Inpatient Revenue Codes for Fee-for-Service Providers

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1 Inpatient Codes for Fee-for-Service Providers 0001 Total Charge 0100 All-Inclusive Room and Board Plus All Inclusive Rate 0110 General Classification ROOM-BOARD/PVT Room & Board - Private 0111 Medical/Surgical/GYN MED-SUR-GY/PVT Room & Board - Private 0112 OB OB/PVT Room & Board - Private 0113 Pediatric PEDS/PVT Room & Board - Private 0114 Psychiatric PSYCH/PVT Room & Board - Private 0116 Detoxification DETOX/PVT Room & Board - Private 0117 Oncology ONCOLOGY/PVT Room & Board - Private 0118 Rehabilitation REHAB/PVT Room & Board - Private 0119 Other OTHER/PVT Room & Board - Private 0120 General Classification ROOM-BOARD/SEMI Room & Board - Semiprivate Two Bed 0121 Medical/Surgical/GYNMED-SUR-GY/2BED Room & Board - Semiprivate Two Bed 0122 OB - OB/2BED Room & Board - Semiprivate Two Bed 0123 Pediatric - PEDS/2BED Room & Board - Semiprivate Two Bed 0124 Psychiatric - PSTAY/2BED Room & Board - Semiprivate Two Bed 0136 Detoxification - DETOX/3&4BED Room & Board - Semi- Private - Three and Four Beds 0137 Oncology - ONCOLOGY/3&4BED Room & Board - Semi- Private - Three and Four Beds 0138 Rehabilitation - REHAB/3&4BED Room & Board - Semi- Private - Three and Four Beds Room & Board - Semi- Private - Three and Four Beds 0139 Other - OTHER/3&4BED 0150 General Classification - ROOM-BOARD/WARD Room & Board - Ward 0151 Medical/Surgical/GYN - MED-SUR-GY/WARD Room & Board - Ward 0152 OB - OB/WARD Room & Board Ward 0153 Pediatric - PEDS/WARD Room & Board Ward 0154 Psychiatric - PSYCH/WARD Room & Board Ward UB 92 1

2 0156 Detoxification - DETOX/WARD Room & Board Ward 0157 Oncology - ONCOLOGY/WARD Room & Board Ward 0158 Rehabilitation - REHAB/WARD Room & Board Ward 0159 Other - OTHER/WARD Room & Board Ward 0170 General Classification - NURSERY Nursery 0171 Newborn Level I - NURSERY/LEVELI Nursery 0172 Newborn Level II - NURSERY/LEVELII Nursery 0175 Neonatal ICU 0179 Other Nursery - NURSERY/OTHER Nursery 0183 Therapeutic Leave - LOA/THERAPEUTIC Leave of Absence 0185 Hospital Bed Days LOA/HOSPITAL BED DAYS Leave of Absence 0200 General Classification - INTENSIVE CARE (or ICU) Intensive Care 0201 Surgical - ICU/SURGICAL Intensive Care 0202 Medical - ICU/MEDICAL Intensive Care 0203 Pediatric - ICU PEDS Intensive Care Psychiatric - ICU/PSTAY Intensive Care 0206 Intermediate ICU - ICU/INTERMEDIATE Intensive Care 0207 Burn Care - ICU/BURN CARE Intensive Care 0208 Trauma - ICU/TRAMA Intensive Care 0209 Other Intensive Care - ICU/OTHER Intensive Care 0210 General Classification - CORONARY CARE (or CCU) Coronary Care 0211 Myocardial Infarction - CCU/MYO INFARC Coronary Care 0212 Pulmonary Care - CCU/PULMONARY Coronary Care 0213 Heart Transplant - CCU/TRANSPLANT Coronary Care 0214 Intermediate CCU - CCU/INTERMEDIATE Coronary Care 0219 Other Coronary Care - CCU/OTHER Coronary Care 0250 General Classification - PHARMACY 0251 Generic Drugs -DRUGS/GENERIC 0252 Non-generic Drugs - DRUGS/NONGENERIC 0254 Drugs Incident to Other - DRUGS/INCIDENT ODX 0255 Drugs Incident to Radiology - DRUGS/INCIDENT RAD 0257 Non-prescription - DRGS/NONPSCRPT 0258 IV Solutions - IV SOLUTIONS UB 92 2

3 0259 Other Pharmacy - DRGS/OTHER 0260 General Classification - IV THERAPY IV Therapy 0261 Infusion Pump - IV THER/INFSN PUMP IV Therapy 0262 IV Therapy/Pharmacy Svcs - IV THER/PHARM/SVC IV Therapy 0263 IV Therapy/Drug/Supply Delivery IV THER/DRUG/SUPPLY DELV IV Therapy 0264 IV Therapy/Supplies - IV THER/SUPPLIES IV Therapy 0269 Other IV Therapy - IV THERAPY/OTHER IV Therapy 0270 General Classification MED-SUR SUPPLIES 0271 Non Sterile Supply NON-STER SUPPLY 0272 Sterile Supply STERILE SUPPLY 0274 Prosthetic/Orthotic Devices PROSTH/ORTH DEV 0275 Pacemaker PACE MAKER 0276 Intraocular Lens INTRA OC LENS 0278 Other Implant (a) SUPPLY/IMPLANTS 0279 Other Supplies/Devices SUPPLY/OTHER 0280 General Classification ONCOLOGY Oncology 0289 Other Oncology ONCOLOGY/OTHER Oncology 0300 General Classification LABORATORY or (LAB) Laboratory 0301 Chemistry LAB/CHEMISTRY Laboratory 0302 Immunology LAB/IMMUNOLOGY Laboratory 0304 Non-Routine Dialysis LAB/NR DIALYSIS Laboratory 0305 Hematology LAB/HEMATOLOGY Laboratory 0306 Bacteriology & Microbiology LAB/BACT-MICRO Laboratory UB 92 3

4 0307 Urology - LAB/UROLOGY Laboratory 0309 Other Laboratory - LAB/OTHER Laboratory 0310 General Classification - PATHOLOGY LAB or (PATH LAB) Laboratory Pathological 0311 Cytology - PATHOL/CYTOLOGY Laboratory Pathological 0312 Histology - PATHOL/HYSTOL Laboratory Pathological 0314 Biopsy -PATHOL/BIOPSY Laboratory Pathological 0319 Other Laboratory Pathological PATHOL/OTHER Laboratory Pathological 0320 General Classification DX X-RAY Radiology - Diagnostic 0321 Angiocardiography DX X-RAY/ANGIO Radiology - Diagnostic 0322 Arthrography DX X-RAY/ARTH Radiology - Diagnostic 0323 Arteriography DX X-RAY/ARTER Radiology - Diagnostic 0324 Chest X-Ray DX X-RAY/CHEST Radiology - Diagnostic 0329 Other Radiology - Diagnostic DX X-RAY/OTHER Radiology - Diagnostic 0330 General Classification RX X-RAY 0331 Chemotherapy - CHEMOTHER/INJ 0332 Chemotherapy - CHEMOTHER/ORAL 0333 Radiation Therapy RADIATION RX 0335 Chemotherapy - IV CHEMOTHERP-IV 0339 Other RX X-RAY/OTHER General Classification - NUCLEAR MEDICINE or 0340 (NUC MED) Nuclear Medicine 0341 Diagnostic - NUC MED/DX Nuclear Medicine 0342 Therapeutic - NUC MED/RX Nuclear Medicine 0349 Other Nuclear Medicine - NUC MED/OTHER Nuclear Medicine 0350 General Classification - CT SCAN CT Scan 0351 Head Scan - CT SCAN/HEAD CT Scan 0352 Body Scan - CT SCAN/BODY CT Scan 0359 Other CT Scan - CT SCAN/OTHER CT Scan UB 92 4

5 0360 General Classification - OR SERVICES Operating Room 0361 Minor Surgery - OR/MINOR Operating Room 0362 Organ Transplant-Other Than - OR/ORGAN TRANS Kidney Operating Room 0367 Kidney Transplant - OR/KIDNEY TRANS Operating Room 0369 Other Operating Room - OR/OTHER Operating Room 0370 General Classification - ANESTHESIA Anesthesia 0371 Anesthesia Incident to Radiology ANESTHE/INCIDENT RAD Anesthesia 0372 Anesthesia Incident to Other - ANESTHE/INCDNT OTHER DX Anesthesia 0379 Other Anesthesia - ANESTHE/OTHER Anesthesia 0380 General Classification BLOOD Blood 0381 Packed Red Cells BLOOD/PKD RED Blood 0382 Whole Blood BLOOD/WHOLE Blood 0383 Plasma BLOOD/PLASMA Blood 0384 Platelets BLOOD/PLATELETS Blood 0385 Leucocytes BLOOD/LEUCOCYTES Blood 0386 Other Components BLOOD/COMPONENTS Blood 0387 Other Derivatives BLOOD/DERIVATIVES (Cryopricipitates) Blood 0389 Other Blood BLOOD/OTHER Blood 0390 General Classification BLOOD/STOR-PROC 0391 (e.g., Transfusions) BLOOD/ADMIN Blood and Blood Component, Processing and Storage Blood and Blood Component, Processing and Storage Blood and Blood Component, Processing and Storage 0399 Other Processing and Storage BLOOD/OTHER STOR 0400 General Classification - IMAGE SERVICE Other Imaging 0401 Diagnostic Mammography - DIAG MAMMOGRAPHY Other Imaging 0402 Ultrasound - ULTRASOUND Other Imaging 0403 Screening Mammography* - SCRN MAMMOGRAPHY Other Imaging 0404 Positron Emission Tomography - PET SCAN Other Imaging 0409 Other Imaging Service - OTHER IMAG SVS Other Imaging 0410 General Classification - RESPIRATORY SVC Respiratory 0412 Inhalation - INHALATION SVC Respiratory 0413 Hyperbaric Oxygen Therapy - HYPERBARIC O2 Respiratory UB 92 5

6 0419 Other Respiratory - OTHER RESPIR SVS Respiratory 0420 General Classification - PHYSICAL THERP Physical Therapy 0421 Visit Charge - PHYS THERP/VISIT Physical Therapy 0422 Hourly Charge - PHYS THERP/HOUR Physical Therapy 0423 Group Rate - PHYS THERP/GROUP Physical Therapy 0424 Evaluation or Re-evaluation - PHYS THERP/EVAL Physical Therapy 0429 Other Physical Therapy - OTHER PHYS THERP Physical Therapy 0430 General Classification - OCCUPATION THER Occupational Therapy 0431 Visit Charge - OCCUP THERP/VISIT Occupational Therapy 0432 Hourly Charge - OCCUP THERP/HOUR Occupational Therapy 0433 Group Rate - OCCUP THERP/GROUP Occupational Therapy 0434 Evaluation or Re-evaluation - OCCUP THERP/EVAL Occupational Therapy 0439 Other Occupational Therapy - OTHER OCCUP THER Occupational Therapy 0440 General Classification - SPEECH PATHOL Speech-Language Pathology 0441 Visit Charge - SPEECH PATH/VISIT Speech-Language Pathology 0442 Hourly Charge - SPEECH PATH/HOUR Speech-Language Pathology 0443 Group Rate - SPEECH PATH/GROUP Speech-Language Pathology 0444 Evaluation or Re-evaluation - SPEECH PATH/EVAL Speech-Language Pathology 0449 Other Speech-Language - OTHER SPEECH PAT Speech-Language Pathology 0450 General Classification - EMERG ROOM Emergency Room 0459 Other Emergency Room - OTHER EMER ROOM Emergency Room 0460 General Classification - PULMONARY FUNC Pulmonary Function 0469 Other Pulmonary Function - OTHER PULMON FUNC Pulmonary Function 0470 General Classification - AUDIOLOGY Audiology 0471 Diagnostic - AUDIOLOGY/DX Audiology 0472 Treatment - AUDIOLOGY/RX Audiology 0479 Other Audiology - OTHER AUDIOL Audiology 0480 General Classification - CARDIOLOGY Cardiology 0481 Cardiac Cath Lab - CARDIAC CATH LAB Cardiology 0482 Stress Test - STRESS TEST Cardiology 0489 Other Cardiology - OTHER CARDIOL Cardiology 0549 Other Ambulance - OTHER AMBULANCE Ambulance 0610 General Classification - MRI Magnetic Resonance Technology (MRT) 0611 MRI - Brain (Including Brainstem) MRI - BRAIN Magnetic Resonance Technology (MRT) 0612 MRI - Spinal Cord (Including Spine) MRI - SPINE Magnetic Resonance Technology (MRT) 0619 Other MRI - MRI- OTHER Magnetic Resonance Technology (MRT) UB 92 6

7 0700 General Classification - CAST ROOM Cast Room 0709 Other Cast Room - OTHER CAST ROOM Cast Room 0710 General Classification - RECOVERY ROOM Recovery Room 0719 Other Recovery Room - OTHER RECOV RM Recovery Room 0720 General Classification - DELIVEROOM/LABOR Labor Room/Delivery 0721 Labor Labor Room/Delivery 0722 Delivery - DELIVERY ROOM Labor Room/Delivery 0723 Circumcision Labor Room/Delivery 0724 Birthing Center Labor Room/Delivery 0729 Other Labor Room/Delivery - OTHER/DELIV-LABOR Labor Room/Delivery 0730 General Classification - EKG/ECG EKG/ECG (Electrocardiogram) 0731 Holter Monitor - HOLTER MONT EKG/ECG (Electrocardiogram) 0732 Telemetry EKG/ECG (Electrocardiogram) 0739 Other EKG/ECG EKG/ECG (Electrocardiogram) 0740 General Classification - EEG EEG (Electroencephalogram) 0749 Other EEG - OTHER EEG EEG (Electroencephalogram) 0750 General Classification - GASTR-INST SVS Gastro-Intestinal 0759 Other Gastro-Intestinal - OTHER GASTRO-INTS Gastro-Intestinal 0760 General Classification TREATMENT/OBSERVATION RM Treatment/Observation Room 0761 Treatment Room Treatment/Observation Room 0762 Observation Room Treatment/Observation Room 0769 Other Treatment/Observation Room OTHER TREAT/OBSERV RM Treatment/Observation Room 0790 General Classification - LITHOTRIPSY Lithotripsy 0799 Other Lithotripsy - LITHOTRIPSY/OTHER Lithotripsy 0800 General Classification - RENAL DIALYSIS Inpatient Renal Dialysis 0801 Inpatient Hemodialysis -DIALY/INPT Inpatient Renal Dialysis 0802 Inpatient Peritoneal - DIALY/INPT/PER (Non-CAPD) Inpatient Renal Dialysis 0803 Inpatient Continuous - DIALY/INPT/CAPD Ambulatory Peritoneal Dialysis (CAPD) Inpatient Renal Dialysis UB 92 7

8 0804 Inpatient Continuous DIALY/INPT/CCPD Cycling Peritoneal Dialysis (CCPD) Inpatient Renal Dialysis 0809 Other Inpatient Dialysis - DIALY/INPT/OTHER Inpatient Renal Dialysis 0810 General Classification - ORGAN ACQUISIT Acquisition of Body Components 0811 Living Donor Acquisition of Body Components 0812 Cadaver Donor Acquisition of Body Components 0813 Unknown donor Acquisition of Body Components 0819 Other Donor Acquisition of Body Components 0880 General Classification - DIALY/MISC Miscellaneous Dialysis 0881 Ultrafiltration - DIALY/ULTRAFILT Miscellaneous Dialysis 0889 Other Miscellaneous Dialysis - DIALY/MISC/OTHER Miscellaneous Dialysis 0900 General Classification PSYCH TREATMENT 0901 Electroshock Treatment ELECTRO SHOCK 0902 Milieu Therapy MILIEU THERAPY 0903 Play Therapy PLAY THERAPY 0904 Activity Therapy ACTIVITY THERAPY 0909 Other OTHER PSYCH RX 0910 General Classification - PSYCH SERVICES 0911 Rehabilitation - PSYCH/REHAB 0914 Individual Therapy - PSYCH/INDIV RX 0915 Group Therapy - PSYCH/GROUP RX 0916 Family Therapy - PSYCH/FAMILY RX 0917 Bio Feedback - PSYCH/BIOFEED UB 92 8

9 0918 Testing - PSYCH/TESTING 0919 Other PSYCH/OTHER 0920 General Classification - OTHER DX SVS Other Diagnostic 0921 Peripheral Vascular Lab - PERI VASCUL LAB Other Diagnostic 0922 Electromyelogram - EMG Other Diagnostic 0923 Pap Smear - PAP SMEAR Other Diagnostic 0924 Allergy Test - ALLERGY TEST Other Diagnostic 0925 Pregnancy Test - PREG TEST Other Diagnostic 0929 Other Diagnostic Service - ADDITIONAL DX SVS Other Diagnostic 0940 General Classification - OTHER RX SVS 0941 Recreational Therapy - RECREATION RX 0942 Education/Training - EDUC/TRAINING 0943 Cardiac Rehabilitation - CARDIAC REHAB 0944 Drug Rehabilitation - DRUG REHAB 0945 Alcohol Rehabilitation - ALCOHOL REHAB Complex Medical Equipment - CMPLX MED EQUIP- ROUT Complex Medical Equipment - CMPLX MED EQUIP- ANC 0949 Other Therapeutic Service - ADDITIONAL RX SVS UB 92 9

10 0964 Anesthetist (CRNA) - PRO FEE/ANES CRNA Professional Fees (also see 097X and 098X) 0976 Respiratory Therapy - PRO FEE/RESPIR Professionals Fees (Extension of 096X) 0977 Physical Therapy - PRO FEE/PHYSI Professionals Fees (Extension of 096X) 0978 Occupational Therapy - PRO FEE/OCCUPA Professionals Fees (Extension of 096X) 0979 Speech Pathology - PRO FEE/SPEECH Professionals Fees (Extension of 096X) UB 92 10

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