How Do You Know Which Revenue Code to Use With Cpt Code

November 12, 2019 Medical Coding

Revenue codes are iv-digit numbers that are used on hospital bills to tell the insurance companies either where the patient was when they received treatment, or what type of item a patient might have received as a patient. A medical claim will not be paid if this is missing from a beak. The revenue lawmaking tells an insurance company whether the procedure was performed in the emergency room, operating room or some other department. Hospitals run on 3 sets of universal codes:

If a acquirement code is attached to a supply code, it identifies the equipment and whether the equipment was used in the infirmary or taken home past a patient. This is important because many of the procedures done in the hospital may be washed in unlike areas.  For example, stitches may be given to a patient in the emergency room, or in a completely different surface area of the hospital like the maternity ward.  Depending on where the procedure was washed the price for the process tin exist drastically unlike.

These codes are located in various places on the UB-04 forms (bill class used past Hospitals and other providers), the purpose of Revenue Codes, yet, is to group similar types of charges onto one line in the form. Notation that you lot can't report revenue codes on a CMS-1500 grade, but you tin can report them on a UB-04. So, for those payers to whom you file on UB-04 claim forms, you lot can break out your charges and bill for some ancillary services, like supplies.

A valid procedure code must exist accompanied past a acquirement code for information technology to be accustomed by the insurance provider.  There are 81 fields on the UB-04 and the Revenue Codes are located by field 42-49 (FL42-49).  The acquirement codes were developed for the Medicare organization but were soon adopted as the standard for hospitals.  Revenue codes go along with procedure codes. When putting them in a chargemaster, you would add the correct revenue code to the CPT lawmaking you were going to apply for a particular department. Information technology'due south the use of revenue codes which allows hospitals to use the same CPT code in multiple departments because it will bear witness which department the services were provided in.

Revenue Code	Clarification
0001	Total Charges
001X	Reserved for internal payer utilise
002X	Wellness Insurance Prospective Payment System (HIPPS)
	0020-0021 Reserved
	0022 – Skilled Nursing Facility (SNF) PPS
	0023 – Habitation Health PPS
	0024 – Inpatient Rehabilitation Facility (IRF) PPS
	0025-0029 – Reserved
003X-009X	Reserved
010X	All-inclusive Rate
	0100 – All inclusive room and board plus ancillary
	0101 – All inclusive room and lath
011X	Room and Board Private (i bed)
	0110 – General
	0111 – Medical/Surgical/GYN
	0112 – OB
	0113 – Pediatric
	0114 – Psychiatric
	0115 – Hospice
	0116 – Detoxification
	0117 – Oncology
	0118 – Rehabilitation
	0119 – Other
012X	Room and Board Semiprivate (two beds)
	0120 – General
	0121 – Medical/Surgical/GYN
	0122 – OB
	0123 – Pediatric
	0124 – Psychiatric
	0125 – Hospice
	0126 – Detoxification
	0127 – Oncology
	0128 – Rehabilitation
	0129 – Other
013X	Room and Board (3 and 4 beds)
	0130 – Full general
	0131 – Medical/Surgical/GYN
	0132 – OB
	0133 – Pediatric
	0134 – Psychiatric
	0135 – Hospice
	0136 – Detoxification
	0137 – Oncology
	0138 – Rehabilitation
	0139 – Other
014X	Room and Lath Palatial Private
	0140 – Full general
	0141 – Medical/Surgical/GYN
	0142 – OB
	0143 – Pediatric
	0144 – Psychiatric
	0145 – Hospice
	0146 – Detoxification
	0147 – Oncology
	0148 – Rehabilitation
	0149 – Other
015X	Room and Board Ward
	0150 – General
	0151 – Medical/Surgical/GYN
	0152 – OB
	0153 – Pediatric
	0154 – Psychiatric
	0155 – Hospice
	0156 – Detoxification
	0157 – Oncology
	0158 – Rehabilitation
	0159 – Other
016X	Other Room and Lath
	0160 – General
	0164 – Sterile
	0167 – Self-care
	0169 – Other
017X	Nursery
	0170 – Full general
	0171 – Newborn Level I
	0172 – Newborn Level II
	0173 – Newborn Level III
	0174 – Newborn Level IV
	0179 – Other
018X	Go out of Absence
	0180 – General
	0182 – Patience convenience – charges billable
	0183 – Therapeutic leave
	0185 – Nursing home (for hospitalization)
	0189 – Other
019X	Subacute Care
	0190 – General
	0191 – Level I
	0192 – Level 2
	0193 – Level Iii
	0194 – Level Four
	0199 – Other
020X	Intensive Care Unit
	0200 – General
	0201 – Surgical
	0202 – Medical
	0203 – Pediatric
	0204 – Psychiatric
	0206 – Intermediate ICU
	0207 – Burn Care
	0208 – Trauma
	0209 – Other
021X	Coronary Care Unit
	0210 – Full general
	0211 – Myocardial Infarction
	0212 – Pulmonary Care
	0213 – Heart Transplant
	0214 – Intermediate CCU
	0219 – Other
022X	Special Charges
	0220 – Full general
	0221 – Admission Accuse
	0222 – Technical Support Charge
	0223 – UR Service Charge
	0224 – Late Belch – Medically Necessary
	0229 – Other
023X	Incremental Nursing Accuse
	0230 – General
	0231 – Nursery
	0232 – OB
	0233 – ICU
	0234 – CCU
	0235 – Hospice
	0239 – Other
024X	Spread-out Coincident
	0240 – General
	0241 – Basic
	0242 – Comprehensive
	0243 – Specialty
	0249 – Other
025X	Chemist's shop
	0250 – General
	0251 – Generic drugs
	0252 – Nongeneric drugs
	0253 – Take-home drugs
	0254 – Drugs incident to Other diagnostic services
	0255 – Drugs incident to radiology
	0256 – experimental drugs
	0257 – Nonprescription
	0258 – IV solutions
	0259 – Other
026X	IV Therapy
	0260 – Full general
	0261 – Infusion pump
	0262 – Pharmacy services
	0263 – Drug/supply delivery
	0264 – Supplies
	0269 – Other
027X	Medical/Surgical Supplies and Devices
	0270 – General
	0271 – Nonsterile
	0272 – Sterile
	0273 – Take-dwelling supplies
	0274 – Prosthetic/orthotic devices
	0275 – Pacemaker
	0276 – Intracular lens
	0277 – Accept-habitation oxygen
	0278 – Other implants
	0279 – Other
028X	Oncology
	0280 – Full general
	0289 – Other
029X	Durable Medical Equipment (Other than Renal)
	0290 – Full general
	0291 – Rental
	0292 – Buy of new DME
	0293 – Buy of used DME
	0294 – Supplies/Drugs for DME
	0299 – Other
030X	Laboratory
	0300 – General
	0301 – Chemistry
	0302 – Immunology
	0303 – Renal patient (abode)
	0304 – Nonroutine dialysis
	0305 – Hematology
	0306 – Bacteriology and Microbiology
	0307 – Urology
	0309 – Other
031X	Laboratory Pathology
	0310 – General
	0311 – Cytology
	0312 – Histology
	0314 – Biopsy
	0319 – Other
032X	Radiology Diagnostic
	0320 – General
	0321 – Angiocardiography
	0322 – Arthrography
	0323 – Arteriography
	0324 – Breast X-ray
	0329 – Other
033X	Radiology Therapeutic and/of Chemotherapy Assistants
	0330 – General
	0331 – Chemotherapy assistants – injection
	0332 – Chemotherapy administration – oral
	0333 – Radiation therapy
	0335 – Chemotherapy administration – Iv
	0339 – Other
034X	Nuclear Medicine
	0340 – Full general
	0341 – Diagnostic
	0342 – Therapeutic
	0343 – Diagnostic radiopharmaceuticals
	0344 – Therapeutic radiopharmaceuticals
	0349 – Other
035X	CT Browse
	0350 – General
	0351 – Caput scan
	0352 – Trunk scan
	0359 – Other
036X	Operating Room Services
	0360 – General
	0361 – Minor surgery
	0362 – Organ transplant – other than kidney
	0367 – Kidney transplant
	0369 – Other
037X	Anesthesia
	0370 – General
	0371 – Incident to radiology
	0372 – incident to Other Diagnostic services
	0374 – Acupuncture
	0379 – Other
038X	Blood and Blood Products
	0380 – General
	0381 – Packed cerise cells
	0382 – Whole blood and blood products
	0383 – Plasma
	0384 – Platelets
	0385 – Leukocytes
	0386 – Other components
	0387 – Other derivatives (cryoprecipitates)
	0389 – Other
039X	Administration, Processing and Storage for Blood and Blood Components
	0390 – Full general
	0391 – Assistants (due east.g., transfusions)
	0392 – Processing and storage
	0399 – Other processing and storage
040X	Other Imaging Services
	0400 – General
	0401 – Diagnostic mammography
	0402 – Ultrasound
	0403 – Screening mammography
	0404 – Positron Emission Tomography
	0409 – Other
041X	Respiratory Services
	0410 – Full general
	0412 – Inhalation services
	0413 – Hyperbaric oxygen therapy
	0419 – Other
042X	Physical Therapy
	0420 – General
	0421 – Visit charge
	0422 – Hourly accuse
	0423 – Group charge per unit
	0424 – Evaluation or reevaluation
	0429 – Other
043X	Occupational Therapy
	0430 – General
	0431 – Visit charge
	0432 – Hourly charge
	0433 – Group rate
	0434 – Evaluation or reevaluation
	0439 – Other
044X	Speech Therapy Language Pathology
	0440 – General
	0441 – Visit charge
	0442 – Hourly charge
	0443 – grouping rate
	0444 – Evaluation or reevaluation
	0449 – Other
045X	Emergency Room
	0450 – General
	0451 – EMTALA emergency medical screening services
	0452 – ER beyond EMTALA screening
	0456 – Urgent care
	0459 – Other
046X	Pulmonary Role
	0460 – Full general
	0469 – Other
047X	Audiology
	0470 – General
	0471 – Diagnostic
	0472 – Handling
	0479 – Other
048X	Cardiology
	0480 – General
	0481 – Cardiac cath lab
	0482 – Stress test
	0483 – Echocardiology
	0489 – Other
049X	Ambulatory Surgical Care
	0490 – General
	0499 – Other
050X	Outpatient Services
	0500 – General
	0509 – Other
051X	Clinic
	0510 – General
	0511 – Chronic pain heart
	0512 – Dental clinic
	0513 – Psychiatric dispensary
	0514 – OB/GYN clinic
	0515 – Pediatric dispensary
	0516 – Urgent intendance clinic
	0517 – Family practice clinic
	0519 – Other
052X	Freestanding Clinic
	0520 – General
	0521 – Clinic visit by fellow member to RHC/FQHC
	0522 – Abode visit past RHC/FQHC practitioner
	0523 – Family unit practice dispensary
	0524 – Visit by RHC/FQHC practitioner to member in a Function A covered stay in SNF
	0525 – Visit by RHC/FQHC practitioner to fellow member in a stay not covered by Part A in a
	SNF, NF or ICF MR or other residential facility
	0526 – Urgent care clinic
	0527 – Visiting nurse services to member's habitation in a domicile health shortage area
	0528 – Visit past RHC/FQHC practitioner to other non-RHC/FQHC site (e.g., scene of accident)
	0529 – Other
053X	Osteopathic Services
	0530 – General
	0531 – Osteopathic therapy
	0539 – Other
054X	Ambulance
	0540 – Full general
	0541 – Supplies
	0542 – Medical transport
	0543 – Centre mobile
	0544 – Oxygen
	0545 – Air ambulance
	0546 – Neonatal ambulance
	0547 – Chemist's shop
	0548 – EKG manual
	0549 – Other
055X	Skilled Nursing
	0550 – General
	0551 – Visit charge
	0552 – Hourly charge
	0559 – Other
056X	Habitation Health Medical Social Services
	0560 – Full general
	0561 – Visit charge
	0562 – Hourly accuse
	0569 – Other
057X	Home Wellness Aide
	0570 – General
	0571 – Visit accuse
	0572 – Hourly charge
	0579 – Other
058X	Abode Health Other Visits
	0580 – General
	0581 – Visit charge
	0582 – Hourly accuse
	0583 – Assessment
	0589 – Other
059X	Home Health Units of Service
	0590 – General
060X	Home Health Oxygen
	0600 – General
	0601 – Stat/Equip/Supply or contents
	0602 – Stat/Equip/Supply Nether 1 LPM
	0603 – Stat/Equip Over 4 LPM
	0604 – Portable Improver
	0609 – Other
061X	Magnetic Resonance Technology (MRT)
	0610 – General
	0611 – Brain/brain stem
	0612 – Spinal cord/spine
	0614 – Other MRI
	0615 – Head and neck
	0616 – Lower extremities
	0618 – Other MRA
	0619 – Other MRT
062X	Medical/Surgical Supplies – Extension of 027X
	0621 – Incident to Radiology
	0622 – Incident to Other Diagnostic services
	0623 – Surgical Dressings
	0624 – FDA investigational devices
063X	Chemist's shop – Extension of 025X
	0631 – Single source drug
	0632 – Multiple source drug
	0633 – Restrictive prescription
	0634 – Erythropoietin (EPO) less than x,000 units
	0635- Erythropoietin (EPO) x,000 or more than units
	0636 – Drugs requiring detailed coding
	0637 – Self-administerable drugs
064X	Dwelling house Four Therapy Services
	0640 – General
	0641 – Nonroutine nursing, central line
	0642 – IV site care, central line
	0643 – 4 start/intendance, peripheral line
	0644 – Nonroutine nursing, peripheral line
	0645 – Preparation patient/caregiver, central line
	0646 – Training disabled patient, central line
	0647 – Preparation patient/caregiver, peripheral line
	0648 – Grooming disabled patient, peripheral line
	0649 – Other
065X	Hospice Service
	0650 – General
	0651 – Routine home intendance
	0652 – Continuous dwelling intendance
	0655 – Inpatient respite care
	0656 – Full general inpatient care (nonrespite)
	0657 – Physician services
	0658 – Hospice room and board – nursing facility
	0659 – Other
066X	Respite Intendance
	0660 – Full general
	0661 – Hourly accuse/nursing
	0662 – Hourly charge/aide/homemaker/companion
	0663 – daily respite accuse
	0669 – Other
067X	Outpatient Special Residence Charges
	0670 – General
	0671 – Infirmary owned
	0672 – Contracted
	0679 – Other
068X	Trauma Response
	0681 – Level I
	0682 – Level Ii
	0683 – Level III
	0684 – Level Iv
	0689 – Other
069X	Reserved
070X	Bandage Room
	0700 – Full general
071X	Recovery Room
	0710 – General
072X	Labor Room/Commitment
	0720 – General
	0721 – Labor
	0722 – Delivery
	0723 – Circumcision
	0724 – Birthing eye
	0729 – Other
073X	EKG/ECG Electrocardiogram
	0730 – General
	0731 – Holter monitor
	0732 – Telemetry
	0739 – Other
074X	EEG Electroencephalogram
	0740 – General
075X	Gastrointestinal Services
	0750 – Full general
076X	Specialty Services
	0760 – Full general
	0761 – Handling room
	0762 – Observation hours
	0769 – Other
077X	Preventive Services
	0770 – General
	0771 – Vaccine assistants
078X	Telemedicine
	0780 – General
079X	Extra-Corporeal Daze Wave Therapy (formerly Lithotripsy)
	0790 – General
080X	Inpatient Renal Dialysis
	0800 – General
	0801 – Inpatient hemodialysis
	0802 – Inpatient peritoneal (non-CAPD)
	0803 – Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)
	0804 – Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)
	0809 – Other
081X	Conquering of Body Components
	0810 – Full general
	0811 – Living donor
	0812 – Cadaver donor
	0813 – Unknown donor
	0814 – Unsuccessful organ search – donor bank charges
	0819 – Other
082X	Hemodialysis – Outpatient or Home
	0820 – Full general
	0821 – Composite or other charge per unit
	0822 – Dwelling supplies
	0823 – Dwelling equipment
	0824 – Maintenance/100%
	0825 – Support Services
	0829 – Other
083X	Peritoneal Dialysis – Outpatient or Home
	0830 – General
	0831 – Composite or other rate
	0832 – Home supplies
	0833 – Home equipment
	0834 – Maintenance/100%
	0835 – Support Services
	0839 – Other
084X	Continuous Ambulatory Peritoneal Dialysis (CAPD)- Outpatient or Home
	0840 – General
	0841 – Composite or other charge per unit
	0842 – Abode supplies
	0843 – Home equipment
	0844 – Maintenance/100%
	0845 – Support Services
	0849 – Other
085X	Continuous Cycling Peritoneal Dialysis (CCPD) – Outpatient or Home
	0850 – General
	0851 – Composite or other rate
	0852 – Abode supplies
	0853 – Home equipment
	0854 – Maintenance/100%
	0855 – Support Services
	0859 – Other
086X	Magnetoencephalography
	0860 – Full general
	0861 – Million
087X	Reserved
088X	Miscellaneous Dialysis
	0880 – General
	0881 – Ultrafiltration
	0882 – Home dialysis aid visit
	0889 – Other
089X	Reserved
090X	Behavioral Health Treatments/Services (as well see 091X, and extension of 090X)
	0900 – Full general
	0901 – Electroshock
	0902 – Milieu therapy
	0903 – Play therapy
	0904 – Action therapy
	0905 – Intensive outpatient services – psychiatric
	0906 – Chemical dependency
	0907 – Community behavioral health program – day treatment
091X	Behavioral Wellness Treatments/Services – Extension of 090X
	0911 – Rehabilitation
	0912 – Fractional hospitalization – less intensive
	0913 – Partial hospitalization – intensive
	0914 – Individual therapy
	0915 – Group therapy
	0916 – Family therapy
	0917 – Biofeedback
	0918 – Testing
	0919 – Behavioral wellness treatments
092X	Other Diagnostic Services
	0920 – General
	0921 – Peripheral vascular lab
	0922 – Electromyelogram
	0923 – Pap smear
	0924 – Allergy test
	0925 – Pregnancy test
	0929 – Other
093X	Medical Rehabilitation Mean solar day Program
	0931 – Half day
	0932 – Total day
094X	Other Therapeutic Services – Meet also 095X
	0940 – General
	0941 – Recreational
	0942 – Education/grooming
	0943 – Cardiac rehabilitation
	0944 – Drug rehabilitation
	0945 – Alcohol rehabilitation
	0946 – Circuitous medical equipment – routine
	0947 – Complex medical equipment – coincident
	0948 – Pulmonary rehabilitation
	0949 – Other
095X	Other Therapeutic Services (Extension of 094X)
	0951 – Athletic training
	0952 – Kinesiotherapy
096X	Professional person Fees
	0960 – General
	0961 – Psychiatric
	0962 – Ophthalmology
	0963 – Anesthesiologist (Medico)
	0964 – Anesthesiologist (CRNA)
	0969 – Other
097X	Professional Fees (Extension of 096X)
	0971 – Laboratory
	0972 – Radiology – diagnostic
	0973 – Radiology – therapeutic
	0974 – Nuclear medicine
	0975 – Operating room
	0976 – Respiratory therapy
	0977 – Concrete therapy
	0978 – Occupational therapy
	0979 – Voice communication pathology
098X	Professional Fees (Extension of 096X and 097X)
	0981 – Emergency room
	0982 – Outpatient services
	0983 – Clinic
	0984 – Medical social services
	0985 – EKG
	0986 – EEG
	0987 – Hospital visit
	0988 – Consultation
	0989 – Private-duty nurse
099X	Patient Convenience Items
	0990 – General
	0991 – Cafeteria/invitee tray
	0992 – Private linen service
	0993 – Telephone/telegraph
	0994 – TV/radio
	0995 – Nonpatient room rentals
	0996 – Late belch charge
	0997 – Admission kits
	0998 – Beauty shop/barber
	0999 – Other
100X	Behavioral Health Accommodations
	1000 – Full general
	1001 – Residential treatment – psychiatric
	1002 – Residential treatment – chemic dependency
	1003 – Supervised living
	1004 – Halfway Business firm
	1005 – Group Home
101X-209X	Reserved
210X	Alternative Therapy Services
	2100 – General
	2101 – Acupuncture
	2102 – Acupressure
	2103 – Massage
	2104 – Reflexology
	2105 – Biofeedback
	2106 – Hypnosis
	2109 – Other
211x – 300X	Reserved
310X	Adult Care
	3101 – developed daycare, medical and social – hourly
	3102 – Adult daycare, social – hourly
	3103 – Adult daycare, medical and social – daily
	3104 – Adult daycare, social – daily
	3105 – Adult foster intendance – daily
	3109 – Other
311X-999X	Reserved

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