Inpatient Revenue Codes for Fee-for-Service Providers
Inpatient Revenue Codes for Fee-for-Service Providers
Inpatient Revenue Codes for Fee-for-Service Providers
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PA PROMISe<br />
Provider Handbook 837 Institutional/UB-92 Claim Form<br />
<strong>Inpatient</strong> <strong>Revenue</strong> <strong>Codes</strong> <strong>for</strong> <strong>Fee</strong>-<strong>for</strong>-<strong>Service</strong> <strong>Providers</strong><br />
<strong>Revenue</strong><br />
Code Description Category<br />
0001 Total Charge<br />
0100 All-Inclusive Room and Board Plus All Inclusive Rate<br />
0110 General Classification ROOM-BOARD/PVT Room & Board - Private<br />
0111 Medical/Surgical/GYN MED-SUR-GY/PVT Room & Board - Private<br />
0112 OB OB/PVT Room & Board - Private<br />
0113 Pediatric PEDS/PVT Room & Board - Private<br />
0114 Psychiatric PSYCH/PVT Room & Board - Private<br />
0116 Detoxification DETOX/PVT Room & Board - Private<br />
0117 Oncology ONCOLOGY/PVT Room & Board - Private<br />
0118 Rehabilitation REHAB/PVT Room & Board - Private<br />
0119 Other OTHER/PVT Room & Board - Private<br />
Room & Board - Semi-<br />
0120 General Classification ROOM-BOARD/SEMI private Two Bed<br />
Room & Board - Semi-<br />
0121 Medical/Surgical/GYNMED-SUR-GY/2BED<br />
private Two Bed<br />
Room & Board - Semi-<br />
0122 OB - OB/2BED<br />
private Two Bed<br />
Room & Board - Semi-<br />
0123 Pediatric - PEDS/2BED<br />
private Two Bed<br />
Room & Board - Semi-<br />
0124 Psychiatric - PSTAY/2BED<br />
0136 Detoxification - DETOX/3&4BED<br />
0137 Oncology - ONCOLOGY/3&4BED<br />
0138 Rehabilitation - REHAB/3&4BED<br />
private Two Bed<br />
Room & Board - Semi-<br />
Private - Three and Four<br />
Beds<br />
Room & Board - Semi-<br />
Private - Three and Four<br />
Beds<br />
Room & Board - Semi-<br />
Private - Three and Four<br />
Beds<br />
0139 Other - OTHER/3&4BED<br />
Room & Board - Semi-<br />
Private - Three and Four<br />
Beds<br />
0150 General Classification - ROOM-BOARD/WARD Room & Board - Ward<br />
0151 Medical/Surgical/GYN - MED-SUR-GY/WARD Room & Board - Ward<br />
0152 OB - OB/WARD Room & Board – Ward<br />
0153 Pediatric - PEDS/WARD Room & Board – Ward<br />
0154 Psychiatric - PSYCH/WARD Room & Board – Ward<br />
Provider Handbook UB –92 1
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Provider Handbook 837 Institutional/UB-92 Claim Form<br />
<strong>Revenue</strong><br />
Code Description Category<br />
0156 Detoxification - DETOX/WARD Room & Board – Ward<br />
0157 Oncology - ONCOLOGY/WARD Room & Board – Ward<br />
0158 Rehabilitation - REHAB/WARD Room & Board – Ward<br />
0159 Other - OTHER/WARD Room & Board – Ward<br />
0170 General Classification - NURSERY Nursery<br />
0171 Newborn – Level I - NURSERY/LEVELI Nursery<br />
0172 Newborn – Level II - NURSERY/LEVELII Nursery<br />
0175 Neonatal ICU<br />
0179 Other Nursery - NURSERY/OTHER Nursery<br />
0183 Therapeutic Leave - LOA/THERAPEUTIC Leave of Absence<br />
0185 Hospital Bed Days LOA/HOSPITAL BED DAYS Leave of Absence<br />
0200 General Classification - INTENSIVE CARE (or ICU) Intensive Care<br />
0201 Surgical - ICU/SURGICAL Intensive Care<br />
0202 Medical - ICU/MEDICAL Intensive Care<br />
0203 Pediatric - ICU PEDS Intensive Care<br />
Psychiatric - ICU/PSTAY Intensive Care<br />
0206 Intermediate ICU - ICU/INTERMEDIATE Intensive Care<br />
0207 Burn Care - ICU/BURN CARE Intensive Care<br />
0208 Trauma - ICU/TRAMA Intensive Care<br />
0209 Other Intensive Care - ICU/OTHER Intensive Care<br />
0210 General Classification - CORONARY CARE (or CCU) Coronary Care<br />
0211 Myocardial Infarction - CCU/MYO INFARC Coronary Care<br />
0212 Pulmonary Care - CCU/PULMONARY Coronary Care<br />
0213 Heart Transplant - CCU/TRANSPLANT Coronary Care<br />
0214 Intermediate CCU - CCU/INTERMEDIATE Coronary Care<br />
0219 Other Coronary Care - CCU/OTHER Coronary Care<br />
Pharmacy (Also see 063X,<br />
0250 General Classification - PHARMACY<br />
an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
0251 Generic Drugs -DRUGS/GENERIC<br />
an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
0252 Non-generic Drugs - DRUGS/NONGENERIC an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
0254 Drugs Incident to Other - DRUGS/INCIDENT ODX an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
0255 Drugs Incident to Radiology - DRUGS/INCIDENT RAD an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
0257 Non-prescription - DRGS/NONPSCRPT<br />
0258 IV Solutions - IV SOLUTIONS<br />
Provider Handbook UB –92 2<br />
an extension of 025X)<br />
Pharmacy (Also see 063X,<br />
an extension of 025X)
PA PROMISe<br />
Provider Handbook 837 Institutional/UB-92 Claim Form<br />
<strong>Revenue</strong><br />
Code Description Category<br />
Pharmacy (Also see 063X,<br />
0259 Other Pharmacy - DRGS/OTHER<br />
an extension of 025X)<br />
0260 General Classification - IV THERAPY IV Therapy<br />
0261 Infusion Pump - IV THER/INFSN PUMP IV Therapy<br />
0262 IV Therapy/Pharmacy Svcs - IV THER/PHARM/SVC<br />
IV Therapy/Drug/Supply Delivery IV<br />
IV Therapy<br />
0263 THER/DRUG/SUPPLY DELV IV Therapy<br />
0264 IV Therapy/Supplies - IV THER/SUPPLIES IV Therapy<br />
0269 Other IV Therapy - IV THERAPY/OTHER IV Therapy<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0270 General Classification MED-SUR SUPPLIES<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0271 Non Sterile Supply NON-STER SUPPLY<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0272 Sterile Supply STERILE SUPPLY<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0274 Prosthetic/Orthotic Devices PROSTH/ORTH DEV an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0275 Pacemaker PACE MAKER<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0276 Intraocular Lens INTRA OC LENS<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0278 Other Implant (a) SUPPLY/IMPLANTS<br />
an extension of 027X)<br />
Medical/Surgical Supplies<br />
and Devices (also see 062X,<br />
0279 Other Supplies/Devices SUPPLY/OTHER<br />
an extension of 027X)<br />
0280 General Classification ONCOLOGY Oncology<br />
0289 Other Oncology ONCOLOGY/OTHER Oncology<br />
0300 General Classification LABORATORY or (LAB) Laboratory<br />
0301 Chemistry LAB/CHEMISTRY Laboratory<br />
0302 Immunology LAB/IMMUNOLOGY Laboratory<br />
0304 Non-Routine Dialysis LAB/NR DIALYSIS Laboratory<br />
0305 Hematology LAB/HEMATOLOGY Laboratory<br />
0306 Bacteriology & Microbiology LAB/BACT-MICRO Laboratory<br />
Provider Handbook UB –92 3
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<strong>Revenue</strong><br />
Code Description Category<br />
0307 Urology - LAB/UROLOGY Laboratory<br />
0309 Other Laboratory - LAB/OTHER Laboratory<br />
0310<br />
General Classification - PATHOLOGY LAB or (PATH<br />
LAB) Laboratory Pathological<br />
0311 Cytology - PATHOL/CYTOLOGY Laboratory Pathological<br />
0312 Histology - PATHOL/HYSTOL Laboratory Pathological<br />
0314 Biopsy -PATHOL/BIOPSY Laboratory Pathological<br />
0319 Other Laboratory Pathological PATHOL/OTHER Laboratory Pathological<br />
0320 General Classification DX X-RAY Radiology - Diagnostic<br />
0321 Angiocardiography DX X-RAY/ANGIO Radiology - Diagnostic<br />
0322 Arthrography DX X-RAY/ARTH Radiology - Diagnostic<br />
0323 Arteriography DX X-RAY/ARTER Radiology - Diagnostic<br />
0324 Chest X-Ray DX X-RAY/CHEST Radiology - Diagnostic<br />
0329 Other Radiology - Diagnostic DX X-RAY/OTHER Radiology - Diagnostic<br />
0330 General Classification RX X-RAY<br />
0331 Chemotherapy Administration - CHEMOTHER/INJ<br />
0332 Chemotherapy Administration - CHEMOTHER/ORAL<br />
0333 Radiation Therapy RADIATION RX<br />
0335 Chemotherapy Administration - IV CHEMOTHERP-IV<br />
0339 Other Radiology - Therapeutic RX X-RAY/OTHER<br />
0340<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
Radiology - Therapeutic<br />
and/or Chemotherapy<br />
Administration<br />
General Classification - NUCLEAR MEDICINE or<br />
(NUC MED) Nuclear Medicine<br />
0341 Diagnostic - NUC MED/DX Nuclear Medicine<br />
0342 Therapeutic - NUC MED/RX Nuclear Medicine<br />
0349 Other Nuclear Medicine - NUC MED/OTHER Nuclear Medicine<br />
0350 General Classification - CT SCAN CT Scan<br />
0351 Head Scan - CT SCAN/HEAD CT Scan<br />
0352 Body Scan - CT SCAN/BODY CT Scan<br />
0359 Other CT Scan - CT SCAN/OTHER CT Scan<br />
Provider Handbook UB –92 4
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<strong>Revenue</strong><br />
Code Description Category<br />
0360 General Classification - OR SERVICES Operating Room <strong>Service</strong>s<br />
0361 Minor Surgery - OR/MINOR Operating Room <strong>Service</strong>s<br />
0362<br />
Organ Transplant-Other Than - OR/ORGAN TRANS<br />
Kidney Operating Room <strong>Service</strong>s<br />
0367 Kidney Transplant - OR/KIDNEY TRANS Operating Room <strong>Service</strong>s<br />
0369 Other Operating Room - OR/OTHER Operating Room <strong>Service</strong>s<br />
0370 General Classification - ANESTHESIA<br />
Anesthesia Incident to Radiology<br />
Anesthesia<br />
0371 ANESTHE/INCIDENT RAD<br />
Anesthesia Incident to Other - ANESTHE/INCDNT<br />
Anesthesia<br />
0372 OTHER DX Anesthesia<br />
0379 Other Anesthesia - ANESTHE/OTHER Anesthesia<br />
0380 General Classification BLOOD Blood<br />
0381 Packed Red Cells BLOOD/PKD RED Blood<br />
0382 Whole Blood BLOOD/WHOLE Blood<br />
0383 Plasma BLOOD/PLASMA Blood<br />
0384 Platelets BLOOD/PLATELETS Blood<br />
0385 Leucocytes BLOOD/LEUCOCYTES Blood<br />
0386 Other Components BLOOD/COMPONENTS<br />
Other Derivatives BLOOD/DERIVATIVES<br />
Blood<br />
0387 (Cryopricipitates) Blood<br />
0389 Other Blood BLOOD/OTHER Blood<br />
Blood and Blood<br />
Component Administration,<br />
0390 General Classification BLOOD/STOR-PROC<br />
Processing and Storage<br />
Blood and Blood<br />
Component Administration,<br />
0391 Administration (e.g., Transfusions) BLOOD/ADMIN Processing and Storage<br />
Blood and Blood<br />
Component Administration,<br />
0399 Other Processing and Storage BLOOD/OTHER STOR Processing and Storage<br />
0400 General Classification - IMAGE SERVICE Other Imaging <strong>Service</strong>s<br />
0401 Diagnostic Mammography - DIAG MAMMOGRAPHY Other Imaging <strong>Service</strong>s<br />
0402 Ultrasound - ULTRASOUND Other Imaging <strong>Service</strong>s<br />
0403 Screening Mammography* - SCRN MAMMOGRAPHY Other Imaging <strong>Service</strong>s<br />
0404 Positron Emission Tomography - PET SCAN Other Imaging <strong>Service</strong>s<br />
0409 Other Imaging <strong>Service</strong> - OTHER IMAG SVS Other Imaging <strong>Service</strong>s<br />
0410 General Classification - RESPIRATORY SVC Respiratory <strong>Service</strong>s<br />
0412 Inhalation <strong>Service</strong>s - INHALATION SVC Respiratory <strong>Service</strong>s<br />
0413 Hyperbaric Oxygen Therapy - HYPERBARIC O2 Respiratory <strong>Service</strong>s<br />
Provider Handbook UB –92 5
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<strong>Revenue</strong><br />
Code Description Category<br />
0419 Other Respiratory <strong>Service</strong>s - OTHER RESPIR SVS Respiratory <strong>Service</strong>s<br />
0420 General Classification - PHYSICAL THERP Physical Therapy<br />
0421 Visit Charge - PHYS THERP/VISIT Physical Therapy<br />
0422 Hourly Charge - PHYS THERP/HOUR Physical Therapy<br />
0423 Group Rate - PHYS THERP/GROUP Physical Therapy<br />
0424 Evaluation or Re-evaluation - PHYS THERP/EVAL Physical Therapy<br />
0429 Other Physical Therapy - OTHER PHYS THERP Physical Therapy<br />
0430 General Classification - OCCUPATION THER Occupational Therapy<br />
0431 Visit Charge - OCCUP THERP/VISIT Occupational Therapy<br />
0432 Hourly Charge - OCCUP THERP/HOUR Occupational Therapy<br />
0433 Group Rate - OCCUP THERP/GROUP Occupational Therapy<br />
0434 Evaluation or Re-evaluation - OCCUP THERP/EVAL Occupational Therapy<br />
0439 Other Occupational Therapy - OTHER OCCUP THER Occupational Therapy<br />
0440 General Classification - SPEECH PATHOL Speech-Language Pathology<br />
0441 Visit Charge - SPEECH PATH/VISIT Speech-Language Pathology<br />
0442 Hourly Charge - SPEECH PATH/HOUR Speech-Language Pathology<br />
0443 Group Rate - SPEECH PATH/GROUP Speech-Language Pathology<br />
0444 Evaluation or Re-evaluation - SPEECH PATH/EVAL Speech-Language Pathology<br />
0449 Other Speech-Language - OTHER SPEECH PAT Speech-Language Pathology<br />
0450 General Classification - EMERG ROOM Emergency Room<br />
0459 Other Emergency Room - OTHER EMER ROOM Emergency Room<br />
0460 General Classification - PULMONARY FUNC Pulmonary Function<br />
0469 Other Pulmonary Function - OTHER PULMON FUNC Pulmonary Function<br />
0470 General Classification - AUDIOLOGY Audiology<br />
0471 Diagnostic - AUDIOLOGY/DX Audiology<br />
0472 Treatment - AUDIOLOGY/RX Audiology<br />
0479 Other Audiology - OTHER AUDIOL Audiology<br />
0480 General Classification - CARDIOLOGY Cardiology<br />
0481 Cardiac Cath Lab - CARDIAC CATH LAB Cardiology<br />
0482 Stress Test - STRESS TEST Cardiology<br />
0489 Other Cardiology - OTHER CARDIOL Cardiology<br />
0549 Other Ambulance - OTHER AMBULANCE Ambulance<br />
Magnetic Resonance<br />
0610 General Classification - MRI<br />
Technology (MRT)<br />
Magnetic Resonance<br />
0611 MRI - Brain (Including Brainstem) MRI - BRAIN Technology (MRT)<br />
Magnetic Resonance<br />
0612 MRI - Spinal Cord (Including Spine) MRI - SPINE<br />
0619 Other MRI - MRI- OTHER<br />
Provider Handbook UB –92 6<br />
Technology (MRT)<br />
Magnetic Resonance<br />
Technology (MRT)
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<strong>Revenue</strong><br />
Code Description Category<br />
0700 General Classification - CAST ROOM Cast Room<br />
0709 Other Cast Room - OTHER CAST ROOM Cast Room<br />
0710 General Classification - RECOVERY ROOM Recovery Room<br />
0719 Other Recovery Room - OTHER RECOV RM Recovery Room<br />
0720 General Classification - DELIVEROOM/LABOR Labor Room/Delivery<br />
0721 Labor Labor Room/Delivery<br />
0722 Delivery - DELIVERY ROOM Labor Room/Delivery<br />
0723 Circumcision Labor Room/Delivery<br />
0724 Birthing Center Labor Room/Delivery<br />
0729 Other Labor Room/Delivery - OTHER/DELIV-LABOR Labor Room/Delivery<br />
EKG/ECG<br />
0730 General Classification - EKG/ECG<br />
(Electrocardiogram)<br />
EKG/ECG<br />
0731 Holter Monitor - HOLTER MONT<br />
(Electrocardiogram)<br />
EKG/ECG<br />
0732 Telemetry<br />
(Electrocardiogram)<br />
EKG/ECG<br />
0739 Other EKG/ECG<br />
(Electrocardiogram)<br />
EEG<br />
0740 General Classification - EEG<br />
(Electroencephalogram)<br />
EEG<br />
0749 Other EEG - OTHER EEG<br />
(Electroencephalogram)<br />
0750 General Classification - GASTR-INST SVS Gastro-Intestinal <strong>Service</strong>s<br />
0759 Other Gastro-Intestinal - OTHER GASTRO-INTS Gastro-Intestinal <strong>Service</strong>s<br />
General Classification<br />
Treatment/Observation<br />
0760 TREATMENT/OBSERVATION RM<br />
Room<br />
Treatment/Observation<br />
0761 Treatment Room<br />
Room<br />
Treatment/Observation<br />
0762 Observation Room<br />
Room<br />
Other Treatment/Observation Room OTHER<br />
Treatment/Observation<br />
0769 TREAT/OBSERV RM<br />
Room<br />
0790 General Classification - LITHOTRIPSY Lithotripsy<br />
0799 Other Lithotripsy - LITHOTRIPSY/OTHER Lithotripsy<br />
0800 General Classification - RENAL DIALYSIS <strong>Inpatient</strong> Renal Dialysis<br />
0801 <strong>Inpatient</strong> Hemodialysis -DIALY/INPT <strong>Inpatient</strong> Renal Dialysis<br />
0802 <strong>Inpatient</strong> Peritoneal - DIALY/INPT/PER (Non-CAPD)<br />
<strong>Inpatient</strong> Continuous - DIALY/INPT/CAPD<br />
<strong>Inpatient</strong> Renal Dialysis<br />
0803 Ambulatory Peritoneal Dialysis (CAPD) <strong>Inpatient</strong> Renal Dialysis<br />
Provider Handbook UB –92 7
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Code Description<br />
<strong>Inpatient</strong> Continuous DIALY/INPT/CCPD Cycling<br />
Category<br />
0804 Peritoneal Dialysis (CCPD) <strong>Inpatient</strong> Renal Dialysis<br />
0809 Other <strong>Inpatient</strong> Dialysis - DIALY/INPT/OTHER <strong>Inpatient</strong> Renal Dialysis<br />
Acquisition of Body<br />
0810 General Classification - ORGAN ACQUISIT<br />
Components<br />
Acquisition of Body<br />
0811 Living Donor<br />
Components<br />
Acquisition of Body<br />
0812 Cadaver Donor<br />
Components<br />
Acquisition of Body<br />
0813 Unknown donor<br />
Components<br />
Acquisition of Body<br />
0819 Other Donor<br />
Components<br />
0880 General Classification - DIALY/MISC Miscellaneous Dialysis<br />
0881 Ultrafiltration - DIALY/ULTRAFILT Miscellaneous Dialysis<br />
0889 Other Miscellaneous Dialysis - DIALY/MISC/OTHER Miscellaneous Dialysis<br />
Psychiatric/Psychological<br />
0900 General Classification PSYCH TREATMENT Treatments<br />
Psychiatric/Psychological<br />
0901 Electroshock Treatment ELECTRO SHOCK<br />
Treatments<br />
Psychiatric/Psychological<br />
0902 Milieu Therapy MILIEU THERAPY<br />
Treatments<br />
Psychiatric/Psychological<br />
0903 Play Therapy PLAY THERAPY<br />
Treatments<br />
Psychiatric/Psychological<br />
0904 Activity Therapy ACTIVITY THERAPY<br />
Treatments<br />
Psychiatric/Psychological<br />
0909 Other Psychiatric/Psychological OTHER PSYCH RX Treatments<br />
Psychiatric/Psychological<br />
0910 General Classification - PSYCH SERVICES<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0911 Rehabilitation - PSYCH/REHAB<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0914 Individual Therapy - PSYCH/INDIV RX<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0915 Group Therapy - PSYCH/GROUP RX<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0916 Family Therapy - PSYCH/FAMILY RX<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0917 Bio <strong>Fee</strong>dback - PSYCH/BIOFEED<br />
<strong>Service</strong>s<br />
Provider Handbook UB –92 8
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Code Description Category<br />
Psychiatric/Psychological<br />
0918 Testing - PSYCH/TESTING<br />
<strong>Service</strong>s<br />
Psychiatric/Psychological<br />
0919 Other Psychiatric/Psychological PSYCH/OTHER <strong>Service</strong>s<br />
0920 General Classification - OTHER DX SVS Other Diagnostic <strong>Service</strong>s<br />
0921 Peripheral Vascular Lab - PERI VASCUL LAB Other Diagnostic <strong>Service</strong>s<br />
0922 Electromyelogram - EMG Other Diagnostic <strong>Service</strong>s<br />
0923 Pap Smear - PAP SMEAR Other Diagnostic <strong>Service</strong>s<br />
0924 Allergy Test - ALLERGY TEST Other Diagnostic <strong>Service</strong>s<br />
0925 Pregnancy Test - PREG TEST Other Diagnostic <strong>Service</strong>s<br />
0929 Other Diagnostic <strong>Service</strong> - ADDITIONAL DX SVS Other Diagnostic <strong>Service</strong>s<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0940 General Classification - OTHER RX SVS<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0941 Recreational Therapy - RECREATION RX<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0942 Education/Training - EDUC/TRAINING<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0943 Cardiac Rehabilitation - CARDIAC REHAB<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0944 Drug Rehabilitation - DRUG REHAB<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0945 Alcohol Rehabilitation - ALCOHOL REHAB<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
Complex Medical Equipment - CMPLX MED EQUIP- (Also see 095X, an<br />
0946 ROUT<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
Complex Medical Equipment - CMPLX MED EQUIP- (Also see 095X, an<br />
0947 ANC<br />
extension of 094X)<br />
Other Therapeutic <strong>Service</strong>s<br />
(Also see 095X, an<br />
0949 Other Therapeutic <strong>Service</strong> - ADDITIONAL RX SVS extension of 094X)<br />
Provider Handbook UB –92 9
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<strong>Revenue</strong><br />
Code Description Category<br />
Professional <strong>Fee</strong>s (also see<br />
0964 Anesthetist (CRNA) - PRO FEE/ANES CRNA 097X and 098X)<br />
Professionals <strong>Fee</strong>s<br />
0976 Respiratory Therapy - PRO FEE/RESPIR<br />
(Extension of 096X)<br />
Professionals <strong>Fee</strong>s<br />
0977 Physical Therapy - PRO FEE/PHYSI<br />
(Extension of 096X)<br />
Professionals <strong>Fee</strong>s<br />
0978 Occupational Therapy - PRO FEE/OCCUPA<br />
(Extension of 096X)<br />
Professionals <strong>Fee</strong>s<br />
0979 Speech Pathology - PRO FEE/SPEECH<br />
(Extension of 096X)<br />
Provider Handbook UB –92 10
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