Revenue Codes
Respite Care
| Revenue Code |
Description |
| 660 |
Respite care |
| 661 |
Hourly charge/skilled nursing |
| 662 |
Hourly charge/home health aid/homemaker |
Outpatient Services
| Revenue Code |
Description |
| 500 |
Outpatient services (crossover only) |
| 509 |
Other outpatient |
Clinic
| Revenue Code |
Description |
| 510 |
Clinic |
| 511 |
Chronic pain |
| 512 |
Dental |
| 513 |
Psychiatric |
| 514 |
OB-GYN |
| 515 |
Pediatric |
| 519 |
Other |
| 520 |
Freestanding clinic |
| 521 |
Rural health - clinic |
| 522 |
Rural health - home |
| 523 |
Family practice |
| 529 |
Other freestanding clinic |
Osteopathic Service
| Revenue Code |
Description |
| 530 |
Osteopathic services |
| 531 |
Osteopathic therapy |
| 539 |
Other osteopathic |
Medical Social Service
| Revenue Code |
Description |
| 560 |
Medical social service |
| 561 |
Visit charge |
| 562 |
Hourly charge |
| 590 |
Other medical social services |
MRI
| Revenue Code |
Description |
| 610 |
MRI |
| 611 |
Brain (including brain stem) |
| 612 |
Spinal cord (including spine) |
| 619 |
Other MRI |
Medical/Surgical Supplies - Extension of 27x
| Revenue Code |
Description |
| 621 |
Supplies incident to radiology |
| 622 |
Supplies incident to other diagnostic services |
Drugs Requiring Specific Identification
| Revenue Code |
Description |
| 630 |
Drugs |
| 631 |
Single source drug |
| 632 |
Multiple source drug |
| 633 |
Restrictive prescription |
| 634 |
Erythropoietin (EPO) less than 10000 units |
| 635 |
Erythropoietin (EPO) 10000 or more units |
| 636 |
Drugs requiring detailed coding* |
Note: Revenue code 636 relates to HCPCS code, so HCPCS is the recommended code to be used in form locator 44. The specified units of service to be reported should be in hundreds (100s), rounded to the nearest hundred (no decimal). |