Variable: CLM_REV_CNTR_CD
Claim Revenue Center Code
Description:
Domain of Revenue Center Codes
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| 0001 | TOTAL CHARGE |
| 0022 | HEALTH INSURANCE - PROSPECTIVE PAYMENT SYSTEM (HIPPS) - SKILLED NURSING FACILITY PPS |
| 0023 | HEALTH INSURANCE - PROSPECTIVE PAYMENT SYSTEM (HIPPS) - HOME HEALTH PPS |
| 0024 | HEALTH INSURANCE - PROSPECTIVE PAYMENT SYSTEM (HIPPS)/INPATIENT REHAB FACILITY PPS |
| 0100 | ALL INCLUSIVE RATE - ALL-INCLUSIVE ROOM AND BOARD PLUS ANCILLARY |
| 0101 | ALL INCLUSIVE RATE - ALL-INCLUSIVE ROOM AND BOARD |
| 0110 | ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION |
| 0111 | ROOM & BOARD - PRIVATE (ONE BED) - MEDICAL/SURGICAL/GYN |
| 0112 | ROOM & BOARD - PRIVATE (ONE BED) - OBSTETRICS (OB) |
| 0113 | ROOM & BOARD - PRIVATE (ONE BED) - PEDIATRIC |
| 0114 | ROOM & BOARD - PRIVATE (ONE BED) - PSYCHIATRIC |
| 0115 | ROOM & BOARD - PRIVATE (ONE BED) - HOSPICE |
| 0116 | ROOM & BOARD - PRIVATE (ONE BED) - DETOXIFICATION |
| 0117 | ROOM & BOARD - PRIVATE (ONE BED) - ONCOLOGY |
| 0118 | ROOM & BOARD - PRIVATE (ONE BED) - REHABILITATION |
| 0119 | ROOM & BOARD - PRIVATE (ONE BED) - OTHER |
| 0120 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - GENERAL CLASSIFICATION |
| 0121 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - MEDICAL/SURGICAL/GYN |
| 0122 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - OBSTETRICS (OB) |
| 0123 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - PEDIATRIC |
| 0124 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - PSYCHIATRIC |
| 0125 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - HOSPICE |
| 0126 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - DETOXIFICATION |
| 0127 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - ONCOLOGY |
| 0128 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - REHABILITATION |
| 0129 | ROOM & BOARD - SEMI-PRIVATE TWO BEDS - OTHER |
| 0130 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - GENERAL CLASSIFICATION |
| 0131 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - MEDICAL/SURGICAL/GYN |
| 0132 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - OBSTETRICS (OB) |
| 0133 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - PEDIATRIC |
| 0134 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - PSYCHIATRIC |
| 0135 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - HOSPICE |
| 0136 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - DETOXIFICATION |
| 0137 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - ONCOLOGY |
| 0138 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - REHABILITATION |
| 0139 | ROOM & BOARD - SEMI-PRIVATE - THREE AND FOUR BEDS - OTHER |
| 0140 | ROOM & BOARD - DELUXE PRIVATE - GENERAL CLASSIFICATION |
| 0141 | ROOM & BOARD - DELUXE PRIVATE - MEDICAL/SURGICAL/GYN |
| 0142 | ROOM & BOARD - DELUXE PRIVATE - OBSTETRICS (OB) |
| 0143 | ROOM & BOARD - DELUXE PRIVATE - PEDIATRIC |
| 0144 | ROOM & BOARD - DELUXE PRIVATE - PSYCHIATRIC |
| 0145 | ROOM & BOARD - DELUXE PRIVATE - HOSPICE |
| 0146 | ROOM & BOARD - DELUXE PRIVATE - DETOXIFICATION |
| 0147 | ROOM & BOARD - DELUXE PRIVATE - ONCOLOGY |
| 0148 | ROOM & BOARD - DELUXE PRIVATE - REHABILITATION |
| 0149 | ROOM & BOARD - DELUXE PRIVATE - OTHER |
| 0150 | ROOM & BOARD - WARD - GENERAL CLASSIFICATION |
| 0151 | ROOM & BOARD - WARD - MEDICAL/SURGICAL/GYN |
| 0152 | ROOM & BOARD - WARD - OBSTETRICS (OB) |
| 0153 | ROOM & BOARD - WARD - PEDIATRIC |
| 0154 | ROOM & BOARD - WARD - PSYCHIATRIC |
| 0155 | ROOM & BOARD - WARD - HOSPICE |
| 0156 | ROOM & BOARD - WARD - DETOXIFICATION |
| 0157 | ROOM & BOARD - WARD - ONCOLOGY |
| 0158 | ROOM & BOARD - WARD - REHABILITATION |
| 0159 | ROOM & BOARD - WARD - OTHER |
| 0160 | ROOM & BOARD - OTHER - GENERAL CLASSIFICATION |
| 0164 | ROOM & BOARD - OTHER - STERILE ENVIRONMENT |
| 0167 | ROOM & BOARD - OTHER - SELF CARE |
| 0169 | ROOM & BOARD - OTHER - OTHER |
| 0170 | NURSERY - GENERAL CLASSIFICATION |
| 0171 | NURSERY - NEWBORN - LEVEL I |
| 0172 | NURSERY - NEWBORN - LEVEL II |
| 0173 | NURSERY - NEWBORN - LEVEL III |
| 0174 | NURSERY - NEWBORN - LEVEL IV |
| 0179 | NURSERY - OTHER NURSERY |
| 0180 | LEAVE OF ABSENCE - GENERAL CLASSIFICATION |
| 0182 | LEAVE OF ABSENCE - PATIENT CONVENIENCE |
| 0183 | LEAVE OF ABSENCE - THERAPEUTIC LEAVE |
| 0185 | LEAVE OF ABSENCE - NURSING HOME (FOR HOSPITALIZATION) |
| 0189 | LEAVE OF ABSENCE - OTHER LOA |
| 0190 | SUBACUTE CARE - GENERAL CLASSIFICATION |
| 0191 | SUBACUTE CARE - SUBACUTE CARE - LEVEL I |
| 0192 | SUBACUTE CARE - SUBACUTE CARE - LEVEL II |
| 0193 | SUBACUTE CARE - SUBACUTE CARE - LEVEL III |
| 0194 | SUBACUTE CARE - SUBACUTE CARE - LEVEL IV |
| 0199 | SUBACUTE CARE - OTHER SUBACUTE CARE |
| 0200 | INTENSIVE CARE UNIT - GENERAL CLASSIFICATION |
| 0201 | INTENSIVE CARE UNIT - SURGICAL |
| 0202 | INTENSIVE CARE UNIT - MEDICAL |
| 0203 | INTENSIVE CARE UNIT - PEDIATRIC |
| 0204 | INTENSIVE CARE UNIT - PSYCHIATRIC |
| 0206 | INTENSIVE CARE UNIT - INTERMEDIATE ICU |
| 0207 | INTENSIVE CARE UNIT - BURN CARE |
| 0208 | INTENSIVE CARE UNIT - TRAUMA |
| 0209 | INTENSIVE CARE UNIT - OTHER INTENSIVE CARE |
| 0210 | CORONARY CARE UNIT - GENERAL CLASSIFICATION |
| 0211 | CORONARY CARE UNIT - MYOCARDIAL INFARCTION |
| 0212 | CORONARY CARE UNIT - PULMONARY CARE |
| 0213 | CORONARY CARE UNIT - HEART TRANSPLANT |
| 0214 | CORONARY CARE UNIT - INTERMEDIATE CCU |
| 0219 | CORONARY CARE UNIT - OTHER CORONARY CCU |
| 0220 | SPECIAL CHARGES - GENERAL CLASSIFICATION |
| 0221 | SPECIAL CHARGES - ADMISSION CHARGES |
| 0222 | SPECIAL CHARGES - TECHNICAL SUPPORT CHARGE |
| 0223 | SPECIAL CHARGES - U.R. SERVICE CHARGE |
| 0224 | SPECIAL CHARGES - LATE DISCHARGE, MEDICALLY NECESSARY |
| 0229 | SPECIAL CHARGES - OTHER SPECIAL CHARGES |
| 0230 | INCREMENTAL NURSING CHARGE - GENERAL CLASSIFICATION |
| 0231 | INCREMENTAL NURSING CHARGE - NURSERY |
| 0232 | INCREMENTAL NURSING CHARGE - OB |
| 0233 | INCREMENTAL NURSING CHARGE - ICU |
| 0234 | INCREMENTAL NURSING CHARGE - CCU |
| 0235 | INCREMENTAL NURSING CHARGE - HOSPICE |
| 0239 | INCREMENTAL NURSING CHARGE - OTHER |
| 0240 | ALL INCLUSIVE ANCILLARY - GENERAL CLASSIFICATION |
| 0241 | ALL INCLUSIVE ANCILLARY - BASIC |
| 0242 | ALL INCLUSIVE ANCILLARY - COMPREHENSIVE |
| 0243 | ALL INCLUSIVE ANCILLARY - SPECIALTY |
| 0249 | ALL INCLUSIVE ANCILLARY - OTHER ALL INCLUSIVE ANCILLARY |
| 0250 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - GENERAL CLASSIFICATION |
| 0251 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - GENERIC DRUGS |
| 0252 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - NON-GENERIC DRUGS |
| 0253 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - TAKE HOME DRUGS |
| 0254 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - DRUGS INCIDENT TO OTHER DIAGNOSTIC SERVICES |
| 0255 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - DRUGS INCIDENT TO RADIOLOGY |
| 0256 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - EXPERIMENTAL DRUGS |
| 0257 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - NON-PRESCRIPTION |
| 0258 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - IV SOLUTIONS |
| 0259 | PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X) - OTHER PHARMACY |
| 0260 | IV THERAPY - GENERAL CLASSIFICATION |
| 0261 | IV THERAPY - INFUSION PUMP |
| 0262 | IV THERAPY - IV THERAPY/PHARMACY SVCS |
| 0263 | IV THERAPY - IV THERAPY/DRUG/SUPPLY/ DELIVERY |
| 0264 | IV THERAPY - IV THERAPY/SUPPLIES |
| 0269 | IV THERAPY - OTHER IV THERAPY |
| 0270 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027) - GENERAL CLASSIFICATION |
| 0271 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - NON STERILE SUPPLY |
| 0272 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - STERILE SUPPLY |
| 0273 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - TAKE HOME SUPPLIES |
| 0274 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - PROSTHETIC/ORTHOTIC DEVICES |
| 0275 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062 X, AN EXTENSION OF 027X) - PACEMAKER |
| 0276 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - INTRAOCULAR LENS |
| 0277 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - OXYGEN-TAKE HOME |
| 0278 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - OTHER IMPLANT |
| 0279 | MEDICAL/SURGICAL SUPPLIES AND DEVICES (ALSO SEE 062X, AN EXTENSION OF 027X) - OTHER SUPPLIES/DEVICES |
| 0280 | ONCOLOGY - GENERAL CLASSIFICATION |
| 0289 | ONCOLOGY - OTHER ONCOLOGY |
| 0290 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - GENERAL CLASSIFICATION |
| 0291 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - RENTAL |
| 0292 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - PURCHASE OF NEW DME |
| 0293 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - PURCHASE OF USED DME |
| 0294 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - SUPPLIES/DRUGS FOR DME |
| 0299 | DURABLE MEDICAL EQUIPMENT (OTHER THAN RENAL) - OTHER EQUIPMENT |
| 0300 | LABORATORY - GENERAL CLASSIFICATION |
| 0301 | LABORATORY - CHEMISTRY |
| 0302 | LABORATORY - IMMUNOLOGY |
| 0303 | LABORATORY - RENAL PATIENT (HOME) |
| 0304 | LABORATORY - NON-ROUTINE DIALYSIS |
| 0305 | LABORATORY - HEMATOLOGY |
| 0306 | LABORATORY - BACTERIOLOGY & MICROBIOLOGY |
| 0307 | LABORATORY - UROLOGY |
| 0309 | LABORATORY - OTHER LABORATORY |
| 0310 | LABORATORY PATHOLOGY - GENERAL CLASSIFICATION |
| 0311 | LABORATORY PATHOLOGY - CYTOLOGY |
| 0312 | LABORATORY PATHOLOGY - HISTOLOGY |
| 0314 | LABORATORY PATHOLOGY - BIOPSY |
| 0319 | LABORATORY PATHOLOGY - OTHER LABORATORY PATHOLOGY |
| 0320 | RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION |
| 0321 | RADIOLOGY - DIAGNOSTIC - ANGIOCARDIOGRAPHY |
| 0322 | RADIOLOGY - DIAGNOSTIC - ARTHROGRAPHY |
| 0323 | RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY |
| 0324 | RADIOLOGY - DIAGNOSTIC - CHEST X-RAY |
| 0329 | RADIOLOGY - DIAGNOSTIC - OTHER RADIOLOGY - DIAGNOSTIC |
| 0330 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - GENERAL CLASSIFICATION |
| 0331 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMIN - INJECTED |
| 0332 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - ORAL |
| 0333 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY |
| 0335 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMIN - IV |
| 0339 | RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - OTHER RADIOLOGY - THERAPEUTIC |
| 0340 | NUCLEAR MEDICINE - GENERAL CLASSIFICATION |
| 0341 | NUCLEAR MEDICINE - DIAGNOSTIC |
| 0342 | NUCLEAR MEDICINE - THERAPEUTIC |
| 0343 | NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS |
| 0344 | NUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS |
| 0349 | NUCLEAR MEDICINE - OTHER NUCLEAR MEDICINE |
| 0350 | CT SCAN - GENERAL CLASSIFICATION |
| 0351 | CT SCAN - HEAD SCAN |
| 0352 | CT SCAN - BODY SCAN |
| 0359 | CT SCAN - CT - OTHER |
| 0360 | OPERATING ROOM SERVICES - GENERAL CLASSIFICATION |
| 0361 | OPERATING ROOM SERVICES - MINOR SURGERY |
| 0362 | OPERATING ROOM SERVICES - ORGAN TRANSPLANT-OTHER THAN KIDNEY |
| 0367 | OPERATING ROOM SERVICES - KIDNEY TRANSPLANT |
| 0369 | OPERATING ROOM SERVICES - OTHER OR SERVICES |
| 0370 | ANESTHESIA - GENERAL CLASSIFICATION |
| 0371 | ANESTHESIA - ANESTHESIA INCIDENT TO RADIOLOGY |
| 0372 | ANESTHESIA - ANESTHESIA INCIDENT TO OTHER DX SERVICES |
| 0374 | ANESTHESIA - ACUPUNCTURE |
| 0379 | ANESTHESIA - OTHER ANESTHESIA |
| 0380 | BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION |
| 0381 | BLOOD AND BLOOD COMPONENTS - PACKED RED CELLS |
| 0382 | BLOOD AND BLOOD COMPONENTS - WHOLE BLOOD |
| 0383 | BLOOD AND BLOOD COMPONENTS- PLASMA |
| 0384 | BLOOD AND BLOOD COMPONENTS - PLATELETS |
| 0385 | BLOOD AND BLOOD COMPONENTS - LEUCOCYTES |
| 0386 | BLOOD AND BLOOD COMPONENTS - OTHER BLOOD COMPONENTS |
| 0387 | BLOOD AND BLOOD COMPONENTS - OTHER DERIVATIVES (CRYOPRECIPITATE) |
| 0389 | BLOOD AND BLOOD COMPONENTS - OTHER BLOOD AND BLOOD COMPONENTS |
| 0390 | ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION |
| 0391 | ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G. TRANSFUSIONS) |
| 0392 | ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - PROCESSING AND STORAGE |
| 0399 | ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - OTHER BLOOD HANDLING |
| 0400 | OTHER IMAGING SERVICES - GENERAL CLASSIFICATION |
| 0401 | OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY |
| 0402 | OTHER IMAGING SERVICES - ULTRASOUND |
| 0403 | OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY |
| 0404 | OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY |
| 0409 | OTHER IMAGING SERVICES - OTHER IMAGING SERVICES |
| 0410 | RESPIRATORY SERVICES - GENERAL CLASSIFICATION |
| 0412 | RESPIRATORY SERVICES - INHALATION SERVICES |
| 0413 | RESPIRATORY SERVICES - HYPERBARIC OXYGEN THERAPY |
| 0419 | RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES |
| 0420 | PHYSICAL THERAPY - GENERAL CLASSIFICATION |
| 0421 | PHYSICAL THERAPY - VISIT |
| 0422 | PHYSICAL THERAPY - HOURLY |
| 0423 | PHYSICAL THERAPY - GROUP |
| 0424 | PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION |
| 0429 | PHYSICAL THERAPY - OTHER PHYSICAL THERAPY |
| 0430 | OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION |
| 0431 | OCCUPATIONAL THERAPY - VISIT |
| 0432 | OCCUPATIONAL THERAPY - HOURLY |
| 0433 | OCCUPATIONAL THERAPY - GROUP |
| 0434 | OCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION |
| 0439 | OCCUPATIONAL THERAPY - OTHER OCCUPATIONAL THERAPY |
| 0440 | SPEECH-LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION |
| 0441 | SPEECH-LANGUAGE PATHOLOGY - VISIT |
| 0442 | SPEECH-LANGUAGE PATHOLOGY - HOURLY |
| 0443 | SPEECH-LANGUAGE PATHOLOGY - GROUP |
| 0444 | SPEECH-LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION |
| 0449 | SPEECH-LANGUAGE PATHOLOGY - OTHER SPEECH THERAPY |
| 0450 | EMERGENCY ROOM - GENERAL CLASSIFICATION |
| 0451 | EMERGENCY ROOM - EMTALA EMERGENCY MEDICAL SCREENING SERVICES |
| 0452 | EMERGENCY ROOM - ER BEYOND EMTALA SCREENING |
| 0456 | EMERGENCY ROOM - URGENT CARE |
| 0459 | EMERGENCY ROOM - OTHER EMERGENCY ROOM |
| 0460 | PULMONARY FUNCTION - GENERAL CLASSIFICATION |
| 0469 | PULMONARY FUNCTION - OTHER PULMONARY FUNCTION |
| 0470 | AUDIOLOGY - GENERAL CLASSIFICATION |
| 0471 | AUDIOLOGY - DIAGNOSTIC |
| 0472 | AUDIOLOGY - TREATMENT |
| 0479 | AUDIOLOGY - OTHER AUDIOLOGY |
| 0480 | CARDIOLOGY - GENERAL CLASSIFICATION |
| 0481 | CARDIOLOGY - CARDIAC CATH LAB |
| 0482 | CARDIOLOGY - STRESS TEST |
| 0483 | CARDIOLOGY - ECHOCARDIOLOGY |
| 0489 | CARDIOLOGY - OTHER CARDIOLOGY |
| 0490 | AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION |
| 0499 | AMBULATORY SURGICAL CARE - OTHER AMBULATORY SURGICAL CARE |
| 0500 | OUTPATIENT SERVICES - GENERAL CLASSIFICATION |
| 0509 | OUTPATIENT SERVICES - OTHER OUTPATIENT SERVICE |
| 0510 | CLINIC - GENERAL CLASSIFICATION |
| 0511 | CLINIC - CHRONIC PAIN CENTER |
| 0512 | CLINIC - DENTAL CLINIC |
| 0513 | CLINIC - PSYCHIATRIC CLINIC |
| 0514 | CLINIC - OB-GYN CLINIC |
| 0515 | CLINIC - PEDIATRIC CLINIC |
| 0516 | CLINIC - URGENT CARE CLINIC |
| 0517 | CLINIC - FAMILY PRACTICE CLINIC |
| 0519 | CLINIC - OTHER CLINIC |
| 0520 | FREESTANDING CLINIC - GENERAL CLASSIFICATION |
| 0521 | FREESTANDING CLINIC - CLINIC VISIT BY MEMBER TO RHC/FQHC |
| 0522 | FREESTANDING CLINIC - HOME VISIT BY RHC/FQHC PRACTITIONER |
| 0523 | FREESTANDING CLINIC - FAMILY PRACTICE CLINIC |
| 0524 | FREESTANDING CLINIC - VISIT BY RHC/FQHC PRACTITIONER TO A MEMBER IN A SNF OR SKILLED SWING BED IN A COVERED PART A STAY |
| 0525 | FREESTANDING CLINIC - VISIT BY RHC/FQHC PRACTITIONER TO A MEMBER IN A SNF (NOT IN A COVERED PART A STAY) OR NF OR ICF MR OR OTHER RESIDENTIAL FACILITY |
| 0526 | FREESTANDING CLINIC - URGENT CARE CLINIC |
| 0527 | FREESTANDING CLINIC - VISITING NURSE SERVICE(S) TO A MEMBER'S HOME WHEN IN A HOME HEALTH SHORTAGE AREA |
| 0528 | FREESTANDING CLINIC - VISIT BY RHC/FQHC PRACTITIONER TO OTHER NON-RHC/FQHC SITE (E.G. SCENE OF ACCIDENT) |
| 0529 | FREESTANDING CLINIC - OTHER FREESTANDING CLINIC |
| 0530 | OSTEOPATHIC SERVICES - GENERAL CLASSIFICATION |
| 0531 | OSTEOPATHIC SERVICES - OSTEOPATHIC THERAPY |
| 0539 | OSTEOPATHIC SERVICES - OTHER OSTEOPATHIC SERVICES |
| 0540 | AMBULANCE - GENERAL CLASSIFICATION |
| 0541 | AMBULANCE - SUPPLIES |
| 0542 | AMBULANCE - MEDICAL TRANSPORT |
| 0543 | AMBULANCE - HEART MOBILE |
| 0544 | AMBULANCE - OXYGEN |
| 0545 | AMBULANCE - AIR AMBULANCE |
| 0546 | AMBULANCE - NEONATAL AMBULANCE SERVICES |
| 0547 | AMBULANCE - PHARMACY |
| 0548 | AMBULANCE - EKG TRANSMISSION |
| 0549 | AMBULANCE - OTHER AMBULANCE |
| 0550 | SKILLED NURSING - GENERAL CLASSIFICATION |
| 0551 | SKILLED NURSING - VISIT CHARGE |
| 0552 | SKILLED NURSING - HOURLY CHARGE |
| 0559 | SKILLED NURSING - OTHER SKILLED NURSING |
| 0560 | HOME HEALTH (HH) MEDICAL SOCIAL SERVICES - GENERAL CLASSIFICATION |
| 0561 | HOME HEALTH (HH) MEDICAL SOCIAL SERVICES - VISIT CHARGE |
| 0562 | HOME HEALTH (HH) MEDICAL SOCIAL SERVICES - HOURLY CHARGE |
| 0569 | HOME HEALTH (HH) MEDICAL SOCIAL SERVICES - OTHER MED. SOCIAL SERVICE |
| 0570 | HOME HEALTH (HH) AIDE - GENERAL CLASSIFICATION |
| 0571 | HOME HEALTH (HH) AIDE - VISIT CHARGE |
| 0572 | HOME HEALTH (HH) AIDE - HOURLY CHARGE |
| 0579 | HOME HEALTH (HH) - OTHER HH AIDE |
| 0580 | HOME HEALTH (HH) - OTHER VISITS - GENERAL CLASSIFICATION |
| 0581 | HOME HEALTH (HH) - OTHER VISITS - VISIT CHARGE |
| 0582 | HOME HEALTH (HH) - OTHER VISITS - HOURLY CHARGE |
| 0583 | HOME HEALTH (HH) - OTHER VISITS - ASSESSMENT |
| 0589 | HOME HEALTH (HH) - OTHER VISITS - OTHER HOME HEALTH VISIT |
| 0590 | HOME HEALTH (HH) - UNITS OF SERVICE - GENERAL CLASSIFICATION |
| 0600 | HOME HEALTH (HH) - OXYGEN - GENERAL CLASSIFICATION |
| 0601 | HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP/SUPPLY/CONTENT |
| 0602 | HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP/SUPPLY < 1 LPM |
| 0603 | HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP/SUPPLY > 4 LPM |
| 0604 | HOME HEALTH (HH) - OXYGEN - OXYGEN - PORT ADD-ON |
| 0609 | HOME HEALTH (HH) - OXYGEN - OXYGEN - OTHER |
| 0610 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION |
| 0611 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM |
| 0612 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE |
| 0614 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - OTHER |
| 0615 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - HEAD AND NECK |
| 0616 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - LOWER EXTREMITIES |
| 0618 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - OTHER |
| 0619 | MAGNETIC RESONANCE TECHNOLOGY (MRT) - OTHER MRT |
| 0621 | MEDICAL/SURGICAL SUPPLIES AND DEVICES - EXTENSION OF 027X - SUPPLIES INCIDENT TO RADIOLOGY |
| 0622 | MEDICAL/SURGICAL SUPPLIES AND DEVICES - EXTENSION OF 027X - SUPPLIES INCIDENT TO OTHER DX SERVICES |
| 0623 | MEDICAL/SURGICAL SUPPLIES AND DEVICES - EXTENSION OF 027X - SURGICAL DRESSINGS |
| 0624 | MEDICAL/SURGICAL SUPPLIES AND DEVICES - EXTENSION OF 027X - FDA INVESTIGATIONAL DEVICES |
| 0631 | PHARMACY - EXTENSION OF 025X - SINGLE SOURCE DRUG |
| 0632 | PHARMACY - EXTENSION OF 025X - MULTIPLE SOURCE DRUG |
| 0633 | PHARMACY - EXTENSION OF 025X - RESTRICTIVE PRESCRIPTION |
| 0634 | PHARMACY - EXTENSION OF 025X - ERYTHROPOIETIN (EPO) <10,000 UNITS |
| 0635 | PHARMACY - EXTENSION OF 025X - ERYTHROPOIETIN (EPO) >=10,000 UNITS |
| 0636 | PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING |
| 0637 | PHARMACY - EXTENSION OF 025X - SELF-ADMINISTRABLE DRUGS |
| 0640 | HOME IV THERAPY SERVICES - GENERAL CLASSIFICATION |
| 0641 | HOME IV THERAPY SERVICES - NON-ROUTINE NURSING, CENTRAL LINE |
| 0642 | HOME IV THERAPY SERVICES - IV SITE CARE, CENTRAL LINE |
| 0643 | HOME IV THERAPY SERVICES - IV START/CHANGE, PERIPHERAL LINE |
| 0644 | HOME IV THERAPY SERVICES - NON-ROUTINE NURSING, PERIPHERAL LINE |
| 0645 | HOME IV THERAPY SERVICES - TRAINING PATIENT/CAREGIVER, CENTRAL LINE |
| 0646 | HOME IV THERAPY SERVICES - TRAINING DISABLED PATIENT, CENTRAL LINE |
| 0647 | HOME IV THERAPY SERVICES - TRAINING PATIENT/ CAREGIVER, PERIPHERAL LINE |
| 0648 | HOME IV THERAPY SERVICES - TRAINING DISABLED PATIENT, PERIPHERAL LINE |
| 0649 | HOME IV THERAPY SERVICES - OTHER IV THERAPY SERVICES |
| 0650 | HOSPICE SERVICE - GENERAL CLASSIFICATION |
| 0651 | HOSPICE SERVICE - ROUTINE HOME CARE |
| 0652 | HOSPICE SERVICE - CONTINUOUS HOME CARE |
| 0655 | HOSPICE SERVICE - INPATIENT RESPITE CARE |
| 0656 | HOSPICE SERVICE - GENERAL INPATIENT CARE NON-RESPITE |
| 0657 | HOSPICE SERVICE - PHYSICIAN SERVICES |
| 0658 | HOSPICE SERVICE - HOSPICE ROOM & BOARD - NURSING FACILITY |
| 0659 | HOSPICE SERVICE - OTHER HOSPICE SERVICE |
| 0660 | RESPITE CARE - GENERAL CLASSIFICATION |
| 0661 | RESPITE CARE - HOURLY CHARGE - NURSING |
| 0662 | RESPITE CARE - HOURLY CHARGE - AIDE/HOMEMAKER/COMPANION |
| 0663 | RESPITE CARE - DAILY RESPITE CHARGE |
| 0669 | RESPITE CARE - OTHER RESPITE CARE |
| 0670 | OUTPATIENT SPECIAL RESIDENCE CHARGES - GENERAL CLASSIFICATION |
| 0671 | OUTPATIENT SPECIAL RESIDENCE CHARGES - HOSPITAL OWNED |
| 0672 | OUTPATIENT SPECIAL RESIDENCE CHARGES - CONTRACTED |
| 0679 | OUTPATIENT SPECIAL RESIDENCE CHARGES - OTHER SPECIAL RESIDENCE CHARGE |
| 0680 | TRAUMA RESPONSE - NOT USED |
| 0681 | TRAUMA RESPONSE - LEVEL I TRAUMA |
| 0682 | TRAUMA RESPONSE - LEVEL II TRAUMA |
| 0683 | TRAUMA RESPONSE - LEVEL III TRAUMA |
| 0684 | TRAUMA RESPONSE - LEVEL IV TRAUMA |
| 0689 | TRAUMA RESPONSE - OTHER TRAUMA RESPONSE |
| 0690 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - GENERAL CLASSIFICATION (EFFECTIVE 1/1/14) |
| 0691 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - VISIT CHARGE (EFFECTIVE 1/1/14) |
| 0692 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - HOURLY CHARGE (EFFECTIVE 1/1/14) |
| 0693 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - EVALUATION (EFFECTIVE 1/1/14) |
| 0694 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - CONSULTATION AND EDUCATION (EFFECTIVE 1/1/14) |
| 0695 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - INPATIENT CARE (EFFECTIVE 1/1/14) |
| 0696 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - PHYSICIAN SERVICES (EFFECTIVE 1/1/14) |
| 0699 | PRE-HOSPICE/PALLIATIVE CARE SERVICES - OTHER PRE-HOSPICE/PALLIATIVE CARE SERVICES (EFFECTIVE 1/1/14) |
| 0700 | CAST ROOM - GENERAL CLASSIFICATION |
| 0710 | RECOVERY ROOM - GENERAL CLASSIFICATION |
| 0720 | LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION |
| 0721 | LABOR ROOM/DELIVERY - LABOR |
| 0722 | LABOR ROOM/DELIVERY - DELIVERY ROOM |
| 0723 | LABOR ROOM/DELIVERY - CIRCUMCISION |
| 0724 | LABOR ROOM/DELIVERY - BIRTHING CENTER |
| 0729 | LABOR ROOM/DELIVERY - OTHER LABOR ROOM/DELIVERY |
| 0730 | EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION |
| 0731 | EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR |
| 0732 | EKG/ECG (ELECTROCARDIOGRAM) - TELEMETRY |
| 0739 | EKG/ECG (ELECTROCARDIOGRAM) - OTHER EKG/ECG |
| 0740 | EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION |
| 0750 | GASTRO - INTESTINAL (GI) SERVICES - GENERAL CLASSIFICATION |
| 0760 | SPECIALTY SERVICES - GENERAL CLASSIFICATION |
| 0761 | SPECIALTY SERVICES - TREATMENT ROOM |
| 0762 | SPECIALTY SERVICES - OBSERVATION HOURS |
| 0769 | SPECIALTY SERVICES - OTHER SPECIALTY SERVICES |
| 0770 | PREVENTIVE CARE SERVICES - GENERAL CLASSIFICATION |
| 0771 | PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION |
| 0780 | TELEMEDICINE - GENERAL CLASSIFICATION |
| 0790 | EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION |
| 0800 | INPATIENT RENAL DIALYSIS - GENERAL CLASSIFICATION |
| 0801 | INPATIENT RENAL DIALYSIS - INPATIENT HEMODIALYSIS |
| 0802 | INPATIENT RENAL DIALYSIS - INPATIENT PERITONEAL (NON-CAPD) |
| 0803 | INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) |
| 0804 | INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) |
| 0809 | INPATIENT RENAL DIALYSIS - OTHER INPATIENT DIALYSIS |
| 0810 | ACQUISITION OF BODY COMPONENTS - GENERAL CLASSIFICATION |
| 0811 | ACQUISITION OF BODY COMPONENTS - LIVING DONOR |
| 0812 | ACQUISITION OF BODY COMPONENTS - CADAVER DONOR |
| 0813 | ACQUISITION OF BODY COMPONENTS - UNKNOWN DONOR |
| 0814 | ACQUISITION OF BODY COMPONENTS - UNSUCCESSFUL ORGAN SEARCH - DONOR BANK CHARGES |
| 0815 | ACQUISITION OF BODY COMPONENTS - ALLOGENEIC (EFFECTIVE 1/1/17) |
| 0819 | ACQUISITION OF BODY COMPONENTS - OTHER DONOR |
| 0820 | HEMODIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION |
| 0821 | HEMODIALYSIS - OUTPATIENT OR HOME - HEMODIALYSIS COMPOSITE OR OTHER RATE |
| 0822 | HEMODIALYSIS - OUTPATIENT OR HOME - HOME SUPPLIES |
| 0823 | HEMODIALYSIS - OUTPATIENT OR HOME - HOME EQUIPMENT |
| 0824 | HEMODIALYSIS - OUTPATIENT OR HOME - MAINTENANCE - 100% |
| 0825 | HEMODIALYSIS - OUTPATIENT OR HOME - SUPPORT SERVICES |
| 0826 | HEMODIALYSIS - SHORTER DURATION |
| 0829 | HEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS |
| 0830 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION |
| 0831 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - PERITONEAL/COMPOSITE OR OTHER RATE |
| 0832 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - HOME SUPPLIES |
| 0833 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - HOME EQUIPMENT |
| 0834 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - MAINTENANCE - 100% |
| 0835 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - SUPPORT SERVICES |
| 0839 | PERITONEAL DIALYSIS - OUTPATIENT OR HOME - OTHER OUTPATIENT PERITONEAL DIALYSIS |
| 0840 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION |
| 0841 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - CAPD/COMPOSITE OR OTHER RATE |
| 0842 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - HOME SUPPLIES |
| 0843 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - HOME EQUIPMENT |
| 0844 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - MAINTENANCE - 100% |
| 0845 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - SUPPORT SERVICES |
| 0849 | CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - OTHER OUTPATIENT CAPD |
| 0850 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION |
| 0851 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - CCPD/COMPOSITE OR OTHER RATE |
| 0852 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - HOME SUPPLIES |
| 0853 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - HOME EQUIPMENT |
| 0854 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - MAINTENANCE - 100% |
| 0855 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - SUPPORT SERVICES |
| 0859 | CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - OTHER OUTPATIENT CCPD |
| 0860 | MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION |
| 0861 | MAGNETOENCEPHALOGRAPHY (MEG) - MEG |
| 0870 | CELL/GENE THERAPY - GENERAL CLASSIFICATION |
| 0871 | CELL/GENE THERAPY - CELL COLLECTION (EFFECTIVE 4/1/19) |
| 0872 | CELL/GENE THERAPY - SPECIALIZED BIOLOGIC PROCESSING AND STORAGE - PRIOR TO TRANSPORT (EFFECTIVE 4/1/19) |
| 0873 | CELL/GENE THERAPY - STORAGE AND PROCESSING AFTER RECEIPT OF CELLS FROM MANUFACTURER (EFFECTIVE 4/1/19) |
| 0874 | CELL/GENE THERAPY - INFUSION OF MODIFIED CELLS (EFFECTIVE 4/1/19) |
| 0875 | CELL/GENE THERAPY - INJECTION OF MODIFIED CELLS (EFFECTIVE 4/1/19) |
| 0880 | MISCELLANEOUS DIALYSIS - GENERAL CLASSIFICATION |
| 0881 | MISCELLANEOUS DIALYSIS - ULTRAFILTRATION |
| 0882 | MISCELLANEOUS DIALYSIS - HOME DIALYSIS AID VISIT |
| 0889 | MISCELLANEOUS DIALYSIS - OTHER MISCELLANEOUS DIALYSIS |
| 0891 | PHARMACY - EXTENSION OF 025X AND 063X - SPECIAL PROCESSED DRUGS - FDA APPROVED CELL THERAPY (EFFECTIVE 4/1/19) |
| 0892 | PHARMACY - EXTENSION OF 025X AND 063X - SSPECIAL PROCESSED DRUGS - FDA APPROVED GENE THERAPY (EFFECTIVE 4/1/2020) |
| 0900 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - GENERAL CLASSIFICATION |
| 0901 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - ELECTROSHOCK TREATMENT |
| 0902 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - MILIEU THERAPY |
| 0903 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - PLAY THERAPY |
| 0904 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - ACTIVITY THERAPY |
| 0905 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - INTENSIVE OUTPATIENT SERVICES - PSYCHIATRIC |
| 0906 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - INTENSIVE OUTPATIENT SERVICES - CHEMICAL DEPENDENCY |
| 0907 | BEHAVIORAL HEALTH TREATMENT/SERVICES (ALSO SEE 091X, AN EXTENSION OF 090X) - COMMUNITY BEHAVIORAL HEALTH PROGRAM (DAY TREATMENT) |
| 0911 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - REHABILITATION |
| 0912 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - PARTIAL HOSPITALIZATION - LESS INTENSIVE |
| 0913 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - PARTIAL HOSPITALIZATION - INTENSIVE |
| 0914 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - INDIVIDUAL THERAPY |
| 0915 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - GROUP THERAPY |
| 0916 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - FAMILY THERAPY |
| 0917 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - BIO FEEDBACK |
| 0918 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - TESTING |
| 0919 | BEHAVIORAL HEALTH TREATMENT/SERVICES - EXTENSION OF 090X - OTHER BEHAVIORAL HEALTH TREATMENTS |
| 0920 | OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION |
| 0921 | OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB |
| 0922 | OTHER DIAGNOSTIC SERVICES - ELECTROMYOGRAM |
| 0923 | OTHER DIAGNOSTIC SERVICES - PAP SMEAR |
| 0924 | OTHER DIAGNOSTIC SERVICES - ALLERGY TEST |
| 0925 | OTHER DIAGNOSTIC SERVICES - PREGNANCY TEST |
| 0929 | OTHER DIAGNOSTIC SERVICES - OTHER DIAGNOSTIC SERVICE |
| 0931 | MEDICAL REHABILITATION DAY PROGRAM - HALF DAY |
| 0932 | MEDICAL REHABILITATION DAY PROGRAM - FULL DAY |
| 0940 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - GENERAL CLASSIFICATION |
| 0941 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - RECREATIONAL THERAPY |
| 0942 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - EDUCATION/TRAINING |
| 0943 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - CARDIAC REHABILITATION |
| 0944 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - DRUG REHABILITATION |
| 0945 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - ALCOHOL REHABILITATION |
| 0946 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - COMPLEX MEDICAL EQUIPMENT - ROUTINE |
| 0947 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - COMPLEX MEDICAL EQUIPMENT - ANCILLARY |
| 0948 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - PULMONARY REHABILITATION |
| 0949 | OTHER THERAPEUTIC SERVICES (ALSO SEE 095X, AN EXTENSION OF 094X) - OTHER THERAPEUTIC SERVICE |
| 0951 | OTHER THERAPEUTIC SERVICES (EXTENSION OF 094X) - ATHLETIC TRAINING |
| 0952 | OTHER THERAPEUTIC SERVICES (EXTENSION OF 094X) - KINESIOTHERAPY |
| 0953 | OTHER THERAPEUTIC SERVICES (EXTENSION OF 094X) - CHEMICAL DEPENDENCY (DRUG AND ALCOHOL) |
| 0960 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - GENERAL CLASSIFICATION |
| 0961 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - PSYCHIATRIC |
| 0962 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - OPHTHALMOLOGY |
| 0963 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - ANESTHESIOLOGIST (MD) |
| 0964 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - ANESTHETIST (CRNA) |
| 0969 | PROFESSIONAL FEES (ALSO SEE 097X AND 098X) - OTHER PROFESSIONAL FEE |
| 0971 | PROFESSIONAL FEES (EXTENSION OF 096X) - LABORATORY |
| 0972 | PROFESSIONAL FEES (EXTENSION OF 096X) - RADIOLOGY - DIAGNOSTIC |
| 0973 | PROFESSIONAL FEES (EXTENSION OF 096X) - RADIOLOGY - THERAPEUTIC |
| 0974 | PROFESSIONAL FEES (EXTENSION OF 096X) - RADIOLOGY - NUCLEAR |
| 0975 | PROFESSIONAL FEES (EXTENSION OF 096X) - OPERATING ROOM |
| 0976 | PROFESSIONAL FEES (EXTENSION OF 096X) - RESPIRATORY THERAPY |
| 0977 | PROFESSIONAL FEES (EXTENSION OF 096X) - PHYSICAL THERAPY |
| 0978 | PROFESSIONAL FEES (EXTENSION OF 096X) - OCCUPATIONAL THERAPY |
| 0979 | PROFESSIONAL FEES (EXTENSION OF 096X) - SPEECH PATHOLOGY |
| 0981 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - EMERGENCY ROOM SERVICES |
| 0982 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - OUTPATIENT SERVICES |
| 0983 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - CLINIC |
| 0984 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - MEDICAL SOCIAL SERVICES |
| 0985 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - EKG |
| 0986 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - EEG |
| 0987 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - HOSPITAL VISIT |
| 0988 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - CONSULTATION |
| 0989 | PROFESSIONAL FEES (EXTENSION OF 096X AND 097X) - PRIVATE DUTY NURSE |
| 0990 | PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION |
| 0991 | PATIENT CONVENIENCE ITEMS - CAFETERIA/GUEST TRAY |
| 0992 | PATIENT CONVENIENCE ITEMS - PRIVATE LINEN SERVICE |
| 0993 | PATIENT CONVENIENCE ITEMS - TELEPHONE/TELECOM |
| 0994 | PATIENT CONVENIENCE ITEMS - TV/RADIO |
| 0995 | PATIENT CONVENIENCE ITEMS - NON-PATIENT ROOM RENTALS |
| 0996 | PATIENT CONVENIENCE ITEMS - LATE DISCHARGE |
| 0997 | PATIENT CONVENIENCE ITEMS - ADMISSION KITS |
| 0998 | PATIENT CONVENIENCE ITEMS - BEAUTY SHOP/BARBER |
| 0999 | PATIENT CONVENIENCE ITEMS - OTHER CONVENIENCE ITEMS |
| 1000 | BEHAVIORAL HEALTH ACCOMMODATIONS - GENERAL CLASSIFICATION |
| 1001 | BEHAVIORAL HEALTH ACCOMMODATIONS - RESIDENTIAL - PSYCHIATRIC (TITLE EFFECTIVE 10/1/13) |
| 1002 | BEHAVIORAL HEALTH ACCOMMODATIONS - RESIDENTIAL - CHEMICAL DEPENDENCY (TITLE EFFECTIVE 10/1/13) |
| 1003 | BEHAVIORAL HEALTH ACCOMMODATIONS - SUPERVISED LIVING |
| 1004 | BEHAVIORAL HEALTH ACCOMMODATIONS - HALFWAY HOUSE |
| 1005 | BEHAVIORAL HEALTH ACCOMMODATIONS - GROUP HOME |
| 1006 | BEHAVIORAL HEALTH ACCOMMODATIONS - OUTDOOR/WILDERNESS BEHAVIORAL HEALTH (EFFECTIVE 7/1/17) |
| 2100 | ALTERNATIVE THERAPY SERVICES - GENERAL CLASSIFICATION |
| 2101 | ALTERNATIVE THERAPY SERVICES - ACUPUNCTURE |
| 2102 | ALTERNATIVE THERAPY SERVICES - ACUPRESSURE |
| 2103 | ALTERNATIVE THERAPY SERVICES - MASSAGE |
| 2104 | ALTERNATIVE THERAPY SERVICES - REFLEXOLOGY |
| 2105 | ALTERNATIVE THERAPY SERVICES - BIOFEEDBACK |
| 2106 | ALTERNATIVE THERAPY SERVICES - HYPNOSIS |
| 2109 | ALTERNATIVE THERAPY SERVICES - OTHER ALTERNATIVE THERAPY SERVICES |
| 3101 | ADULT CARE - ADULT DAY CARE, MEDICAL AND SOCIAL - HOURLY |
| 3102 | ADULT CARE - ADULT DAY CARE, SOCIAL - HOURLY |
| 3103 | ADULT CARE - ADULT DAY CARE, MEDICAL AND SOCIAL - DAILY |
| 3104 | ADULT CARE - ADULT DAY CARE, SOCIAL - DAILY |
| 3105 | ADULT CARE - ADULT FOSTER CARE - DAILY |
| 3109 | ADULT CARE - OTHER ADULT CARE |