Rhode Island Department of Human Services

Especially For:

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Revenue Codes

Psychiatric/Psychological Treatments

Revenue Code Description
900 Psychiatric/psychological treatment 
901 Electroshock treatment
902 Milieu therapy
903 Play therapy
904 Activity therapy
909 Other
910 Psych services
911 Rehabilitation
912 Rehabilitation
914 Individual therapy
915 Group therapy
916 Family therapy
917 Bio feedback
918 Testing Bio feedback
919 Psych services - other

Other Diagnostic Service

Revenue Code Description
920 Other diagnostic services
921 Peripheral vascular lab
922 Electromyelogram
923 Pap smear
924 Allergy test
925 Pregnancy test
929 Other diagnostic svcs - additional

Other Therapeutic Services

Revenue Code Description
940 Other therapeutic services
941 Recreational therapy
942 Education/training
943 Cardiac rehabilitation
944 Drug rehabilitation
945 Alcohol rehabilitation
946 Complex medical equipment - routine
947 Complex medical equipment - ancillary
949 Other therapeutic svcs - additional

Patient Convenience Items

NOT COVERED

Professional Fees

Revenue Code Description
960 Professional fee
961 Psychiatric
962 Ophthalmology
963 Anesthesiologist (MD)
964 Anesthetist (CRNA)
969 Professional fees - other
971 Laboratory
972 Radiology - diagnostic
973 Radiology - therapeutic
974 Radiology - nuclear medicine
975 Operating room
976 Respiratory therapy
977 Physical therapy
978 Occupational therapy
979 Speech pathology
981 Emergency room
982 Outpatient services
983 Clinic
984 Medical social services
985 EKG
986 EEG
987 Hospital visit
988 Consultation
989 Private duty nurse

The above professional services must be billed on the HCFA 1500 claim form. Do not bill these services on the UB-92 form.