Revenue Center Code
The provider-assigned revenue code for each cost center for which a separate charge is billed (type of accommodation or ancillary).
A cost center is a division or unit within a hospital (e.g. radiology, emergency room, pathology).
EXCEPTION: Revenue center code 0001 represents the total of all revenue centers included on the claim.
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
0001 |
Total charge |
0022 |
SNF claim paid under PPS submitted as type of bill (TOB) 21X. NOTE: This code may appear multiple times on a claim to identify different HIPPS Rate Code/assessment periods. |
0023 |
Home Health services paid under PPS submitted as TOB 32X and 33X, effective 10/00. This code may appear multiple times on a claim to identify different HIPPS/Home Health Resource Groups (HRG). |
0024 |
Inpatient Rehabilitation Facility services paid under PPS submitted as TOB 11X, effective for cost reporting periods beginning on or after 1/1/2002 (dates of service after 12/31/01). This code may appear only once on a claim. |
0100 |
All-inclusive rate - room and board plus ancillary |
0101 |
All-inclusive rate - room and board |
0110 |
Private medical or general-general classification |
0111 |
Private medical or general-medical/surgical/GYN |
0112 |
Private medical or general-OB |
0113 |
Private medical or general-pediatric |
0114 |
Private medical or general-psychiatric |
0115 |
Private medical or general-hospice |
0116 |
Private medical or general-detoxification |
0117 |
Private medical or general-oncology |
0118 |
Private medical or general-rehabilitation |
0119 |
Private medical or general-other |
0120 |
Semi-private 2 bed (medical or general) general classification |
0121 |
Semi-private 2 bed (medical or general) medical/surgical/GYN |
0122 |
Semi-private 2 bed (medical or general)-OB |
0123 |
Semi-private 2 bed (medical or general)-pediatric |
0124 |
Semi-private 2 bed (medical or general)-psychiatric |
0125 |
Semi-private 2 bed (medical or general)-hospice |
0126 |
Semi-private 2 bed (medical or general)-detoxification |
0127 |
Semi-private 2 bed (medical or general)-oncology |
0128 |
Semi-private 2 bed (medical or general)-rehabilitation |
0129 |
Semi-private 2 bed (medical or general)-other |
0130 |
Semi-private 3 and 4 beds-general classification |
0131 |
Semi-private 3 and 4 beds-medical/surgical/GYN |
0132 |
Semi-private 3 and 4 beds-OB |
0133 |
Semi-private 3 and 4 beds-pediatric |
0134 |
Semi-private 3 and 4 beds-psychiatric |
0135 |
Semi-private 3 and 4 beds-hospice |
0136 |
Semi-private 3 and 4 beds-detoxification |
0137 |
Semi-private 3 and 4 beds-oncology |
0138 |
Semi-private 3 and 4 beds-rehabilitation |
0139 |
Semi-private 3 and 4 beds-other |
0140 |
Private (deluxe)-general classification |
0141 |
Private (deluxe)-medical/surgical/GYN |
0142 |
Private (deluxe)-OB |
0143 |
Private (deluxe)-pediatric |
0144 |
Private (deluxe)-psychiatric |
0145 |
Private (deluxe)-hospice |
0146 |
Private (deluxe)-detoxification |
0147 |
Private (deluxe)-oncology |
0148 |
Private (deluxe)-rehabilitation |
0149 |
Private (deluxe)-other |
0150 |
Room & Board ward (medical or general)-general classification |
0151 |
Room & Board ward (medical or general)-medical/surgical/GYN |
0152 |
Room & Board ward (medical or general)-OB |
0153 |
Room & Board ward (medical or general)-pediatric |
0154 |
Room & Board ward (medical or general)-psychiatric |
0155 |
Room & Board ward (medical or general)-hospice |
0156 |
Room & Board ward (medical or general)-detoxification |
0157 |
Room & Board ward (medical or general)-oncology |
0158 |
Room & Board ward (medical or general)-rehabilitation |
0159 |
Room & Board ward (medical or general)-other |
0160 |
Other Room & Board-general classification |
0164 |
Other Room & Board-sterile environment |
0167 |
Other Room & Board-self care |
0169 |
Other Room & Board-other |
0170 |
Nursery-general classification |
0171 |
Nursery-newborn level I (routine) |
0172 |
Nursery-premature newborn-level II (continuing care) |
0173 |
Nursery-newborn-level III (intermediate care) |
0174 |
Nursery-newborn-level IV (intensive care) |
0179 |
Nursery-other |
0180 |
Leave of absence-general classification |
0182 |
Leave of absence-patient convenience charges billable |
0183 |
Leave of absence-therapeutic leave |
0184 |
Leave of absence-ICF mentally retarded-any reason |
0185 |
Leave of absence-nursing home (hospitalization) |
0189 |
Leave of absence-other leave of absence |
0190 |
Subacute care - general classification |
0191 |
Subacute care - level I |
0192 |
Subacute care - level II |
0193 |
Subacute care - level III |
0194 |
Subacute care - level IV |
0199 |
Subacute care - other |
0200 |
Intensive care-general classification |
0201 |
Intensive care-surgical |
0202 |
Intensive care-medical |
0203 |
Intensive care-pediatric |
0204 |
Intensive care-psychiatric |
0206 |
Intensive care-post ICU; redefined as intermediate ICU |
0207 |
Intensive care-burn care |
0208 |
Intensive care-trauma |
0209 |
Intensive care-other intensive care |
0210 |
Coronary care-general classification |
0211 |
Coronary care-myocardial infraction |
0212 |
Coronary care-pulmonary care |
0213 |
Coronary care-heart transplant |
0214 |
Coronary care-post CCU; redefined as intermediate CCU |
0219 |
Coronary care-other coronary care |
0220 |
Special charges-general classification |
0221 |
Special charges-admission charge |
0222 |
Special charges-technical support charge |
0223 |
Special charges-UR service charge |
0224 |
Special charges-late discharge, medically necessary |
0229 |
Special charges-other special charges |
0230 |
Incremental nursing charge rate-general classification |
0231 |
Incremental nursing charge rate-nursery |
0232 |
Incremental nursing charge rate-OB |
0233 |
Incremental nursing charge rate-ICU (include transitional care) |
0234 |
Incremental nursing charge rate-CCU (include transitional care) |
0235 |
Incremental nursing charge rate-hospice |
0239 |
Incremental nursing charge rate-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 inclusive ancillary |
0250 |
Pharmacy-general classification |
0251 |
Pharmacy-generic drugs |
0252 |
Pharmacy-nongeneric drugs |
0253 |
Pharmacy-take home drugs |
0254 |
Pharmacy-drugs incident to other diagnostic service-subject to payment limit |
0255 |
Pharmacy-drugs incident to radiology-subject to payment limit |
0256 |
Pharmacy-experimental drugs |
0257 |
Pharmacy-non-prescription |
0258 |
Pharmacy-IV solutions |
0259 |
Pharmacy-other pharmacy |
0260 |
IV therapy-general classification |
0261 |
IV therapy-infusion pump |
0262 |
IV therapy-pharmacy services |
0263 |
IV therapy-drug supply/delivery |
0264 |
IV therapy-supplies |
0269 |
IV therapy-other IV therapy |
0270 |
Medical/surgical supplies-general classification (also see 062X) |
0271 |
Medical/surgical supplies-nonsterile supply |
0272 |
Medical/surgical supplies-sterile supply |
0273 |
Medical/surgical supplies-take home supplies |
0274 |
Medical/surgical supplies-prosthetic/orthotic devices |
0275 |
Medical/surgical supplies-pace maker |
0276 |
Medical/surgical supplies-intraocular lens |
0277 |
Medical/surgical supplies-oxygen-take home |
0278 |
Medical/surgical supplies-other implants |
0279 |
Medical/surgical supplies-other devices |
0280 |
Oncology-general classification |
0289 |
Oncology-other oncology |
0290 |
DME (other than renal)-general classification |
0291 |
DME (other than renal)-rental |
0292 |
DME (other than renal)-purchase of new DME |
0293 |
DME (other than renal)-purchase of used DME |
0294 |
DME (other than renal)-related to and listed as DME |
0299 |
DME (other than renal)-other |
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 pathological-general classification |
0311 |
Laboratory pathological-cytology |
0312 |
Laboratory pathological-histology |
0314 |
Laboratory pathological-biopsy |
0319 |
Laboratory pathological-other |
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 |
0330 |
Radiology therapeutic-general classification |
0331 |
Radiology therapeutic-chemotherapy injected |
0332 |
Radiology therapeutic-chemotherapy oral |
0333 |
Radiology therapeutic-radiation therapy |
0335 |
Radiology therapeutic-chemotherapy IV |
0339 |
Radiology therapeutic-other |
0340 |
Nuclear medicine-general classification |
0341 |
Nuclear medicine-diagnostic |
0342 |
Nuclear medicine-therapeutic |
0349 |
Nuclear medicine-other |
0350 |
Computed tomographic (CT) scan-general classification |
0351 |
CT scan-head scan |
0352 |
CT scan-body scan |
0359 |
CT scan-other CT scans |
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 operating room services |
0370 |
Anesthesia-general classification |
0371 |
Anesthesia-incident to RAD and subject to the payment limit |
0372 |
Anesthesia-incident to other diagnostic service and subject to the payment limit |
0374 |
Anesthesia-acupuncture |
0379 |
Anesthesia-other anesthesia |
0380 |
Blood-general classification |
0381 |
Blood-packed red cells |
0382 |
Blood-whole blood |
0383 |
Blood-plasma |
0384 |
Blood-platelets |
0385 |
Blood-leukocytes |
0386 |
Blood-other components |
0387 |
Blood-other derivatives (cryoprecipitates) |
0389 |
Blood-other blood |
0390 |
Blood storage and processing-general classification |
0391 |
Blood storage and processing-blood administration |
0399 |
Blood storage and processing-other |
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 |
0410 |
Respiratory services-general classification |
0412 |
Respiratory services-inhalation services |
0413 |
Respiratory services-hyperbaric oxygen therapy |
0419 |
Respiratory services-other |
0420 |
Physical therapy-general classification |
0421 |
Physical therapy-visit charge |
0422 |
Physical therapy-hourly charge |
0423 |
Physical therapy-group rate |
0424 |
Physical therapy-evaluation or re-evaluation |
0429 |
Physical therapy-other |
0430 |
Occupational therapy-general classification |
0431 |
Occupational therapy-visit charge |
0432 |
Occupational therapy-hourly charge |
0433 |
Occupational therapy-group rate |
0434 |
Occupational therapy-evaluation or re-evaluation |
0439 |
Occupational therapy-other (may include restorative therapy) |
0440 |
Speech language pathology-general classification |
0441 |
Speech language pathology-visit charge |
0442 |
Speech language pathology-hourly charge |
0443 |
Speech language pathology-group rate |
0444 |
Speech language pathology-evaluation or re-evaluation |
0449 |
Speech language pathology-other |
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 |
0460 |
Pulmonary function-general classification |
0469 |
Pulmonary function-other |
0470 |
Audiology-general classification |
0471 |
Audiology-diagnostic |
0472 |
Audiology-treatment |
0479 |
Audiology-other |
0480 |
Cardiology-general classification |
0481 |
Cardiology-cardiac cath lab |
0482 |
Cardiology-stress test |
0483 |
Cardiology-Echocardiology |
0489 |
Cardiology-other |
0490 |
Ambulatory surgical care-general classification |
0499 |
Ambulatory surgical care-other |
0500 |
Outpatient services-general classification |
0509 |
Outpatient services-other |
0510 |
Clinic-general classification |
0511 |
Clinic-chronic pain center |
0512 |
Clinic-dental center |
0513 |
Clinic-psychiatric |
0514 |
Clinic-OB-GYN |
0515 |
Clinic-pediatric |
0516 |
Clinic-urgent care clinic |
0517 |
Clinic-family practice clinic |
0519 |
Clinic-other |
0520 |
Free-standing clinic-general classification |
0521 |
Free-standing clinic-Clinic visit by a member to RHC/FQHC (eff. 7/1/06). Prior to 7/1/06 - Rural Health-Clinic |
0522 |
Free-standing clinic-Home visit by RHC/FQHC practitioner (eff. 7/1/06). Prior to 7/1/06 - Rural Health-Home |
0523 |
Free-standing clinic-family practice |
0524 |
Free-standing clinic - visit by RHC/FQHC practitioner to a member in a covered Part A stay at the SNF. (eff. 7/1/06) |
0525 |
Free-standing 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. (eff. 7/1/06) |
0526 |
Free-standing clinic-urgent care (eff 10/96) |
0527 |
Free-standing clinic-RHC/FQHC visiting nurse service(s) to a member's home when in a home health shortage area. (eff. 7/1/06) |
0528 |
Free-standing clinic-visit by RHC/FQHC practitioner to other non-RHC/FQHC site (e.g. scene of accident). (eff. 7/1/06) |
0529 |
Free-standing clinic-other |
0530 |
Osteopathic services-general classification |
0531 |
Osteopathic services-osteopathic therapy |
0539 |
Osteopathic services-other |
0540 |
Ambulance-general classification |
0541 |
Ambulance-supplies |
0542 |
Ambulance-medical transport |
0543 |
Ambulance-heart mobile |
0544 |
Ambulance-oxygen |
0545 |
Ambulance-air ambulance |
0546 |
Ambulance-neo-natal ambulance |
0547 |
Ambulance-pharmacy |
0548 |
Ambulance-telephone transmission EKG |
0549 |
Ambulance-other |
0550 |
Skilled nursing-general classification |
0551 |
Skilled nursing-visit charge |
0552 |
Skilled nursing-hourly charge |
0559 |
Skilled nursing-other |
0560 |
Medical social services-general classification |
0561 |
Medical social services-visit charge |
0562 |
Medical social services-hourly charges |
0569 |
Medical social services-other |
0570 |
Home health aid (home health)-general classification |
0571 |
Home health aid (home health)-visit charge |
0572 |
Home health aid (home health)-hourly charge |
0579 |
Home health aid (home health)-other |
0580 |
Other visits (home health)-general classification (under HHPPS, not allowed as covered charges) |
0581 |
Other visits (home health)-visit charge (under HHPPS, not allowed as covered charges) |
0582 |
Other visits (home health)-hourly charge (under HHPPS, not allowed as covered charges) |
0589 |
Other visits (home health)-other (under HHPPS, not allowed as covered charges) |
0590 |
Units of service (home health)-general classification (under HHPPS, not allowed as covered charges) |
0599 |
Units of service (home health)-other (under HHPPS, not allowed as covered charges) |
0600 |
Oxygen/Home Health-general classification |
0601 |
Oxygen/Home Health-stat or port equip/supply or count |
0602 |
Oxygen/Home Health-stat/equip/under 1 LPM |
0603 |
Oxygen/Home Health-stat/equip/over 4 LPM |
0604 |
Oxygen/Home Health-stat/equip/portable add-on |
0610 |
Magnetic resonance technology (MRT)-general classification |
0611 |
MRT/MRI-brain (including brainstem) |
0612 |
MRT/MRI-spinal cord (including spine) |
0614 |
MRT/MRI-other |
0615 |
MRT/MRA-Head and Neck |
0616 |
MRT/MRA-Lower Extremities |
0618 |
MRT/MRA-other |
0619 |
MRT/Other MRI |
0621 |
Medical/surgical supplies-incident to radiology-subject to the payment limit - extension of 027X |
0622 |
Medical/surgical supplies-incident to other diagnostic service-subject to the payment limit - extension of 027X |
0623 |
Medical/surgical supplies-surgical dressings - extension of 027X |
0624 |
Medical/surgical supplies-medical investigational devices and procedures with FDA approved IDE's - extension of 027X |
0630 |
Reserved |
0631 |
Drugs requiring specific identification-single drug source |
0632 |
Drugs requiring specific identification-multiple drug source |
0633 |
Drugs requiring specific identification-restrictive prescription |
0634 |
Drugs requiring specific identification-EPO under 10,000 units |
0635 |
Drugs requiring specific identification-EPO 10,000 units or more |
0636 |
Drugs requiring specific identification-detailed coding |
0637 |
Self-administered drugs administered in an emergency situation -not requiring detailed coding |
0640 |
Home IV therapy-general classification |
0641 |
Home IV therapy-nonroutine nursing |
0642 |
Home IV therapy-IV site care, central line |
0643 |
Home IV therapy-IV start/change peripheral line |
0644 |
Home IV therapy-nonroutine nursing, peripheral line |
0645 |
Home IV therapy-train patient/caregiver, central line |
0646 |
Home IV therapy-train disabled patient, central line |
0647 |
Home IV therapy-train patient/caregiver, peripheral line |
0648 |
Home IV therapy-train disabled patient, peripheral line |
0649 |
Home IV therapy-other IV therapy services |
0650 |
Hospice services-general classification |
0651 |
Hospice services-routine home care |
0652 |
Hospice services-continuous home care-1/2 |
0655 |
Hospice services-inpatient care |
0656 |
Hospice services-general inpatient care (non-respite) |
0657 |
Hospice services-physician services |
0659 |
Hospice services-other |
0660 |
Respite care (HHA)-general classification |
0661 |
Respite care (HHA)-hourly charge/skilled nursing |
0662 |
Respite care (HHA)-hourly charge/home health aide/homemaker |
0670 |
OP special residence charges - general classification |
0671 |
OP special residence charges - hospital based |
0672 |
OP special residence charges - contracted |
0679 |
OP special residence charges - other special residence charges |
0700 |
Cast room-general classification |
0709 |
Cast room-other |
0710 |
Recovery room-general classification |
0719 |
Recovery room-other |
0720 |
Labor room/delivery-general classification |
0721 |
Labor room/delivery-labor |
0722 |
Labor room/delivery-delivery |
0723 |
Labor room/delivery-circumcision |
0724 |
Labor room/delivery-birthing center |
0729 |
Labor room/delivery-other |
0730 |
EKG/ECG-general classification |
0731 |
EKG/ECG-Holter moniter |
0732 |
EKG/ECG-telemetry |
0739 |
EKG/ECG-other |
0740 |
EEG-general classification |
0749 |
EEG (electroencephalogram)-other |
0750 |
Gastro-intestinal services-general classification |
0759 |
Gastro-intestinal services-other |
0760 |
Treatment or observation room-general classification |
0761 |
Treatment or observation room-treatment room |
0762 |
Treatment or observation room-observation room |
0769 |
Treatment or observation room-other |
0770 |
Preventative care services-general classification |
0771 |
Preventative care services-vaccine administration |
0779 |
Preventative care services-other |
0780 |
Telemedicine - general classification |
0789 |
Telemedicine - telemedicine |
0790 |
Lithotripsy-general classification |
0799 |
Lithotripsy-other |
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 CAPD |
0804 |
Inpatient renal dialysis-inpatient CCPD |
0809 |
Inpatient renal dialysis-other inpatient dialysis |
0810 |
Organ acquisition-general classification |
0811 |
Organ acquisition-living donor |
0812 |
Organ acquisition-cadaver donor |
0813 |
Organ acquisition-unknown donor |
0814 |
Organ acquisition - unsuccessful organ search-donor bank charges |
0815 |
Allogeneic Stem Cell Acquisition/Donor Services |
0819 |
Organ acquisition-other donor |
0820 |
Hemodialysis OP or home dialysis-general classification |
0821 |
Hemodialysis OP or home dialysis-hemodialysis-composite or other rate |
0822 |
Hemodialysis OP or home dialysis-home supplies |
0823 |
Hemodialysis OP or home dialysis-home equipment |
0824 |
Hemodialysis OP or home dialysis-maintenance/100% |
0825 |
Hemodialysis OP or home dialysis-support services |
0829 |
Hemodialysis OP or home dialysis-other |
0830 |
Peritoneal dialysis OP or home-general classification |
0831 |
Peritoneal dialysis OP or home-peritoneal-composite or other rate |
0832 |
Peritoneal dialysis OP or home-home supplies |
0833 |
Peritoneal dialysis OP or home-home equipment |
0834 |
Peritoneal dialysis OP or home-maintenance/100% |
0835 |
Peritoneal dialysis OP or home-support services |
0839 |
Peritoneal dialysis OP or home-other |
0840 |
CAPD outpatient-general classification |
0841 |
CAPD outpatient-CAPD/composite or other rate |
0842 |
CAPD outpatient-home supplies |
0843 |
CAPD outpatient-home equipment |
0844 |
CAPD outpatient-maintenance/100% |
0845 |
CAPD outpatient-support services |
0849 |
CAPD outpatient-other |
0850 |
CCPD outpatient-general classification |
0851 |
CCPD outpatient-CCPD/composite or other rate |
0852 |
CCPD outpatient-home supplies |
0853 |
CCPD outpatient-home equipment |
0854 |
CCPD outpatient-maintenance/100% |
0855 |
CCPD outpatient-support services |
0859 |
CCPD outpatient-other |
0880 |
Miscellaneous dialysis-general classification |
0881 |
Miscellaneous dialysis-ultrafiltration |
0882 |
Miscellaneous dialysis-home dialysis aide visit |
0889 |
Miscellaneous dialysis-other |
0890 |
Other donor bank-general classification; changed to reserved for national assignment |
0891 |
Other donor bank-bone; changed to reserved for national assignment |
0892 |
Other donor bank-organ (other than kidney); changed to reserved for national assignment |
0893 |
Other donor bank-skin; changed to reserved for national assignment |
0899 |
Other donor bank-other; changed to reserved for national assignment |
0900 |
Behavior Health Treatment/Services - general classification (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological treatments-general classification |
0901 |
Behavior Health Treatment/Services - electroshock treatment (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological treatments-electroshock treatment |
0902 |
Behavior Health Treatment/Services - milieu therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments-milieu therapy |
0903 |
Behavior Health Treatment/Services - play therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments-play therapy |
0904 |
Behavior Health Treatment/Services - activity therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments-activity therapy |
0905 |
Behavior Health Treatment/Services - intensive outpatient services-psychiatric (eff. 10/2004) |
0906 |
Behavior Health Treatment/Services - intensive outpatient services-chemical dependency (eff. 10/2004) |
0907 |
Behavior Health Treatment/Services - community behavioral health program-day treatment (eff. 10/2004) |
0909 |
Reserved for National Use (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments-other |
0910 |
Behavioral Health Treatment/Services-Reserved for National Assignment (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-general classification |
0911 |
Behavioral Health Treatment/Services-rehabilitation (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-rehabilitation |
0912 |
Behavioral Health Treatment/Services-partial hospitalization-less intensive (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-less intensive |
0913 |
Behavioral Health Treatment/Services-partial hospitalization-intensive (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-intensive |
0914 |
Behavioral Health Treatment/Services-individual therapy (eff. 10/2004) prior to 10/2004 defined as Psychiatric/psychological services-individual therapy |
0915 |
Behavioral Health Treatment/Services-group therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-group therapy |
0916 |
Behavioral Health Treatment/Services-family therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-family therapy |
0917 |
Behavioral Health Treatment/Services-biofeedback (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-biofeedback |
0918 |
Behavioral Health Treatment/Services-testing (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-testing |
0919 |
Behavioral Health Treatment/Services-other (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-other |
0920 |
Other diagnostic services-general classification |
0921 |
Other diagnostic services-peripheral vascular lab |
0922 |
Other diagnostic services-electromyelogram |
0923 |
Other diagnostic services-pap smear |
0924 |
Other diagnostic services-allergy test |
0925 |
Other diagnostic services-pregnancy test |
0929 |
Other diagnostic services-other |
0931 |
Medical Rehabilitation Day Program - Half Day |
0932 |
Medical Rehabilitation Day Program - Full Day |
0940 |
Other therapeutic services-general classification |
0941 |
Other therapeutic services-recreational therapy |
0942 |
Other therapeutic services-education/training (include diabetes diet training) |
0943 |
Other therapeutic services-cardiac rehabilitation |
0944 |
Other therapeutic services-drug rehabilitation |
0945 |
Other therapeutic services-alcohol rehabilitation |
0946 |
Other therapeutic services-routine complex medical equipment |
0947 |
Other therapeutic services-ancillary complex medical equipment |
0949 |
Other therapeutic services-other |
0951 |
Professional Fees-athletic training (extension of 094X) |
0952 |
Professional Fees-kinesiotherapy (extension of 094X) |
0960 |
Professional fees-general classification |
0961 |
Professional fees-psychiatric |
0962 |
Professional fees-ophthalmology |
0963 |
Professional fees-anesthesiologist (MD) |
0964 |
Professional fees-anesthetist (CRNA) |
0969 |
Professional fees-other (NOTE: 097X is an extension of 096X) |
0971 |
Professional fees-laboratory |
0972 |
Professional fees-radiology diagnostic |
0973 |
Professional fees-radiology therapeutic |
0974 |
Professional fees-nuclear medicine |
0975 |
Professional fees-operating room |
0976 |
Professional fees-respiratory therapy |
0977 |
Professional fees-physical therapy |
0978 |
Professional fees-occupational therapy |
0979 |
Professional fees-speech pathology (NOTE: 098X is an extension of 096X & 097X) |
0981 |
Professional fees-emergency room |
0982 |
Professional fees-outpatient services |
0983 |
Professional fees-clinic |
0984 |
Professional fees-medical social services |
0985 |
Professional fees-EKG |
0986 |
Professional fees-EEG |
0987 |
Professional fees-hospital visit |
0988 |
Professional fees-consultation |
0989 |
Professional fees-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/telegraph |
0994 |
Patient convenience items-tv/radio |
0995 |
Patient convenience items-nonpatient room rentals |
0996 |
Patient convenience items-late discharge charge |
0997 |
Patient convenience items-admission kits |
0998 |
Patient convenience items-beauty shop/barber |
0999 |
Patient convenience items-other |
1000 |
Behavioral health Accommodations – general |
1001 |
Behavioral health Accommodations – residential treatment psychiatric |
1002 |
Behavioral health Accommodations – residential treatment chemical dependency |
2101 |
Alternative Therapy Services – Acupuncture |
2103 |
Alternative Therapy Services – Massage |
3101 |
Adult Day Care – Medical and Social (hourly) |
3103 |
Adult Day Care – Medical and Social (daily) |
3104 |
Adult Day Care –Social (daily) |
3109 |
Adult Day Care –other NOTE: Following Revenue Codes reported for NHCMQ (RUGS) demo claims effective 2/96. |
9000 |
RUGS-no MDS assessment available |
9001 |
Reduced physical functions-RUGS PA1/ADL index of 4-5 |
9002 |
Reduced physical functions-RUGS PA2/ADL index of 4-5 |
9003 |
Reduced physical functions-RUGS PB1/ADL index of 6-8 |
9004 |
Reduced physical functions-RUGS PB2/ADL index of 6-8 |
9005 |
Reduced physical functions-RUGS PC1/ADL index of 9-10 |
9006 |
Reduced physical functions-RUGS PC2/ADL index of 9-10 |
9007 |
Reduced physical functions-RUGS PD1/ADL index of 11-15 |
9008 |
Reduced physical functions-RUGS PD2/ADL index of 11-15 |
9009 |
Reduced physical functions-RUGS PE1/ADL index of 16-18 |
9010 |
Reduced physical functions-RUGS PE2/ADL index of 16-18 |
9011 |
Behavior only problems-RUGS BA1/ADL index of 4-5 |
9012 |
Behavior only problems-RUGS BA2/ADL index of 4-5 |
9013 |
Behavior only problems-RUGS BB1/ADL index of 6-10 |
9014 |
Behavior only problems-RUGS BB2/ADL index of 6-10 |
9015 |
Impaired cognition-RUGS IA1/ADL index of 4-5 |
9016 |
Impaired cognition-RUGS IA2/ADL index of 4-5 |
9017 |
Impaired cognition-RUGS IB1/ADL index of 6-10 |
9018 |
Impaired cognition-RUGS IB2/ADL index of 6-10 |
9019 |
Clinically complex-RUGS CA1/ADL index of 4-5 |
9020 |
Clinically complex-RUGS CA2/ADL index of 4-5d |
9021 |
Clinically complex-RUGS CB1/ADL index of 6-10 |
9022 |
Clinically complex-RUGS CB2/ADL index of 6-10d |
9023 |
Clinically complex-RUGS CC1/ADL index of 11-16 |
9024 |
Clinically complex-RUGS CC2/ADL index of 11-16d |
9025 |
Clinically complex-RUGS CD1/ADL index of 17-18 |
9026 |
Clinically complex-RUGS CD2/ADL index of 17-18d |
9027 |
Special care-RUGS SSA/ADL index of 7-13 |
9028 |
Special care-RUGS SSB/ADL index of 14-16 |
9029 |
Special care-RUGS SSC/ADL index of 17-18 |
9030 |
Extensive services-RUGS SE1/1 procedure |
9031 |
Extensive services-RUGS SE2/2 procedures |
9032 |
Extensive services-RUGS SE3/3 procedures |
9033 |
Low rehabilitation-RUGS RLA/ADL index of 4-11 |
9034 |
Low rehabilitation-RUGS RLB/ADL index of 12-18 |
9035 |
Medium rehabilitation-RUGS RMA/ADL index of 4-7 |
9036 |
Medium rehabilitation-RUGS RMB/ADL index of 8-15 |
9037 |
Medium rehabilitation-RUGS RMC/ADL index of 16-18 |
9038 |
High rehabilitation-RUGS RHA/ADL index of 4-7 |
9039 |
High rehabilitation-RUGS RHB/ADL index of 8-11 |
9040 |
High rehabilitation-RUGS RHC/ADL index of 12-14 |
9041 |
High rehabilitation-RUGS RHD/ADL index of 15-18 |
9042 |
Very high rehabilitation-RUGS RVA/ADL index of 4-7 |
9043 |
Very high rehabilitation-RUGS RVB/ADL index of 8-13 |
9044 |
Very high rehabilitation-RUGS RVC/ADL index of 14-18 ***Changes effective for providers entering*** **RUGS Demo Phase III as of 1/1/97 or later** |
9019 |
Clinically complex-RUGS CA1/ADL index of 11 |
9020 |
Clinically complex-RUGS CA2/ADL index of 11D |
9021 |
Clinically complex-RUGS CB1/ADL index of 12-16 |
9022 |
Clinically complex-RUGS CB2/ADL index of 12-16D |
9023 |
Clinically complex-RUGS CC1/ADL index of 17-18 |
9024 |
Clinically complex-RUGS CC2/ADL index of 17-18D |
9025 |
Special care-RUGS SSA/ADL index of 14 |
9026 |
Special care-RUGS SSB/ADL index of 15-16 |
9027 |
Special care-RUGS SSC/ADL index of 17-18 |
9028 |
Extensive services-RUGS SE1/ADL index 7-18/1 procedure |
9029 |
Extensive services-RUGS SE2/ADL index 7-18/2 procedures |
9030 |
Extensive services-RUGS SE3/ADL index 7-18/3 procedures |
9031 |
Low rehabilitation-RUGS RLA/ADL index of 4-13 |
9032 |
Low rehabilitation-RUGS RLB/ADL index of 14-18 |
9033 |
Low rehabilitation-RUGS RLA/ADL index of 4-11 |
9034 |
Medium rehabilitation-RUGS RMB/ADL index of 8-14 |
9035 |
Medium rehabilitation-RUGS RMC/ADL index of 15-18 |
9036 |
High rehabilitation-RUGS RHA/ADL index of 4-7 |
9037 |
High rehabilitation-RUGS RHB/ADL index of 8-12 |
9038 |
High rehabilitation-RUGS RHC/ADL index of 13-18 |
9039 |
Very High rehabilitation-RUGS RVA/ADL index of 4-8 |
9040 |
Very high rehabilitation-RUGS RVB/ADL index of 9-15 |
9041 |
Very high rehabilitation-RUGS RVC/ADL index of 16 |
9042 |
Very high rehabilitation-RUGS RUA/ADL index of 4-8 |
9043 |
Very high rehabilitation-RUGS RUB/ADL index of 9-15 |
9044 |
Ultra high rehabilitation-RUGS RUC/ADL index of 16-18 |
Some additional information on this variable: