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COVID-19

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)