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