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) |