Rhode Island Department of Human Services

Especially For:

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Revenue Codes

All Inclusive

Revenue Code Description
100 Room and board - all inclusive plus ancillary
101 Room and board - all inclusive

Private

Revenue Code Description
110 Room and board
111 Medical/Surgical/Gyn
112 OB
113 Pediatric
114 Psychiatric
115 Hospice
116 Detoxification
117 Oncology
118 Rehabilitation
119 Other

Semi Private - Two Beds

Revenue Code Description
120 Room and board
121 Medical/Surgical/Gyn
122 OB
123 Pediatric
124 Psychiatric
125 Hospice
126 Detoxification
127 Oncology
128 Rehabilitation
129 Other

Semi Private - Three-Four Beds

Revenue Code Description
130 Room and board-private
131 Medical/Surgical/Gyn-private
132 OB-private
133 Pediatric-private
134 Psychiatric-private
135 Hospice-private
136 Detoxification-private
137 Oncology-private
138 Rehabilitation-private
139 Other-private

Private (Deluxe)

Revenue Code Description
140 Room and board-semi private
141 Medical/Surgical/Gyn-semi private
142 OB-semi private
143 Pediatric-semi private
144 Psychiatric-semi private
145 Hospice-semi private
146 Detoxification-semi private
147 Oncology-semi private
148 Rehabilitation-semi private
149 Other-semi private

Ward

Revenue Code Description
150 Room and board
151 Medical/Surgical/Gyn
152 OB
153 Pediatric
154 Psychiatric
155 Hospice
156 Detoxification
157 ncology

Other Room and Board-Sterile Environment

Revenue Code Description
160 Room and board
164 Sterile Environment
169 Other

Administratively Necessary Days (AND)

Revenue Code Description
159 AND days