NAME: Revenue Center Code DESCRIPTION: The provider-assigned revenue code for each cost center for which a separate charge is billed (type of accommodation or ancillary). A cost center is a division or unit within a hospital (e.g.radiology, emergency room, pathology). EXCEPTION: Revenue center code 0001 represents the total of all revenue centers included on the claim. SHORT NAME: REV_CNTR LONG NAME: REV_CNTR TYPE: CHAR LENGTH: 4 SOURCE: CWF CODE VALUES: 0001 = Total charge 0022 = SNF claim paid under PPS submitted as type of bill (TOB) 21X. NOTE: This code may appear multiple times on a claim to identify different HIPPS Rate Code/assessment periods. 0023 = Home Health services paid under PPS submitted as TOB 32X and 33X, effective 10/00. This code may appear multiple times on a claim to identify different HIPPS/Home Health Resource Groups (HRG). 0024 = Inpatient Rehabilitation Facility services paid under PPS submitted as TOB 11X, effective for cost reporting periods beginning on or after 1/1/2002 (dates of service after 12/31/01). This code may appear only once on a claim. 0100 = All inclusive rate-room and board plus ancillary 0101 = All inclusive rate-room and board 0110 = Private medical or general-general classification 0111 = Private medical or general-medical/surgical/GYN 0112 = Private medical or general-OB 0113 = Private medical or general-pediatric 0114 = Private medical or general-psychiatric 0115 = Private medical or general-hospice 0116 = Private medical or general-detoxification 0117 = Private medical or general-oncology 0118 = Private medical or general-rehabilitation 0119 = Private medical or general-other 0120 = Semi-private 2 bed (medical or general) general classification 0121 = Semi-private 2 bed (medical or general) medical/surgical/GYN 0122 = Semi-private 2 bed (medical or general)-OB 0123 = Semi-private 2 bed (medical or general)-pediatric 0124 = Semi-private 2 bed (medical or general)-psychiatric 0125 = Semi-private 2 bed (medical or general)-hospice 0126 = Semi-private 2 bed (medical or general)-detoxification 0127 = Semi-private 2 bed (medical or general)-oncology 0128 = Semi-private 2 bed (medical or general)-rehabilitation 0129 = Semi-private 2 bed (medical or general)-other 0130 = Semi-private 3 and 4 beds-general classification 0131 = Semi-private 3 and 4 beds-medical/surgical/GYN 0132 = Semi-private 3 and 4 beds-OB 0133 = Semi-private 3 and 4 beds-pediatric 0134 = Semi-private 3 and 4 beds-psychiatric 0135 = Semi-private 3 and 4 beds-hospice 0136 = Semi-private 3 and 4 beds-detoxification 0137 = Semi-private 3 and 4 beds-oncology 0138 = Semi_private 3 and 4 beds-rehabilitation 0139 = Semi-private 3 and 4 beds-other 0140 = Private (deluxe)-general classification 0141 = Private (deluxe)-medical/surgical/GYN 0142 = Private (deluxe)-OB 0143 = Private (deluxe)-pediatric 0144 = Private (deluxe)-psychiatric 0145 = Private (deluxe)-hospice 0146 = Private (deluxe)-detoxification 0147 = Private (deluxe)-oncology 0148 = Private (deluxe)-rehabilitation 0149 = Private (deluxe)-other 0150 = Room&Board ward (medical or general)-general classification 0151 = Room&Board ward (medical or general)-medical/surgical/GYN 0152 = Room&Board ward (medical or general)-OB 0153 = Room&Board ward (medical or general)-pediatric 0154 = Room&Board ward (medical or general)-psychiatric 0155 = Room&Board ward (medical or general)-hospice 0156 = Room&Board ward (medical or general)-detoxification 0157 = Room&Board ward (medical or general)-oncology 0158 = Room&Board ward (medical or general)-rehabilitation 0159 = Room&Board ward (medical or general)-other 0160 = Other Room & Board-general classification 0164 = Other Room & Board-sterile environment 0167 = Other Room & Board-self care 0169 = Other Room & Board-other 0170 = Nursery-general classification 0171 = Nursery-newborn level I (routine) 0172 = Nursery-premature newborn-level II (continuing care) 0173 = Nursery-newborn-level III (intermediate care) 0174 = Nursery-newborn-level IV (intensive care) 0179 = Nursery-other 0180 = Leave of absence-general classification 0182 = Leave of absence-patient convenience charges billable 0183 = Leave of absence-therapeutic leave 0184 = Leave of absence-ICF mentally retarded-any reason 0185 = Leave of absence-nursing home (hospitalization) 0189 = Leave of absence-other leave of absence 0190 = Subacute care - general classification 0191 = Subacute care - level I 0192 = Subacute care - level II 0193 = Subacute care - level III 0194 = Subacute care - level IV 0199 = Subacute care - other 0200 = Intensive care-general classification 0201 = Intensive care-surgical 0202 = Intensive care-medical 0203 = Intensive care-pediatric 0204 = Intensive care-psychiatric 0206 = Intensive care-post ICU; redefined as intermediate ICU 0207 = Intensive care-burn care 0208 = Intensive care-trauma 0209 = Intensive care-other intensive care 0210 = Coronary care-general classification 0211 = Coronary care-myocardial infraction 0212 = Coronary care-pulmonary care 0213 = Coronary care-heart transplant 0214 = Coronary care-post CCU; redefined as intermediate CCU 0219 = Coronary care-other coronary care 0220 = Special charges-general classification 0221 = Special charges-admission charge 0222 = Special charges-technical support charge 0223 = Special charges-UR service charge 0224 = Special charges-late discharge, medically necessary 0229 = Special charges-other special charges 0230 = Incremental nursing charge rate-general classification 0231 = Incremental nursing charge rate-nursery 0232 = Incremental nursing charge rate-OB 0233 = Incremental nursing charge rate-ICU (include transitional care) 0234 = Incremental nursing charge rate-CCU (include transitional care) 0235 = Incremental nursing charge rate-hospice 0239 = Incremental nursing charge rate-other 0240 = All inclusive ancillary-general classification 0241 = All inclusive ancillary-basic 0242 = All inclusive ancillary-comprehensive 0243 = All inclusive ancillary-specialty 0249 = All inclusive ancillary-other inclusive ancillary 0250 = Pharmacy-general classification 0251 = Pharmacy-generic drugs 0252 = Pharmacy-nongeneric drugs 0253 = Pharmacy-take home drugs 0254 = Pharmacy-drugs incident to other diagnostic service-subject to payment limit 0255 = Pharmacy-drugs incident to radiology-subject to payment limit 0256 = Pharmacy-experimental drugs 0257 = Pharmacy-non-prescription 0258 = Pharmacy-IV solutions 0259 = Pharmacy-other pharmacy 0260 = IV therapy-general classification 0261 = IV therapy-infusion pump 0262 = IV therapy-pharmacy services 0263 = IV therapy-drug supply/delivery 0264 = IV therapy-supplies 0269 = IV therapy-other IV therapy 0270 = Medical/surgical supplies-general classification (also see 062X) 0271 = Medical/surgical supplies-nonsterile supply 0272 = Medical/surgical supplies-sterile supply 0273 = Medical/surgical supplies-take home supplies 0274 = Medical/surgical supplies-prosthetic/orthotic devices 0275 = Medical/surgical supplies-pace maker 0276 = Medical/surgical supplies-intraocular lens 0277 = Medical/surgical supplies-oxygen-take home 0278 = Medical/surgical supplies-other implants 0279 = Medical/surgical supplies-other devices 0280 = Oncology-general classification 0289 = Oncology-other oncology 0290 = DME (other than renal)-general classification 0291 = DME (other than renal)-rental 0292 = DME (other than renal)-purchase of new DME 0293 = DME (other than renal)-purchase of used DME 0294 = DME (other than renal)-related to and listed as DME 0299 = DME (other than renal)-other 0300 = Laboratory-general classification 0301 = Laboratory-chemistry 0302 = Laboratory-immunology 0303 = Laboratory-renal patient (home) 0304 = Laboratory-non-routine dialysis 0305 = Laboratory-hematology 0306 = Laboratory-bacteriology & microbiology 0307 = Laboratory-urology 0309 = Laboratory-other laboratory 0310 = Laboratory pathological-general classification 0311 = Laboratory pathological-cytology 0312 = Laboratory pathological-histology 0314 = Laboratory pathological-biopsy 0319 = Laboratory pathological-other 0320 = Radiology diagnostic-general classification 0321 = Radiology diagnostic-angiocardiography 0322 = Radiology diagnostic-arthrography 0323 = Radiology diagnostic-arteriography 0324 = Radiology diagnostic-chest X-ray 0329 = Radiology diagnostic-other 0330 = Radiology therapeutic-general classification 0331 = Radiology therapeutic-chemotherapy injected 0332 = Radiology therapeutic-chemotherapy oral 0333 = Radiology therapeutic-radiation therapy 0335 = Radiology therapeutic-chemotherapy IV 0339 = Radiology therapeutic-other 0340 = Nuclear medicine-general classification 0341 = Nuclear medicine-diagnostic 0342 = Nuclear medicine-therapeutic 0349 = Nuclear medicine-other 0350 = Computed tomographic (CT) scan-general classification 0351 = CT scan-head scan 0352 = CT scan-body scan 0359 = CT scan-other CT scans 0360 = Operating room services-general classification 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 operating room services 0370 = Anesthesia-general classification 0371 = Anesthesia-incident to RAD and subject to the payment limit 0372 = Anesthesia-incident to other diagnostic service and subject to the payment limit 0374 = Anesthesia-acupuncture 0379 = Anesthesia-other anesthesia 0380 = Blood-general classification 0381 = Blood-packed red cells 0382 = Blood-whole blood 0383 = Blood-plasma 0384 = Blood-platelets 0385 = Blood-leukocytes 0386 = Blood-other components 0387 = Blood-other derivatives (cryopricipatates) 0389 = Blood-other blood 0390 = Blood storage and processing-general classification 0391 = Blood storage and processing-blood administration 0399 = Blood storage and processing-other 0400 = Other imaging services-general classification 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 0410 = Respiratory services-general classification 0412 = Respiratory services-inhalation services 0413 = Respiratory services-hyperbaric oxygen therapy 0419 = Respiratory services-other 0420 = Physical therapy-general classification 0421 = Physical therapy-visit charge 0422 = Physical therapy-hourly charge 0423 = Physical therapy-group rate 0424 = Physical therapy-evaluation or re-evaluation 0429 = Physical therapy-other 0430 = Occupational therapy-general classification 0431 = Occupational therapy-visit charge 0432 = Occupational therapy-hourly charge 0433 = Occupational therapy-group rate 0434 = Occupational therapy-evaluation or re-evaluation 0439 = Occupational therapy-other (may include restorative therapy) 0440 = Speech language pathology-general classification 0441 = Speech language pathology-visit charge 0442 = Speech language pathology-hourly charge 0443 = Speech language pathology-group rate 0444 = Speech language pathology-evaluation or re-evaluation 0449 = Speech language pathology-other 0450 = Emergency room-general classification 0451 = Emergency room-emtala emergency medical screening services 0452 = Emergency room-ER beyond emtala screening 0456 = Emergency room-urgent care 0459 = Emergency room-other 0460 = Pulmonary function-general classification 0469 = Pulmonary function-other 0470 = Audiology-general classification 0471 = Audiology-diagnostic 0472 = Audiology-treatment 0479 = Audiology-other 0480 = Cardiology-general classification 0481 = Cardiology-cardiac cath lab 0482 = Cardiology-stress test 0483 = Cardiology-Echocardiology 0489 = Cardiology-other 0490 = Ambulatory surgical care-general classification 0499 = Ambulatory surgical care-other 0500 = Outpatient services-general classification 0509 = Outpatient services-other 0510 = Clinic-general classification 0511 = Clinic-chronic pain center 0512 = Clinic-dental center 0513 = Clinic-psychiatric 0514 = Clinic-OB-GYN 0515 = Clinic-pediatric 0516 = Clinic-urgent care clinic 0517 = Clinic-family practice clinic 0519 = Clinic-other 0520 = Free-standing clinic-general classification 0521 = Free-standing clinic-Clinic visit by a member to RHC/FQHC (eff. 7/1/06). Prior to 7/1/06 - Rural Health-Clinic 0522 = Free-standing clinic-Home visit by RHC/FQHC practitioner (eff. 7/1/06). Prior to 7/1/06 - Rural Health-Home 0523 = Free-standing clinic-family practice 0524 = Free-standing clinic - visit by RHC/FQHC practitioner to a member in a covered Part A stay at the SNF. (eff. 7/1/06) 0525 = Free-standing clinic - visit by RHC/FQHC practitioner to a member in a SNF (not in a covered Part A stay) or NF or ICF MR or other residential facility. (eff. 7/1/06) 0526 = Free-standing clinic-urgent care (eff 10/96) 0527 = Free-standing clinic-RHC/FQHC visiting nurse service(s) to a member's home when in a home health shortage area. (eff. 7/1/06) 0528 = Free-standing clinic-visit by RHC/FQHC practitioner to other non-RHC/FQHC site (e.g. scene of accident). (eff. 7/1/06) 0529 = Free-standing clinic-other 0530 = Osteopathic services-general classification 0531 = Osteopathic services-osteopathic therapy 0539 = Osteopathic services-other 0540 = Ambulance-general classification 0541 = Ambulance-supplies 0542 = Ambulance-medical transport 0543 = Ambulance-heart mobile 0544 = Ambulance-oxygen 0545 = Ambulance-air ambulance 0546 = Ambulance-neo-natal ambulance 0547 = Ambulance-pharmacy 0548 = Ambulance-telephone transmission EKG 0549 = Ambulance-other 0550 = Skilled nursing-general classification 0551 = Skilled nursing-visit charge 0552 = Skilled nursing-hourly charge 0559 = Skilled nursing-other 0560 = Medical social services-general classification 0561 = Medical social services-visit charge 0562 = Medical social services-hourly charges 0569 = Medical social services-other 0570 = Home health aid (home health)-general classification 0571 = Home health aid (home health)-visit charge 0572 = Home health aid (home health)-hourly charge 0579 = Home health aid (home health)-other 0580 = Other visits (home health)-general classification (under HHPPS, not allowed as covered charges) 0581 = Other visits (home health)-visit charge (under HHPPS, not allowed as covered charges) 0582 = Other visits (home health)-hourly charge (under HHPPS, not allowed as covered charges) 0589 = Other visits (home health)-other (under HHPPS, not allowed as covered charges) 0590 = Units of service (home health)-general classification (under HHPPS, not allowed as covered charges) 0599 = Units of service (home health)-other (under HHPPS, not allowed as covered charges) 0600 = Oxygen/Home Health-general classification 0601 = Oxygen/Home Health-stat or port equip/supply or count 0602 = Oxygen/Home Health-stat/equip/under 1 LPM 0603 = Oxygen/Home Health-stat/equip/over 4 LPM 0604 = Oxygen/Home Health-stat/equip/portable add-on 0610 = Magnetic resonance technology (MRT)-general classification 0611 = MRT/MRI-brain (including brainstem) 0612 = MRT/MRI-spinal cord (including spine) 0614 = MRT/MRI-other 0615 = MRT/MRA-Head and Neck 0616 = MRT/MRA-Lower Extremities 0618 = MRT/MRA-other 0619 = MRT/Other MRI 0621 = Medical/surgical supplies-incident to radiology-subject to the payment limit - extension of 027X 0622 = Medical/surgical supplies-incident to other diagnostic service- subject to the payment limit - extension of 027X 0623 = Medical/surgical supplies-surgical dressings - extension of 027X 0624 = Medical/surgical supplies-medical investigational devices and procedures with FDA approved IDE's - extension of 027X 0630 = Reserved 0631 = Drugs requiring specific identification-single drug source 0632 = Drugs requiring specific identification-multiple drug source 0633 = Drugs requiring specific identification-restrictive prescription 0634 = Drugs requiring specific identification-EPO under 10,000 units 0635 = Drugs requiring specific identification-EPO 10,000 units or more 0636 = Drugs requiring specific identification-detailed coding 0637 = Self-administered drugs administered in an emergency situation - not requiring detailed coding 0640 = Home IV therapy-general classification 0641 = Home IV therapy-nonroutine nursing 0642 = Home IV therapy-IV site care, central line 0643 = Home IV therapy-IV start/change peripheral line 0644 = Home IV therapy-nonroutine nursing, peripheral line 0645 = Home IV therapy-train patient/caregiver, central line 0646 = Home IV therapy-train disabled patient, central line 0647 = Home IV therapy-train patient/caregiver, peripheral line 0648 = Home IV therapy-train disabled patient, peripheral line 0649 = Home IV therapy-other IV therapy services 0650 = Hospice services-general classification 0651 = Hospice services-routine home care 0652 = Hospice services-continuous home care-1/2 0655 = Hospice services-inpatient care 0656 = Hospice services-general inpatient care (non-respite) 0657 = Hospice services-physician services 0659 = Hospice services-other 0660 = Respite care (HHA)-general classification 0661 = Respite care (HHA)-hourly charge/skilled nursing 0662 = Respite care (HHA)-hourly charge/home health aide/homemaker 0670 = OP special residence charges - general classification 0671 = OP special residence charges - hospital based 0672 = OP special residence charges - contracted 0679 = OP special residence charges - other special residence charges 0700 = Cast room-general classification 0709 = Cast room-other 0710 = Recovery room-general classification 0719 = Recovery room-other 0720 = Labor room/delivery-general classification 0721 = Labor room/delivery-labor 0722 = Labor room/delivery-delivery 0723 = Labor room/delivery-circumcision 0724 = Labor room/delivery-birthing center 0729 = Labor room/delivery-other 0730 = EKG/ECG-general classification 0731 = EKG/ECG-Holter moniter 0732 = EKG/ECG-telemetry 0739 = EKG/ECG-other 0740 = EEG-general classification 0749 = EEG (electroencephalogram)-other 0750 = Gastro-intestinal services-general classification 0759 = Gastro-intestinal services-other 0760 = Treatment or observation room-general classification 0761 = Treatment or observation room-treatment room 0762 = Treatment or observation room-observation room 0769 = Treatment or observation room-other 0770 = Preventative care services-general classification 0771 = Preventative care services-vaccine administration 0779 = Preventative care services-other 0780 = Telemedicine - general classification 0789 = Telemedicine - telemedicine 0790 = Lithotripsy-general classification 0799 = Lithotripsy-other 0800 = Inpatient renal dialysis-general classification 0801 = Inpatient renal dialysis-inpatient hemodialysis 0802 = Inpatient renal dialysis-inpatient peritoneal (non-CAPD) 0803 = Inpatient renal dialysis-inpatient CAPD 0804 = Inpatient renal dialysis-inpatient CCPD 0809 = Inpatient renal dialysis-other inpatient dialysis 0810 = Organ acquisition-general classification 0811 = Organ acquisition-living donor 0812 = Organ acquisition-cadaver donor 0813 = Organ acquisition-unknown donor 0814 = Organ acquisition - unsuccessful organ search-donor bank charges 0819 = Organ acquisition-other donor 0820 = Hemodialysis OP or home dialysis-general classification 0821 = Hemodialysis OP or home dialysis-hemodialysis-composite or other rate 0822 = Hemodialysis OP or home dialysis-home supplies 0823 = Hemodialysis OP or home dialysis-home equipment 0824 = Hemodialysis OP or home dialysis-maintenance/100% 0825 = Hemodialysis OP or home dialysis-support services 0829 = Hemodialysis OP or home dialysis-other 0830 = Peritoneal dialysis OP or home-general classification 0831 = Peritoneal dialysis OP or home-peritoneal-composite or other rate 0832 = Peritoneal dialysis OP or home-home supplies 0833 = Peritoneal dialysis OP or home-home equipment 0834 = Peritoneal dialysis OP or home-maintenance/100% 0835 = Peritoneal dialysis OP or home-support services 0839 = Peritoneal dialysis OP or home-other 0840 = CAPD outpatient-general classification 0841 = CAPD outpatient-CAPD/composite or other rate 0842 = CAPD outpatient-home supplies 0843 = CAPD outpatient-home equipment 0844 = CAPD outpatient-maintenance/100% 0845 = CAPD outpatient-support services 0849 = CAPD outpatient-other 0850 = CCPD outpatient-general classification 0851 = CCPD outpatient-CCPD/composite or other rate 0852 = CCPD outpatient-home supplies 0853 = CCPD outpatient-home equipment 0854 = CCPD outpatient-maintenance/100% 0855 = CCPD outpatient-support services 0859 = CCPD outpatient-other 0880 = Miscellaneous dialysis-general classification 0881 = Miscellaneous dialysis-ultrafiltration 0882 = Miscellaneous dialysis-home dialysis aide visit 0889 = Miscellaneous dialysis-other 0890 = Other donor bank-general classification; changed to reserved for national assignment 0891 = Other donor bank-bone; changed to reserved for national assignment 0892 = Other donor bank-organ (other than kidney); changed to reserved for national assignment 0893 = Other donor bank-skin; changed to reserved for national assignment 0899 = Other donor bank-other; changed to reserved for national assignment 0900 = Behavior Health Treatment/Services - general classification (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological treatments-general classification 0901 = Behavior Health Treatment/Services - electroshock treatment (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological treatments-electroshock treatment 0902 = Behavior Health Treatment/Services - milieu therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments- milieu therapy 0903 = Behavior Health Treatment/Services - play therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments- play therapy 0904 = Behavior Health Treatment/Services - activity therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments- activity therapy 0905 = Behavior Health Treatment/Services - intensive outpatient services- psychiatric (eff. 10/2004) 0906 = Behavior Health Treatment/Services - intensive outpatient services- chemical dependency (eff. 10/2004) 0907 = Behavior Health Treatment/Services - community behavioral health program-day treatment (eff. 10/2004) 0909 = Reserved for National Use (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological treatments-other 0910 = Behavioral Health Treatment/Services-Reserved for National Assignment (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-general classification 0911 = Behavioral Health Treatment/Services-rehabilitation (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services- rehabilitation 0912 = Behavioral Health Treatment/Services-partial hospitalization-less intensive (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-less intensive 0913 = Behavioral Health Treatment/Services-partial hospitalization- intensive (eff. 10/2004); prior to 10/2004 defined as Psychiatric/ psychological services-intensive 0914 = Behavioral Health Treatment/Services-individual therapy (eff. 10/2004) prior to 10/2004 defined as Psychiatric/psychological services- individual therapy 0915 = Behavioral Health Treatment/Services-group therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services- group therapy 0916 = Behavioral Health Treatment/Services-family therapy (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services- family therapy 0917 = Behavioral Health Treatment/Services-biofeedback (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services- biofeedback 0918 = Behavioral Health Treatment/Services-testing (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-testing 0919 = Behavioral Health Treatment/Services-other (eff. 10/2004); prior to 10/2004 defined as Psychiatric/psychological services-other 0920 = Other diagnostic services-general classification 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 0931 = Medical Rehabilitation Day Program - Half Day 0932 = Medical Rehabilitation Day Program - Full Day 0940 = Other therapeutic services-general classification 0941 = Other therapeutic services-recreational therapy 0942 = Other therapeutic services-education/training (include diabetes diet training) 0943 = Other therapeutic services-cardiac rehabilitation 0944 = Other therapeutic services-drug rehabilitation 0945 = Other therapeutic services-alcohol rehabilitation 0946 = Other therapeutic services-routine complex medical equipment 0947 = Other therapeutic services-ancillary complex medical equipment 0949 = Other therapeutic services-other 0951 = Professional Fees-athletic training (extension of 094X) 0952 = Professional Fees-kinesiotherapy (extension of 094X) 0960 = Professional fees-general classification 0961 = Professional fees-psychiatric 0962 = Professional fees-ophthalmology 0963 = Professional fees-anesthesiologist (MD) 0964 = Professional fees-anesthetist (CRNA) 0969 = Professional fees-other NOTE: 097X is an extension of 096X 0971 = Professional fees-laboratory 0972 = Professional fees-radiology diagnostic 0973 = Professional fees-radiology therapeutic 0974 = Professional fees-nuclear medicine 0975 = Professional fees-operating room 0976 = Professional fees-respiratory therapy 0977 = Professional fees-physical therapy 0978 = Professional fees-occupational therapy 0979 = Professional fees-speech pathology NOTE: 098X is an extension of 096X & 097X 0981 = Professional fees-emergency room 0982 = Professional fees-outpatient services 0983 = Professional fees-clinic 0984 = Professional fees-medical social services 0985 = Professional fees-EKG 0986 = Professional fees-EEG 0987 = Professional fees-hospital visit 0988 = Professional fees-consultation 0989 = Professional fees-private duty nurse 0990 = Patient convenience items-general classification 0991 = Patient convenience items-cafeteria/guest tray 0992 = Patient convenience items-private linen service 0993 = Patient convenience items-telephone/telegraph 0994 = Patient convenience items-tv/radio 0995 = Patient convenience items-nonpatient room rentals 0996 = Patient convenience items-late discharge charge 0997 = Patient convenience items-admission kits 0998 = Patient convenience items-beauty shop/barber 0999 = Patient convenience items-other NOTE: Following Revenue Codes reported for NHCMQ (RUGS) demo claims effective 2/96. 9000 = RUGS-no MDS assessment available 9001 = Reduced physical functions-RUGS PA1/ADL index of 4-5 9002 = Reduced physical functions-RUGS PA2/ADL index of 4-5 9003 = Reduced physical functions-RUGS PB1/ADL index of 6-8 9004 = Reduced physical functions-RUGS PB2/ADL index of 6-8 9005 = Reduced physical functions-RUGS PC1/ADL index of 9-10 9006 = Reduced physical functions-RUGS PC2/ADL index of 9-10 9007 = Reduced physical functions-RUGS PD1/ADL index of 11-15 9008 = Reduced physical functions-RUGS PD2/ADL index of 11-15 9009 = Reduced physical functions-RUGS PE1/ADL index of 16-18 9010 = Reduced physical functions-RUGS PE2/ADL index of 16-18 9011 = Behavior only problems-RUGS BA1/ADL index of 4-5 9012 = Behavior only problems-RUGS BA2/ADL index of 4-5 9013 = Behavior only problems-RUGS BB1/ADL index of 6-10 9014 = Behavior only problems-RUGS BB2/ADL index of 6-10 9015 = Impaired cognition-RUGS IA1/ADL index of 4-5 9016 = Impaired cognition-RUGS IA2/ADL index of 4-5 9017 = Impaired cognition-RUGS IB1/ADL index of 6-10 9018 = Impaired cognition-RUGS IB2/ADL index of 6-10 9019 = Clinically complex-RUGS CA1/ADL index of 4-5 9020 = Clinically complex-RUGS CA2/ADL index of 4-5d 9021 = Clinically complex-RUGS CB1/ADL index of 6-10 9022 = Clinically complex-RUGS CB2/ADL index of 6-10d 9023 = Clinically complex-RUGS CC1/ADL index of 11-16 9024 = Clinically complex-RUGS CC2/ADL index of 11-16d 9025 = Clinically complex-RUGS CD1/ADL index of 17-18 9026 = Clinically complex-RUGS CD2/ADL index of 17-18d 9027 = Special care-RUGS SSA/ADL index of 7-13 9028 = Special care-RUGS SSB/ADL index of 14-16 9029 = Special care-RUGS SSC/ADL index of 17-18 9030 = Extensive services-RUGS SE1/1 procedure 9031 = Extensive services-RUGS SE2/2 procedures 9032 = Extensive services-RUGS SE3/3 procedures 9033 = Low rehabilitation-RUGS RLA/ADL index of 4-11 9034 = Low rehabilitation-RUGS RLB/ADL index of 12-18 9035 = Medium rehabilitation-RUGS RMA/ADL index of 4-7 9036 = Medium rehabilitation-RUGS RMB/ADL index of 8-15 9037 = Medium rehabilitation-RUGS RMC/ADL index of 16-18 9038 = High rehabilitation-RUGS RHA/ADL index of 4-7 9039 = High rehabilitation-RUGS RHB/ADL index of 8-11 9040 = High rehabilitation-RUGS RHC/ADL index of 12-14 9041 = High rehabilitation-RUGS RHD/ADL index of 15-18 9042 = Very high rehabilitation-RUGS RVA/ADL index of 4-7 9043 = Very high rehabilitation-RUGS RVB/ADL index of 8-13 9044 = Very high rehabilitation-RUGS RVC/ADL index of 14-18 ***Changes effective for providers entering*** **RUGS Demo Phase III as of 1/1/97 or later** 9019 = Clinically complex-RUGS CA1/ADL index of 11 9020 = Clinically complex-RUGS CA2/ADL index of 11D 9021 = Clinically complex-RUGS CB1/ADL index of 12-16 9022 = Clinically complex-RUGS CB2/ADL index of 12-16D 9023 = Clinically complex-RUGS CC1/ADL index of 17-18 9024 = Clinically complex-RUGS CC2/ADL index of 17-18D 9025 = Special care-RUGS SSA/ADL index of 14 9026 = Special care-RUGS SSB/ADL index of 15-16 9027 = Special care-RUGS SSC/ADL index of 17-18 9028 = Extensive services-RUGS SE1/ADL index 7-18/1 procedure 9029 = Extensive services-RUGS SE2/ADL index 7-18/2 procedures 9030 = Extensive services-RUGS SE3/ADL index 7-18/3 procedures 9031 = Low rehabilitation-RUGS RLA/ADL index of 4-13 9032 = Low rehabilitation-RUGS RLB/ADL index of 14-18 9033 = Low rehabilitation-RUGS RLA/ADL index of 4-11 9034 = Medium rehabilitation-RUGS RMB/ADL index of 8-14 9035 = Medium rehabilitation-RUGS RMC/ADL index of 15-18 9036 = High rehabilitation-RUGS RHA/ADL index of 4-7 9037 = High rehabilitation-RUGS RHB/ADL index of 8-12 9038 = High rehabilitation-RUGS RHC/ADL index of 13-18 9039 = Very High rehabilitation-RUGS RVA/ADL index of 4-8 9040 = Very high rehabilitation-RUGS RVB/ADL index of 9-15 9041 = Very high rehabilitation-RUGS RVC/ADL index of 16 9042 = Very high rehabilitation-RUGS RUA/ADL index of 4-8 9043 = Very high rehabilitation-RUGS RUB/ADL index of 9-15 9044 = Ultra high rehabilitation-RUGS RUC/ADL index of 16-18 COMMENT: -