Revenue Codes Requiring HCPCS Codes
These revenue codes will only be considered for reimbursement on outpatient claims if billed with appropriate HCPCS code(s).
| CPT Codes | Code description |
| 0274 | Medical/Surgical Supplies: Prosthetic/Orthotic devices |
| 030X | Laboratory - Clinical Diagnostic |
| 0300 | Laboratory - General |
| 0301 | Laboratory - Chemistry |
| 0302 | Laboratory - Immunology |
| 0303 | Laboratory - Renal Patient |
| 0304 | Laboratory - Nonroutine dialysis |
| 0305 | Laboratory - Hematology |
| 0306 | Laboratory - Bacteriology and Microbiology |
| 0307 | Laboratory - Urology |
| 0309 | Laboratory - Other |
| 031X | Laboratory - Pathology |
| 0310 | Laboratory - Pathology General |
| 0311 | Laboratory - Pathology Cytology |
| 0312 | Laboratory - Pathology Histology |
| 0314 | Laboratory - Pathology Biopsy |
| 0319 | Laboratory - Pathology Other |
| 032X | Radiology - Diagnostic |
| 0320 | Radiology - Diagnostic General |
| 0321 | Radiology - Diagnostic Angiocardiography |
| 0322 | Radiology - Diagnostic Arthrography |
| 0323 | Radiology - Diagnostic Arteriography |
| 0324 | Radiology - Diagnostic Chest X-ray |
| 0329 | Radiology - Diagnostic Other |
| 033X | Radiology - Therapeutic and/or Chemotherapy Admin |
| 0331 | Radiology - Therapeutic and/or Chemotherapy Admin - Chemo Admin - Injection |
| 0332 | Radiology - Therapeutic and/or Chemotherapy Admin - Chemo Admin - Oral |
| 0333 | Radiology - Therapeutic and/or Chemotherapy Admin - Radiation Therapy |
| 0335 | Radiology - Therapeutic and/or Chemotherapy Admin - Chemo Admin- IV |
| 034X | Nuclear Medicine |
| 0340 | Nuclear Medicine - General |
| 0341 | Nuclear Medicine - Diagnostic |
| 0342 | Nuclear Medicine - Therapeutic |
| 0349 | Nuclear Medicine - Other |
| 035X | CT Scan |
| 0350 | CT Scan - General |
| 0351 | CT Scan - Head Scan |
| 0352 | CT Scan - Body Scan |
| 0359 | CT Scan - Other |
| 036X | Operating Room Services |
| 0360 | Operating Room Services - General |
| 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 |
| 038X | Blood: Blood Products |
| 0380 | Blood: Blood Products - General |
| 0381 | Blood: Blood Products - Packed red cells |
| 0382 | Blood: Blood Products - Whole blood and blood products |
| 0383 | Blood: Blood Products - Plasma |
| 0384 | Blood: Blood Products - Platelets |
| 0385 | Blood: Blood Products - Leukocytes |
| 0386 | Blood: Blood Products - Other components |
| 0387 | Blood: Blood Products - Other derivatives (cryoprecipitates) |
| 0389 | Blood: Blood Products - Other |
| 040X | Other Imaging Services |
| 0400 | Other Imaging Services - General |
| 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 |
| 041X | Respiratory Services |
| 0410 | Respiratory Services - General |
| 0412 | Respiratory Services - Inhalation Services |
| 0413 | Respiratory Services - Hyperbaric Oxygen Therapy |
| 0419 | Respiratory Services - Other |
| 042X | Physical Therapy |
| 0420 | Physical Therapy - General |
| 0421 | Physical Therapy - Visit Charge |
| 0422 | Physical Therapy - Hourly Charge |
| 0423 | Physical Therapy - Group Rate |
| 0424 | Physical Therapy - Evaluation or Reevaluation |
| 0429 | Physical Therapy - Other |
| 043X | Occupational Therapy |
| 0430 | Occupational Therapy - General |
| 0431 | Occupational Therapy - Visit Charge |
| 0432 | Occupational Therapy - Hourly Charge |
| 0433 | Occupational Therapy - Group Rate |
| 0434 | Occupational Therapy - Evaluation or Reevaluation |
| 0439 | Occupational Therapy - Other |
| 044X | Speech-Language Pathology |
| 0440 | Speech-Language Pathology - General |
| 0441 | Speech-Language Pathology - Visit Charge |
| 0442 | Speech-Language Pathology - Hourly Charge |
| 0443 | Speech-Language Pathology - Group Rate |
| 0444 | Speech-Language Pathology - Evaluation or Reevaluation |
| 0449 | Speech-Language Pathology - Other |
| 045X | Emergency Room |
| 0450 | Emergency Room - General |
| 0451 | Emergency Room - EMTALA |
| 0452 | Emergency Room - ER Beyond EMTALA Screening |
| 0456 | Emergency Room - Urgent Care |
| 0459 | Emergency Room - Other |
| 046X | Pulmonary Function |
| 0460 | Pulmonary Function - General |
| 0469 | Pulmonary Function - Other |
| 047X | Audiology |
| 0470 | Audiology - General |
| 0471 | Audiology - Diagnostic |
| 0472 | Audiology - Treatment |
| 0479 | Audiology - Other |
| 048X | Cardiology |
| 0480 | Cardiology - General |
| 0481 | Cardiology - Cardiac Cath Lab |
| 0482 | Cardiology - Stress Test |
| 0483 | Cardiology - Echocardiology |
| 0489 | Cardiology - Other |
| 049X | Ambulatory Surgery |
| 0490 | Ambulatory Surgery - General |
| 0499 | Ambulatory Surgery - Other |
| 061X | Magnetic Resonance Tech (MRT) |
| 0610 | Magnetic Resonance Tech (MRT) - General |
| 0611 | Magnetic Resonance Tech (MRT)- Brain/Brain Stem |
| 0612 | Magnetic Resonance Tech (MRT) - Spinal Chord/Spine |
| 0614 | Magnetic Resonance Tech (MRT) - Other MRI |
| 0615 | Magnetic Resonance Tech (MRT) - Head and Neck |
| 0616 | Magnetic Resonance Tech (MRT) - Lower Extremities |
| 0618 | Magnetic Resonance Tech (MRT) - Other MRA |
| 0619 | Magnetic Resonance Tech (MRT) - Other MRT |
| 0636 | Drugs Require Specific ID: Drugs requiring detail coding |
| 073X | EKG/ECG |
| 0730 | EKG/ECG - General |
| 0731 | EKG/ECG - Holter Monitor |
| 0732 | EKG/ECG Telemetry |
| 0739 | EKG/ECG - Other |
| 074X | EEG |
| 0740 | EEG - General |
| 075X | Gastrointestinal Services |
| 0750 | Gastrointestinal Services - General |
| 0760 | Treatment/Observation Room |
| 0761 | Treatment/Observation Room: Treatment room |
| 0769 | Treatment/Observation Room: Other treatment room |
| 079X | Extra-Corp Shock Wave Therapy |
| 0790 | Extra-Corp Shock Wave Therapy- General |
| 090X | Psychiatric/Psychological Trt |
| 0900 | Psychiatric/Psychological Trt - General |
| 0901 | Psychiatric/Psychological Trt - Electroshock |
| 0902 | Psychiatric/Psychological Trt - Milieu Therapy |
| 0903 | Psychiatric/Psychological Trt - Play Therapy |
| 0904 | Psychiatric/Psychological Trt - Activity Therapy |
| 0905 | Psychiatric/Psychological Trt - Intensive Outpatient Svcs Psychiatric |
| 0906 | Psychiatric/Psychological Trt - Chemical Dependency |
| 0907 | Psychiatric/Psychological Trt - Community BH Program- Day Treatment |
| 091X | Psychiatric/Psychological Svcs |
| 0911 | Psychiatric/Psychological Svcs - Rehabilitation |
| 0912 | Psychiatric/Psychological Svcs - Partial Hospitalization- Less Intensive |
| 0913 | Psychiatric/Psychological Svcs - Partial Hospitalization- Intensive |
| 0914 | Psychiatric/Psychological Svcs - Individual Therapy |
| 0915 | Psychiatric/Psychological Svcs - Group Therapy |
| 0916 | Psychiatric/Psychological Svcs - Family Therapy |
| 0917 | Psychiatric/Psychological Svcs - Biofeedback |
| 0918 | Psychiatric/Psychological Svcs - Testing |
| 0919 | Psychiatric/Psychological Svcs - BH Treatments |
| 092X | Other Diagnostic Services |
| 0920 | Other Diagnostic Services - General |
| 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 |
| 094X | Other Therapeutic Services |
| 0941 | Other Therapeutic Serv: Recreation RX |
| 0943 | Other Therapeutic Serv: Cardiac rehab |
| 0949 | Other Therapeutic Services - Additional RX SVS |
| 095X | Other Therapeutic Services - (Extension of 940x) |
| 0951 | Other Therapeutic Services - (Extension of 940x) |
| 0952 | Other Therapeutic Services - (Extension of 940x) |