
155 |
292 |
N |
MED EQUIP/NEW |
|
156 |
293 |
N |
MED EQUIP/USED |
|
157 |
294 |
N |
MED EQUIP/SUPPLIES/DRUGS |
|
158 |
299 |
N |
MED EQUIP/OTHER |
|
159 |
300 |
N |
LABORATORY CLINICAL |
|
160 |
301 |
N |
LAB/CHEMISTRY |
|
161 |
302 |
N |
LAB/IMMUNOLOGY |
|
162 |
303 |
N |
LAB/RENAL HOME |
|
163 |
304 |
N |
LAB/NR DIALYSIS |
|
164 |
305 |
N |
LAB/HEMATOLOGY |
|
165 |
306 |
N |
LAB/BACT-MICRO |
|
166 |
307 |
N |
LAB/UROLOGY |
|
167 |
309 |
N |
LAB/OTHER |
|
168 |
310 |
N |
PATHOLOGY LAB |
|
169 |
311 |
N |
PATHOL/CYTOLOGY |
|
170 |
312 |
N |
PATHOL/HYSTOL |
|
171 |
314 |
N |
PATHOL/BIOPSY |
|
172 |
319 |
N |
PATHOL/OTHER |
|
173 |
320 |
N |
RADIOLOGY DIAGNOSTIC |
|
174 |
321 |
N |
DX X-RAY/ANGIO |
|
175 |
322 |
N |
DX X-RAY/ARTH |
|
176 |
323 |
N |
DX X-RAY/ARTER |
|
177 |
324 |
N |
DX X-RAY/CHEST |
|
178 |
329 |
N |
DX X-RAY/OTHER |
|
179 |
330 |
N |
RX X-RAY |
|
180 |
331 |
N |
CHEMOTHER/INJ |
|
181 |
332 |
N |
CHEMOTHER/ORAL |
|
182 |
333 |
N |
RADIATION THERAPY |
|
183 |
335 |
N |
CHEMOTHERP-IV |
|
184 |
339 |
N |
RX X-RAY/OTHER |
|
185 |
340 |
N |
NUCLEAR MEDICINE |
|
186 |
341 |
N |
NUCLEAR MED/DX |
|
187 |
342 |
N |
NUCLEAR MED/RX |
|
188 |
349 |
N |
NUCLEAR MED/OTHER |
|
189 |
350 |
N |
CT SCAN |
|
190 |
351 |
N |
CT SCAN/HEAD |
|
191 |
352 |
N |
CT SCAN/BODY |
|
192 |
359 |
N |
CT SCAN/OTHER |
|
193 |
360 |
N |
OR SERVICES |
|
194 |
361 |
N |
OR/MINOR |
|
195 |
362 |
N |
OR/ORGAN TRANS |
|
196 |
367 |
N |
OR/KIDNEY TRANS |
|
197 |
369 |
N |
OR/OTHER |
|
198 |
370 |
N |
ANESTHESIA |
|
199 |
371 |
N |
ANESTHES/INCIDENT RAD |
|
200 |
372 |
N |
ANESTHES/INCDNT OTHER DX |
|
201 |
374 |
N |
ANESTHES/ACUPUNC |
|
202 |
379 |
N |
ANESTHES/OTHER |
|
203 |
380 |
N |
BLOOD |
|
204 |
381 |
N |
BLOOD/PKD RED |
|
205 |
382 |
N |
BLOOD/WHOLE |
|
206 |
383 |
N |
BLOOD/PLASMA |
|
207 |
384 |
N |
BLOOD/PLATELETS |
|
208 |
385 |
N |
BLOOD/LEUCOCYTES |
|
209 |
386 |
N |
BLOOD/COMPONENTS |
|
210 |
387 |
N |
BLOOD/DERIVIATIVES |
|
211 |
389 |
N |
BLOOD/OTHER |
|
212 |
390 |
N |
BLOOD/STOR-PROC |
|
213 |
391 |
N |
BLOOD/ADMIN |
|
214 |
399 |
N |
BLOOD/OTHER |
|
215 |
400 |
N |
IMAGE SERVICE |
|
216 |
401 |
N |
DIAG MAMMOGRAPHY |
|
217 |
402 |
N |
ULTRASOUND |
|
218 |
403 |
N |
SCRN MAMMOGRAPHY |
|
219 |
404 |
N |
PET SCAN |
|
220 |
409 |
N |
OTHER IMAG SVS |
|
221 |
410 |
N |
RESPIRATORY SERVICES |
|
222 |
412 |
N |
INHALATION SVC |
|
223 |
413 |
N |
HYPERBARIC O2 |
|
224 |
419 |
N |
OTHER RESPIR SVS |
|
225 |
420 |
N |
PHYSICAL THERAPY |
|
226 |
421 |
N |
PHYS THERP/VISIT |
|
227 |
422 |
N |
PHYS THERP/HOUR |
|
228 |
423 |
N |
PHYS THERP/GROUP |
|
229 |
424 |
N |
PHYS THERP/EVAL |
|
230 |
429 |
N |
OTHER PHYS THERP |
|
231 |
430 |
N |
OCCUPATIONAL THERAPY |
|
232 |
431 |
N |
OCCUP THERP/VISIT |
|
233 |
432 |
N |
OCCUP THERP/HOUR |
|
234 |
433 |
N |
OCCUP THERP/GROUP |
|
235 |
434 |
N |
OCCUP THERP/EVAL |
|
236 |
439 |
N |
OTHER OCCUP THERP |
|
237 |
440 |
N |
SPEECH PATHOL |
|
238 |
441 |
N |
SPEECH PATH/VISIT |
|
239 |
442 |
N |
SPEECH PATH/HOUR |
|
240 |
443 |
N |
SPEECH PATH/GROUP |
|
241 |
444 |
N |
SPEECH PATH/EVAL |
|
242 |
449 |
N |
OTHER SPEECH PAT |
|
243 |
450 |
N |
EMERGENCY ROOM |
|
244 |
451 |
N |
ER/EMTALA |
|
245 |
452 |
N |
ER/BEYOND EMTALA |
|
246 |
456 |
N |
URGENT CARE |
|
247 |
459 |
N |
OTHER EMER ROOM |
|
248 |
460 |
N |
PULMONARY FUNC |
|
249 |
469 |
N |
OTHER PULMONARY FUNC |
|
250 |
470 |
N |
AUDIOLOGY |
|
251 |
471 |
N |
AUDIOLOGY/DX |
|
252 |
472 |
N |
AUDIOLOGY/RX |
|
253 |
479 |
N |
OTHER AUDIOLOGY |
|
254 |
480 |
N |
CARDIOLOGY |
|
255 |
481 |
N |
CARDIAC CATH LAB |
|
256 |
482 |
N |
STRESS TEST |
|
257 |
483 |
N |
ECHOCARDIOLOGY |
|
258 |
489 |
N |
OTHER CARDIOL |
|
259 |
490 |
N |
AMBUL SURG |
|
260 |
499 |
N |
OTHER AMBL SURG |
|
261 |
500 |
H |
OUTPATIENT SVS |
|
262 |
509 |
H |
OUTPATIENT/OTHER |
|
263 |
510 |
N |
CLINIC |
|
264 |
511 |
N |
CHRONIC PAIN CL |
|
265 |
512 |
N |
DENTAL CLINIC |
|
266 |
513 |
N |
PSYCH CLINIC |
|
267 |
514 |
N |
OB-GYN CLINIC |
|
268 |
515 |
N |
PEDS CLINIC |
|
269 |
516 |
N |
URGENT CLINIC |
|
270 |
517 |
N |
FAMILY CLINIC |
|
271 |
519 |
N |
OTHER CLINIC |
|
272 |
520 |
N |
FREESTAND CLINIC |
|
273 |
521 |
N |
RURAL/CLINIC |
|
274 |
522 |
N |
RURAL/HOME |
|
275 |
523 |
N |
FR/STD FAMILY CLINIC |
|
276 |
526 |
N |
FR STD URGENT CLINIC |
|
277 |
529 |
N |
OTHER FR/STD CLINIC |
|
278 |
530 |
N |
OSTEOPATH SVS |
|
279 |
531 |
N |
OSTEOPATH RX |
|
280 |
539 |
N |
OTHER OSTEOPATH |
|
281 |
540 |
N |
AMBULANCE |
|
282 |
541 |
N |
AMBUL/SUPPLY |
|
283 |
542 |
N |
AMBUL/MED TRANS |
|
284 |
543 |
N |
AMBUL/HEARTMOBL |
|
285 |
544 |
N |
AMBUL/OXY |
|
286 |
545 |
N |
AIR AMBULANCE |
|
287 |
546 |
N |
AMBUL/NEONAT |
|
288 |
547 |
N |
AMBUL/PHARMACY |
|
289 |
548 |
N |
AMBUL/TELEPHONIC EKG |
|
290 |
549 |
N |
OTHER AMBULANCE |
|
291 |
550 |
N |
SKILLED NURSING |
|
292 |
551 |
N |
SKILLED NURS/VISIT |
|
293 |
552 |
N |
SKILLED NURS/HOUR |
|
294 |
559 |
N |
SKILLED NURS/OTHER |
|
295 |
560 |
N |
MED SOCIAL SVS |
|
296 |
561 |
N |
MED SOCIAL SERVS/VISIT |
|
297 |
562 |
N |
MED SOCIAL SERVS/HOUR |
|
298 |
569 |
N |
MED SOCIAL SERVS/OTHER |
|
299 |
570 |
N |
AIDE/HOME HEALTH |
|
300 |
571 |
N |
AIDE/HOME HEALTH/VISIT |
|
301 |
572 |
N |
AIDE/HOME HEALTH/HOUR |
|
302 |
579 |
N |
AIDE/HOME HEALTH/OTHER |
|
303 |
580 |
N |
VISIT/HOME HEALTH |
|
304 |
581 |
N |
VISIT/HOME HLTH/VISIT |
|
305 |
582 |
N |
VISIT/HOME HLTH/HOUR |
|
306 |
583 |
N |
HH-Assessment |
|
307 |
589 |
N |
VISIT/HOME HLTH/OTHER |
|
308 |
590 |
N |
UNIT/HOME HEALTH |
|
309 |
599 |
N |
UNIT/HOME HLTH/OTHER |
|
310 |
600 |
N |
O2/HOME HEALTH |
|
311 |
601 |
N |
O2/STAT/EQUIP/SUPPL/CONT |
|
312 |
602 |
N |
O2/STAT/EQUIP/UNDER 1 LPM |
|
313 |
603 |
N |
O2/STAT/EQUIP/OVER 4 LPM |
|
314 |
604 |
N |
O2/PORTABLE ADD-ON |
|
315 |
609 |
N |
O2/OTHER |
|
316 |
610 |
N |
MRT |
|
317 |
611 |
N |
MRI-BRAIN |
|
318 |
612 |
N |
MRI-SPINE |
|
319 |
613 |
N |
RESERVED |
|
320 |
614 |
N |
MRI-OTHER |
|
321 |
615 |
N |
MRA-HEAD AND NECK |
|
322 |
616 |
N |
MRA-LOWER EXT |
|
323 |
617 |
N |
RESERVED |
|
324 |
618 |
N |
MRA-OTHER |
|
325 |
619 |
N |
MRT-OTHER |
|
326 |
621 |
N |
MED-SUR SUPP/INCIDENT RAD |
|
327 |
622 |
N |
MED-SUR SUPP/INCIDENT ODX |
|
328 |
623 |
N |
SURG DRESSING |
|
329 |
624 |
N |
FDA INVEST DEVICE |
|
330 |
630 |
N |
RESERVED |
|
331 |
631 |
N |
DRUG/SNGL |
|
332 |
632 |
N |
DRUG/MULT |
|
333 |
633 |
N |
DRUG/RSTR |
|
334 |
634 |
N |
DRUG/EPO <= 10,000 UNITS |
|
335 |
635 |
N |
DRUG/EPO >= 10,000 UNITS |
|
336 |
636 |
N |
DRUGS/DETAIL CODE |
|
337 |
637 |
N |
DRUGS/SELF ADMIN |
|
338 |
640 |
N |
IV THERAPY SVC |
|
339 |
641 |
N |
NON RT NURSING/CENTRAL |
|
340 |
642 |
N |
IV SITE CARE/CENTRAL |
|
341 |
643 |
N |
IV STRT/CHNG/PERIPHAL |
|
342 |
644 |
N |
NON RT NURSING/PERIPHRL |
|
343 |
645 |
N |
TRNG PT/CAREGVR/CENTRAL |
|
344 |
646 |
N |
TRNG DSBLPT/CENTRAL |
|
345 |
647 |
N |
TRNG/PT/CARGVR/PERIPHRL |
|
346 |
648 |
N |
TRNG DSBLPAT/PERIPHRL |
|
347 |
649 |
N |
OTHER IV THERAPY SVC |
|
348 |
650 |
N |
HOSPICE |
|
349 |
651 |
N |
HOSPICE/RTN HOME |
|
350 |
652 |
N |
HOSPICE/CTNS/HOME |
|
351 |
653 |
N |
RESERVED |
|
352 |
654 |
N |
RESERVED |
|
353 |
655 |
N |
HOSPICE/IP RESPITE |
|
354 |
656 |
N |
HOSPICE/IP NON-RESPITE |
|
355 |
657 |
N |
HOSPICE/PHYSICIAN |
|
356 |
658 |
D |
Hospice R&B, Nursing Fac |
|
357 |
659 |
N |
HOSPICE/OTHER |
|
358 |
660 |
N |
RESPITE CARE |
|
359 |
661 |
N |
RESPITE/SKILLED NURSE |
|
360 |
662 |
N |
RESPITE/HMEAID/HMEMKR |
|
361 |
663 |
D |
Respite Care, Daily |
|
362 |
669 |
N |
RESPITE OTHER |
|
363 |
670 |
N |
OP SPEC RES |
|
364 |
671 |
N |
OP SPEC RES/HOSP BASED |
|
365 |
672 |
N |
OP SPEC RES/CONTRACTED |
|
366 |
679 |
N |
OP SPEC RES/OTHER |
|
367 |
680 |
N |
Not Used |
|
368 |
681 |
N |
Trauma Level I |
|
369 |
682 |
N |
Trauma, Level II |
|
370 |
683 |
N |
Trauma, Level III |
|
371 |
684 |
N |
Trauma, Level IV |
|
372 |
689 |
N |
Trauma, Other |
|
373 |
700 |
N |
CAST ROOM |
|
374 |
709 |
N |
OTHER CAST ROOM |
|
375 |
710 |
N |
RECOVERY ROOM |
|
376 |
719 |
N |
OTHER RECOV RM |
|
377 |
720 |
N |
DELIVEROOM/LABOR |
|
378 |
721 |
N |
LABOR |
|
379 |
722 |
N |
DELIVERY ROOM |
|
380 |
723 |
N |
CIRCUMCISION |
|
381 |
724 |
N |
BIRTHING CENTER |
|
382 |
729 |
N |
OTHER/DELIV-LABOR |
|
383 |
730 |
N |
EKG/ECG |
|
384 |
731 |
N |
HOLTER MONT |
|
385 |
732 |
N |
TELEMETRY |
|
386 |
739 |
N |
OTHER EKG/ECG |
|
387 |
740 |
N |
EEG |
|
388 |
741 |
N |
OTHER EEG |
|
389 |
749 |
N |
Other EEG |
|
390 |
750 |
N |
GASTR-INST SVS |
|
391 |
759 |
N |
OTHER GASTRO-INTS |
|
392 |
760 |
N |
TREATMENT/OBSERVATION RM |
|
393 |
761 |
N |
TREATMENT RM |
|
394 |
762 |
N |
OBSERVATION RM |
|
395 |
769 |
N |
OTHER TREAT/OBSERV RM |
|
396 |
770 |
N |
PREVENT CARE SVS |
|
397 |
771 |
N |
VACCINE ADMIN |
|
398 |
779 |
N |
OTHER PREVENT |
|
399 |
780 |
N |
TELEMEDICINE |
|
400 |
789 |
N |
TELEMEDICINE/OTHER |
|
401 |
790 |
N |
LITHOTRIPSY |
|
402 |
799 |
N |
LITHOTRIPSY/OTHER |
|
403 |
800 |
N |
RENAL DIALYSIS |
|
404 |
801 |
N |
DIALY/INPT |
|
405 |
802 |
N |
DIALY/INPT/PER |
|
406 |
803 |
N |
DIALY/INPT/CAPD |
|
407 |
804 |
N |
DIALY/INPT/CCPD |
|
408 |
809 |
N |
DIALY/INPT/OTHER |
|
409 |
810 |
N |
ORGAN ACQUISITION |
|
410 |
811 |
N |
LIVING DONOR |
|
411 |
812 |
N |
CADAVER DONOR |
|
412 |
813 |
N |
UNKNOWN DONOR |
|
413 |
814 |
N |
UNSUCCESSFUL SEARCH |
|
414 |
819 |
N |
OTHER DONOR |
|
415 |
820 |
N |
HEMO/OP OR HOME |
|
416 |
821 |
N |
HEMO/COMPOSITE |
|
417 |
822 |
N |
HEMO/HOME/SUPPL |
|
418 |
823 |
N |
HEMO/HOME/EQUIP |
|
419 |
824 |
N |
HEMO/HOME/100% |
|
420 |
825 |
N |
HEMO/HOME/SUPSERV |
|
421 |
829 |
N |
HEMO/HOME/OTHER |
|
422 |
830 |
N |
PERITONEAL/OP OR HOME |
|
423 |
831 |
N |
PERTNL/COMPOSITE |
|
424 |
832 |
N |
PERTNL/HOME/SUPPL |
|
425 |
833 |
N |
PERTNL/HOME/EQUIP |
|
426 |
834 |
N |
PERTNL/HOME/100% |
|
427 |
835 |
N |
PERTNL/HOME/SUPSERV |
|
428 |
839 |
N |
PERTNL/HOME/OTHER |
|
429 |
840 |
N |
CAPD/OP OR HOME |
|
430 |
841 |
N |
CAPD/COMPOSITE |
|
431 |
842 |
N |
CAPD/HOME/SUPPL |
|
432 |
843 |
N |
CAPD/HOME/EQUIP |
|
433 |
844 |
N |
CAPD/HOME/100% |
|
434 |
845 |
N |
CAPD/HOME/SUPSERV |
|
435 |
849 |
N |
CAPD/HOME/OTHER |
|
436 |
850 |
N |
CCPD/OP OR HOME |
|
437 |
851 |
N |
CCPD/COMPOSITE |
|
438 |
852 |
N |
CCPD/HOME/SUPPL |
|
439 |
853 |
N |
CCPD/HOME/EQUIP |
|
440 |
854 |
N |
CCPD/HOME/100% |
|
441 |
855 |
N |
CCPD/HOME/SUPSERV |
|
442 |
859 |
N |
CCPD/HOME/OTHER |
|
443 |
880 |
N |
DIALY/MISC |
|
444 |
881 |
N |
DIALY/ULTRAFILT |
|
445 |
882 |
N |
HOME DIALYSIS AID VISIT |
|
446 |
889 |
N |
DIALY/MISC/OTHER |
|
447 |
900 |
N |
PSYCH TREATMENT |
|
448 |
901 |
N |
ELECTRO SHOCK |
|
449 |
902 |
N |
MILIEU THERAPY |
|
450 |
903 |
N |
PLAY THERAPY |
|
451 |
904 |
N |
ACTIVITY THERAPY |
|
452 |
909 |
N |
OTHER PSYCH RX |
|
453 |
910 |
N |
PSYCH SERVICES |
|
454 |
911 |
N |
PSYCH/REHAB |
|
455 |
912 |
N |
PSYCH/PARTIAL HOSP |
|
456 |
913 |
N |
PSYCH/PARTIAL INTENSIVE |
|
457 |
914 |
N |
PSYCH/INDIV RX |
|
458 |
915 |
N |
PSYCH/GROUP RX |
|
459 |
916 |
N |
PSYCH/ FAMILY RX |
|
460 |
917 |
N |
PSYCH/BIOFEED |
|
461 |
918 |
N |
PSYCH/TESTING |
|
462 |
919 |
N |
PSYCH/OTHER |
|
463 |
920 |
N |
OTHER DIAGNOSTIC SERVICES |
|
464 |
921 |
N |
PERI VASCUL LAB |
|
465 |
922 |
N |
EMG |
|
466 |
923 |
N |
PAP SMEAR |
|
467 |
924 |
N |
ALLERGY TEST |
|
468 |
925 |
N |
PREG TEST |
|
469 |
929 |
N |
ADDITIONAL DX SVS |
|
470 |
931 |
N |
Rehab Day Prog, Half Day |
|
471 |
932 |
N |
Rehab Day Prog, Full Day |
|
472 |
940 |
N |
OTHER RX SVS |
|
473 |
941 |
N |
RECREATION RX |
|
474 |
942 |
N |
EDUC/TRAINING |
|
475 |
943 |
N |
CARDIAC REHABILITATION |
|
476 |
944 |
N |
DRUG REHAB |
|
477 |
945 |
N |
ALCOHOL REHAB |
|
478 |
946 |
N |
CMPLX MED EQUIP-ROUT |
|
479 |
947 |
N |
CMPLX MED EQUIP-ANC |
|
480 |
949 |
N |
ADDITIONAL RX SVS |
|
481 |
950 |
N |
Reserved |
|
482 |
951 |
N |
Athletic Training |
|
483 |
952 |
N |
Kinesiotherapy |
|
484 |
960 |
N |
PRO FEE |
|
485 |
961 |
N |
PRO FEE/PSYCH |
|
486 |
962 |
N |
PRO FEE/EYE |
|
487 |
963 |
N |
PRO FEE/ANES MD |
|
488 |
964 |
N |
PRO FEE/ANES CRNA |
|
489 |
969 |
N |
OTHER PRO FEE |
|
490 |
970 |
N |
Pro Fees, General |
|
491 |
971 |
N |
PRO FEE/LAB |
|
492 |
972 |
N |
PRO FEE/RAD/DX |
|
493 |
973 |
N |
PRO FEE/RAD/RX |
|
494 |
974 |
N |
PRO FEE/NUC MED |
|
495 |
975 |
N |
PRO FEE/OR |
|
496 |
976 |
N |
PRO FEE/RESPIR |
|
497 |
977 |
N |
PRO FEE/PHYSI |
|
498 |
978 |
N |
PRO FEE/OCCUPA |
|
499 |
979 |
N |
PRO FEE/SPEECH |
|
500 |
980 |
N |
Pro Fees, General |
|
501 |
981 |
N |
PRO FEE/ER |
|
502 |
982 |
N |
PRO FEE/OUTPT |
|
503 |
983 |
N |
PRO FEE/CLINIC |
|
504 |
984 |
N |
PRO FEE/SOC SVC |
|
505 |
985 |
N |
PRO FEE/EKG |
|
506 |
986 |
N |
PRO FEE/EEG |
|
507 |
987 |
N |
PRO FEE/HOS VIS |
|
508 |
988 |
N |
PRO FEE/CONSULT |
|
509 |
989 |
N |
FEE/PVT NURSE |
|
510 |
990 |
N |
PT CONVENIENCE |
|
511 |
991 |
N |
CAFETERIA |
|
512 |
992 |
N |
LINEN |
|
513 |
993 |
N |
TELEPHONE |
|
514 |
994 |
N |
TV/RADIO |
|
515 |
995 |
N |
NONPT ROOM RENT |
|
516 |
996 |
N |
LATE DISCHARGE |
|
517 |
997 |
N |
ADMIT KITS |
|
518 |
998 |
N |
BARBER/BEAUTY |
|
519 |
999 |
N |
PT CONVENCE/OTH |