Skip to content

Revenue Codes

Revenue Code Description
100 Room and board - all inclusive plus ancillary
101 Room and board - all inclusive
Revenue Code Description
110 Room and board
111 Medical/Surgical/Gyn
112 OB
113 Pediatric
114 Psychiatric
115 Hospice
116 Detoxification
117 Oncology
118 Rehabilitation
119 Other
Revenue Code Description
120 Room and board
121 Medical/Surgical/Gyn
122 OB
123 Pediatric
124 Psychiatric
125 Hospice
126 Detoxification
127 Oncology
128 Rehabilitation
129 Other
Revenue Code Description
130 Room and board-private
131 Medical/Surgical/Gyn-private
132 OB-private
133 Pediatric-private
134 Psychiatric-private
135 Hospice-private
136 Detoxification-private
137 Oncology-private
138 Rehabilitation-private
139 Other-private
Revenue Code Description
140 Room and board-semi private
141 Medical/Surgical/Gyn-semi private
142 OB-semi private
143 Pediatric-semi private
144 Psychiatric-semi private
145 Hospice-semi private
146 Detoxification-semi private
147 Oncology-semi private
148 Rehabilitation-semi private
149 Other-semi private
Revenue Code Description
150 Room and board
151 Medical/Surgical/Gyn
152 OB
153 Pediatric
154 Psychiatric
155 Hospice
156 Detoxification
157 ncology
Revenue Code Description
160 Room and board
164 Sterile Environment
169 Other
Revenue Code Description
159 AND days
Revenue Code Description
220 Special charges
Revenue Code Description
170 Nursey
171 Newborn
172 Premature
175 NeoNatal - ICU
179 Other
Revenue Code Description
200 ICU
201 Surgical
202 Medical
203 Pediatric
204 Psychiatric
206 Post ICU
207 Burn Care
208 Trauma
209 Other intensive care
Revenue Code Description
210 CCU
211 Myocardial infarction
212 Pulmonary care
213 Heart transplant
214 Post CCU
219 Other coronary care
Revenue Code Description
240 All inclusive ancillary
249 All inclusive ancillary-other
Revenue Code Description
250 Pharmacy
251 Generic drug
252 Non-generic drug
255 Drugs incident to radiology
257 Non-prescription
258 IV solutions
259 Other pharmacy
Revenue Code Description
260 IV therapy
261 Infusion pump
262 IV Therapy/Pharmacy svcs.
263 IV Therapy/Drug/Supply Delivery
264 IV Therapy/Supplies
269 Other IV Therapy
Revenue Code Description
270 Medical/surgical supplies
271 Nonsterile supply
272 Sterile supply
274 Prosthetic/orthotic devices
275 Pace Maker
276 Intraocular lens
278 Other implants
279 Other supplies/devices
Revenue Code Description
280 Oncology
289 Other
Revenue Code Description
360 OR services
361 Minor surgery
362 Organ transplant - other than kidney
367 Kidney transplant
369 Other OR services
Revenue Code Description
300 Laboratory
301 Chemistry
302 Immunology
303 Renal patient (home)
304 Non-routine dialysis
305 Hematology
306 Bacteriology & microbiology
307 Urology
309 Other laboratory
310 Laboratory - pathological
311 Cytology
312 Histology
314 Biopsy
319 Other
Revenue Code Description
320 Radiology - diagnostic
321 Angiocardiography
322 Arthrography
323 Arteriography
324 Chest X-ray
329 Other
330 Radiology - therapeutic
331 Chemotherapy - injected
332 Chemotherapy - oral
333 Radiation therapy
335 Chemotherapy - IV
339 Other  
Revenue Code Description
340 Nuclear medicine
341 Diagnostic
342 Therapeutic
349 Other
Revenue Code Description
350 CT scan
351 Head scan
352 Body Scan
359 Other
Revenue Code Description
380 Blood
381 Packed red cells
382 Whole blood
383 Plasma
384 Platelets
385 Leukocytes
386 Other components
387 Other derivatives (cryoprecipitates)
389 Other blood
390 Blood storage
391 Blood administration
399 Other blood storage and processing
Revenue Code Description
400 Image service
401 Diagnostic mammography
402 Ultrasound
403 Screen mammography*
404 Positron emission tomography
409 Other imaging services
Revenue Code Description
410 Respiratory services
412 Inhalation services
413 Hyperbaric oxygen therapy
419 Other respiratory services
Revenue Code Description
420 Physical therapy
421 Visit charge
422 Hourly charge
423 Group rate
424 Evaluation or Re-evaluation
429 Other physical therapy
430 Occupational therapy
431 Visit charge
432 Hourly charge
433 Group rate
434 Evaluation or Re-evaluation
439 Other occupational therapy
440 Speech pathology
441 Visit charge
442 Hourly charge
443 Group rate
444 Evaluation or Re-evaluation
449 Other speech-language pathology
Revenue Code Description
450 Emergency room
459 Other emergency room
Revenue Code Description
460 Pulmonary function
469 Other pulmonary function
Revenue Code Description
470 Audiology
471 Diagnostic
472 Treatment
479 Other audiology
Revenue Code Description
480 Cardiology
481 Cardiac Cath Lab
482 Stress test
489 Other cardiology
Revenue Code Description
660 Respite care
661 Hourly charge/skilled nursing
662 Hourly charge/home health aid/homemaker
Revenue Code Description
500 Outpatient services (crossover only)
509 Other outpatient
Revenue Code Description
510 Clinic
511 Chronic pain
512 Dental
513 Psychiatric
514 OB-GYN
515 Pediatric
519 Other
520 Freestanding clinic
521 Rural health - clinic
522 Rural health - home
523 Family practice
529 Other freestanding clinic
Revenue Code Description
530 Osteopathic services
531 Osteopathic therapy
539 Other osteopathic
Revenue Code Description
560 Medical social service
561 Visit charge
562 Hourly charge
590 Other medical social services
Revenue Code Description
610 MRI
611 Brain (including brain stem)
612 Spinal cord (including spine)
619 Other MRI
Revenue Code Description
621 Supplies incident to radiology
622 Supplies incident to other diagnostic services
Revenue Code Description
630 Drugs
631 Single source drug
632 Multiple source drug
633 Restrictive prescription
634 Erythropoietin (EPO) less than 10000 units
635 Erythropoietin (EPO) 10000 or more units
636 Drugs requiring detailed coding*

Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal).

Revenue Code Description
900 Psychiatric/psychological treatment 
901 Electroshock treatment
902 Milieu therapy
903 Play therapy
904 Activity therapy
909 Other
910 Psych services
911 Rehabilitation
912 Rehabilitation
914 Individual therapy
915 Group therapy
916 Family therapy
917 Bio feedback
918 Testing Bio feedback
919 Psych services - other
Revenue Code Description
920 Other diagnostic services
921 Peripheral vascular lab
922 Electromyelogram
923 Pap smear
924 Allergy test
925 Pregnancy test
929 Other diagnostic svcs - additional
Revenue Code Description
960 Professional fee
961 Psychiatric
962 Ophthalmology
963 Anesthesiologist (MD)
964 Anesthetist (CRNA)
969 Professional fees - other
971 Laboratory
972 Radiology - diagnostic
973 Radiology - therapeutic
974 Radiology - nuclear medicine
975 Operating room
976 Respiratory therapy
977 Physical therapy
978 Occupational therapy
979 Speech pathology
981 Emergency room
982 Outpatient services
983 Clinic
984 Medical social services
985 EKG
986 EEG
987 Hospital visit
988 Consultation
989 Private duty nurse

The above professional services must be billed on the HCFA 1500 claim form. Do not bill these services on the UB-92 form.

Revenue Code Description
700 Cast room
709 Cast room-other
Revenue Code Description
710 Recovery room
719 Recovery room-other
Revenue Code Description
720 Labor/delivery room
721 Labor
722 Delivery
723 Circumcision
724 Birthing center
729 Labor/delivery room - other
Revenue Code Description
730 EKG/ECG
731 Holter monitor
732 Telemetry
739 EKG/ECG - other
740 EEG
749 EEG - other
Revenue Code Description
750 Gastro-intestinal services
759 Gastro-intestinal services - other
Revenue Code Description
760 Treatment/observation room
761 Treatment room
762 Observation room
769 Treat/observation room - other
Revenue Code Description
790 Lithotripsy
Revenue Code Description
800 Renal dialysis
801 Inpatient hemodialysis
802 Inpatient peritoneal (Non-CAPD)
803 Inpatient continuous ambulatory peritoneal dialysis (CAPD)
804 Inpatient continuous cycling peritoneal dialysis (CCPD)
809 Inpatient dialysis - other
Revenue Code Description
810 Organ acquisition
811 Living donor
812 Cadaver donor
813 Unknown donor
819 Other donor
Revenue Code Description
820 Hemodialysis - outpatient or home
821 Hemodialysis/composite rate or other rate
822 Home supplies
823 Home equipment
824 Maintenance/100%
825 Support services
829 Outpatient hemodialysis - other
Revenue Code Description
830 Peritoneal dialysis - outpatient or home
831 Peritoneal/composite rate or other rate
832 Home supplies
833 Home equipment
834 Maintenance/100%
835 Support services
839 Outpatient peritoneal dialysis - other
Revenue Code Description
840 CAPD - outpatient or home
841 CAPD/composite rate or other rate
842 Home supplies
843 Home equipment
844 Maintenance/100%
845 Support services
849 Outpatient CAPD - other
Revenue Code Description
850 CCPD - outpatient or home
851 CCPD/composite rate or other rate
852 Home supplies
853 Home equipment
854 Maintenance/100%
855 Support services
859 Outpatient CCPD - other
Revenue Code Description
880 Dialysis - miscellaneous
881 Ultrafiltration
882 Home dialysis aid visit
889 Misc. dialysis - other

 

RI.giv

3 West Road | Cranston, RI 02920 | Contact Us | Directions
© RI.gov, Executive Office of Health & Human Services.
Sitemap | Privacy Policy
W3C