Revenue Codes List for Medical Billing (2024)

Revenue codes in medical billing are 4 digit numeric ids that are used in hospital bills to notify insurance companies that what type of services received by patients. These are 4 digit number always starting with “0 (Zero)”. We have updated the Revenue Code List 2024 for Medical Billing as per the latest information.

The revenue codes list in medical billing provide information to the insurance company on whether the services were performed like an emergency room service, operating room service, etc.

Examples of Revenue Codes-

1)– 0450- Emergency Room Service

2)– 0290- Durable medical equipment

Revenue codes in medical billing used in hospital billing or institutional claim and used on UB-04 only, so it is also known as Hospital revenue codes as well.

There is a standard UB Revenue Code List in medical billing which is updated. Revenue Codes reflect the four-digit field and approved by the National Uniform Billing Committee, USA.

. Find your revenue code from below list,

UB-04 Revenue Codes List 2024

Revenue Codes 2024Revenue Code Description
240All inclusive ancillary, general
260Intravenous (IV) therapy
261Intravenous (IV) therapy, infusion pump
262Intravenous (IV) therapy, pharmacy services
263Intravenous (IV) therapeutic drug, supply and delivery
264Intravenous (IV) therapy, supplies
269Intravenous (IV) therapy,
274Medical/surgical supplies and devices,prosthetic and orthotic
280Oncology
290Durable medical equipment, general
291Durable medical equipment, rental
292Durable medical equipment, purchase of new
294Durable medical equipment, supplies and drugs
299Durable medical equipment,
300Laboratory, general classification
301Laboratory, chemistry
302Laboratory, immunology
303Laboratory, renal patient
304Laboratory, dialysis
305Laboratory, hematology
306Laboratory, bacteriology and microbiology
307Laboratory, urology
308Reserved laboratory
309Laboratory,
310Laboratory, pathology general classification
311Laboratory pathology cytology
312Laboratory pathology histology
313Reserved laboratory pathology
314Laboratory, pathology biopsy
315Reserved laboratory, pathology
316Reserved laboratory, pathology
317Reserved laboratory, pathology
318Reserved laboratory, pathology
319Laboratory, pathology
320Radiology, diagnostic general classification
321Radiology, diagnostic angiocardiology
322Radiology, diagnostic arthrography
323Radiology, diagnostic arteriography
324Radiology, diagnostic chest X-ray
325Reserved radiology, diagnostic
326Reserved radiology, diagnostic
327Reserved radiology, diagnostic
328Reserved radiology, diagnostic
329Radiology, diagnostic
330Radiology, therapeutic chemapy general classification
331Radiology, therapeutic chemapy, chemapy administration – injected
332Radiology, therapeutic chemapy, chemapy and administration – oral
333Radiology, therapeutic chemapy, radiation therapy
334Reserved radiology, therapeutic chemapy
335Radiology, therapeutic chemapy, administration (intravenous (IV))
336Reserved radiology, therapeutic chemapy
337Reserved radiology, therapeutic chemapy
338Reserved radiology, therapeutic chemapy
339Radiology, therapeutic chemapy
340Nuclear medicine, general classification
341Nuclear medicine, diagnostic
342Nuclear medicine, therapeutic
343Nuclear medicine, diagnostic radiopharmaceuticals
344Nuclear medicine, therapeutic radiopharmaceuticals
349Nuclear medicine,
350Computerized axial tomography (CAT) scan, general
351Computerized axial tomography (CAT) scan, head scan
352Computerized axial tomography (CAT) scan, body scan
353Reserved computerized axial tomography scan (CAT)
354Reserved computerized axial tomography scan (CAT)
355Reserved computerized axial tomography scan (CAT)
356Reserved computerized axial tomography scan (CAT)
357Reserved computerized axial tomography scan (CAT)
358Reserved computerized axial tomography scan (CAT)
359Computerized axial tomography scan (CAT)
360Operating room services, general
361Operating room services, minor surgery
362Operating services, organ transplant than kidney
363Reserved operating room services
364Reserved operating room services
365Reserved operating room services
366Reserved operating room services
367Operating room services, kidney transplant
368Reserved operating room services
369Operating room services
380Blood and blood products, general
381Blood and blood products, packed red cells
382Blood and blood products, whole blood products
383Blood and blood products, plasma
384Blood and blood products, platelets
385Blood and blood products, leukocytes
386Blood and blood products, components
387Blood and blood products, derivatives (cryoprecipitate)
388Blood and blood products, reserved components
389Blood and blood products,
390Blood administration process, storage general
391Blood administration process, storage administration
399Blood, storage
400Imaging services, general
401Imaging services, diagnostic mammography
402Imaging services, ultrasound
403Imaging services, screening mammography
404Imaging services, positron emission tomography
405Reserved imaging services
406Reserved imaging services
407Reserved imaging services
408Reserved imaging services
409Imaging services,
410Respiratory services, general
411Reserved respiratory services
412Respiratory services, inhalation
413Respiratory services, hyperbaric oxygen therapy
414Reserved respiratory services
415Reserved respiratory services
416Reserved respiratory services
417Reserved respiratory services
418Reserved respiratory services
419Respiratory services,
420Physical therapy, general
421Physical therapy, visit
422Physical therapy, hourly
423Physical therapy, group
424Physical therapy, evaluation or reevaluation
425Reserved physical therapy
426Reserved physical therapy
427Reserved physical therapy
428Reserved physical therapy
429Physical therapy,
430Occupational therapy, general
431Occupational therapy, visit
432Occupational therapy, hourly
433Occupational therapy, group
434Occupational therapy, evaluation or reevaluation
435Reserved occupational therapy
436Reserved occupational therapy
437Reserved occupational therapy
438Reserved occupational therapy
439Occupational therapy,
440Speech therapy, general
441Speech therapy, visit
442Speech therapy, hourly
443Speech therapy, group
444Speech therapy, evaluation or reevaluation
445Reserved speech therapy
446Reserved speech therapy
447Reserved speech therapy
448Reserved speech therapy
449Speech therapy,
450Emergency room, general
451Emergency room, EMTALA emergency and medical
452Emergency room, beyond EMTALA screening
453Reserved emergency room
454Reserved emergency room
455Reserved emergency room
456Emergency room, urgent care
457Reserved emergency room
458Reserved emergency room
459Emergency room,
460Pulmonary function, general
461Reserved pulmonary function
462Reserved pulmonary function
463Reserved pulmonary function
464Reserved pulmonary function
465Reserved pulmonary function
466Reserved pulmonary function
467Reserved pulmonary function
468Reserved pulmonary function
469Pulmonary function,
470Audiology, general
471Audiology, diagnostic
472Audiology, treatment
473Reserved audiology
474Reserved audiology
475Reserved audiology
476Reserved audiology
477Reserved audiology
478Reserved audiology
479Audiology,
480Cardiology, general
481Cardiology, cardiac catheterization laboratory
482Cardiology, stress test
483Cardiology, echocardiology
484Reserved cardiology
485Reserved cardiology
486Reserved cardiology
487Reserved cardiology
488Reserved cardiology
489Cardiology,
490Ambulatory surgery
499, ambulatory surgery
500Outpatient services
510Clinic,
511Clinic, chronic pain center
512Clinic, dental
513Clinic, psychiatric
514Clinic, obstetrics/gynecology (OB/GYN)
515Clinic, pediatric
516Clinic, urgent care
517Clinic, family practice
518Reserved clinic
519Clinic,
521Rural clinic
526Urgent care clinic
529Other
530Osteopathic services, general
531Osteopathic services, therapy
532Reserved osteopathic services
533Reserved osteopathic services
534Reserved osteopathic services
535Reserved osteopathic services
536Reserved osteopathic services
537Reserved osteopathic services
538Reserved osteopathic services
539Osteopathic services,
540Ambulance, general
541Ambulance, supplies
542Ambulance, medical transport
543Ambulance, heart mobile
544Ambulance, oxygen
545Ambulance, air
546Ambulance, neonatal services
547Ambulance, pharmacy
548Ambulance, electrocardiogram (EKG) transmission
549Ambulance,
550Skilled nursing
551Skilled nursing, visit
561Home health medical, social services, general
571Aide/home health visit
601Home health, oxygen, general
610Magnetic resonance technology, general
611Magnetic resonance technology, brain/brain stem
612Magnetic resonance technology, spinal cord/spine
613Magnetic resonance technology reserved
614Magnetic resonance technology, magnetic resonance imaging (MRI)
615Magnetic resonance technology, head and neck
616Magnetic resonance technology, lower extremities
617Magnetic resonance technology reserved
618Magnetic resonance technology,
619Magnetic resonance technology,
621Medical surgical supplies incidentals, radiology
622Medical surgical supplies incidental to diagnostic services
624U.S. Food and Drug Administration (FDA) investigational devices
631Drug, single
632Drug, multi
634Pharmacy, extension of 025X erythropoietin (EPO) less than 10,000 units
635Pharmacy extension of 025X erythropoietin (EPO) 10,000 or more units
636Pharmacy 025x extension drugs requiring detailed coding
650Hospice
651Hospice, routine home care
652Hospice, continuous home care
656Hospice, general inpatient care (non-respite)
722Labor room delivery, delivery room
723Labor room delivery, circumcision
724Labor room delivery birthing center
729Labor room delivery,
730Electrocardiogram (EKG), electroencephalogram (EEG)
731Electrocardiogram (EKG), electroencephalogram (EEG), Holter monitor
732Telemetry
739Electrocardiogram (EKG), electroencephalogram (EEG),
740Electroencephalogram (EEG), general
741Reserved electroencephalogram (EEG)
742Reserved electroencephalogram (EEG)
743Reserved electroencephalogram (EEG)
744Reserved electroencephalogram (EEG)
745Reserved electroencephalogram (EEG)
746Reserved electroencephalogram (EEG)
747Reserved electroencephalogram (EEG)
748Reserved electroencephalogram (EEG)
749Reserved electroencephalogram (EEG)
750Gastrointestinal (GI) services general
751Reserved gastrointestinal (GI) services
752Reserved gastrointestinal (GI) services
753Reserved gastrointestinal (GI) services
754Reserved gastrointestinal (GI) services
755Reserved gastrointestinal (GI) services
756Reserved gastrointestinal (GI) services
757Reserved gastrointestinal (GI) services
758Reserved gastrointestinal (GI) services
759Reserved gastrointestinal (GI) services
760Specialty room, general
761Specialty room, treatment room
769Specialty room, rooms
770Preventive care services, general
771Preventive care services, vaccine administration
772Reserved preventive care services
773Reserved preventive care services
774Reserved preventive care services
775Reserved preventive care services
776Reserved preventive care services
777Reserved preventive care services
778Reserved preventive care services
779Reserved preventive care services
780Telemedicine, general
781Reserved telemedicine
782Reserved telemedicine
783Reserved telemedicine
784Reserved telemedicine
785Reserved telemedicine
786Reserved telemedicine
787Reserved telemedicine
788Reserved telemedicine
789Reserved telemedicine
790Extra-corporeal shock wave therapy, general
791Reserved extra-corporeal shock wave therapy
792Reserved extra-corporeal shock wave therapy
793Reserved extra-corporeal shock wave therapy
794Reserved extra-corporeal shock wave therapy
795Reserved extra-corporeal shock wave therapy
796Reserved extra-corporeal shock wave therapy
797Reserved extra-corporeal shock wave therapy
798Reserved extra-corporeal shock wave therapy
799Reserved extra-corporeal shock wave therapy
811Acquisition of body components, living donor
812Acquisition of body components, cadaver donor
813Acquisition of body components, unknown donor
814Acquisition of body components unsuccessful organ search, donor bank charges
819, donor
820Hemodialysis, outpatient or home general
821Hemodialysis, composite or rate
829Hemodialysis,
831Peritoneal dialysis, outpatient or home composite or rate
851Continuous cycling peritoneal dialysis, outpatient or home composite or rate
880Dialysis, miscellaneous
900Behavioral health treatment services, general
901Behavioral health treatment services, electroshock
902Behavioral health treatment services, milieu therapy
903Behavioral health treatment services, play therapy
904Behavioral health treatment services, activity Therapy
905Behavioral health treatment services, intensive outpatient psychiatric
906Behavioral health treatment services, intensive outpatient chemical dependency
907Behavioral health treatment services, community behavioral health program
908Reserved behavioral health treatment services
909Reserved behavioral health treatment services
910Reserved behavioral health treatment services, 090X extension
911Behavioral health treatment services, 090X extension: rehabilitation
912Behavioral health treatment services, 090X extension: partial hospitalization, less intensive
913Behavioral health treatment services, 090X extension: partial hospitalization, intensive
914Behavioral health treatment services, 090X extension: individual therapy
915Behavioral health treatment, services 090X extension: group therapy
916Behavioral health treatment, services 090X extension: family therapy
917Behavioral health treatment, services 090X extension: bio feedback
918Behavioral health treatment, services 090X extension: testing
919Behavioral health treatment, services 090X extension:
920diagnostic services, general
921diagnostic services, peripheral vascular laboratory
922diagnostic services, electromyelgram
923diagnostic services, pap smear
924diagnostic services, allergy test
925diagnostic services, pregnancy test
926Reserved , diagnostic services
927Reserved , diagnostic services
928Reserved , diagnostic services
929diagnostic services,
940therapeutic services, general
941therapeutic services, recreational therapy
942Education, training
943Cardiac rehabilitation
944therapeutic services, drug rehabilitation
945therapeutic services, alcohol rehabilitation
946therapeutic services, complex medical equipment – routine
947therapeutic services, complex medical equipment, ancillary
948Pulmonary rehabilitation
949therapeutic services,
950Reserved therapeutic services, 094X extension:
951therapeutic services, 094X extension: athletic training
952therapeutic services, 094X extension: kinesiapy
953Reserved therapeutic services, extension of 094X
954Reserved therapeutic services, extension of 094X
955Reserved therapeutic services, extension of 094X
956Reserved therapeutic services, extension of 094X
957Reserved , therapeutic services, extension of 094X
958Reserved , therapeutic services, extension of 094X
959Reserved , therapeutic services, extension of 094X
960Professional fee
961Professional fee, psychology
962Professional fee, eye
963Professional fee, anesthesiologist Medical Doctor
964Professional fee, anesthesiologist, certified registered nurse anesthetist (CRNA)
969, professional fee
971Professional fee, laboratory
972Professional fee, radiology, diagnostic
975Professional fee, operating room
981Professional fee, emergency room
982Professional fee, outpatient
983Professional fee, clinic
984Professional fee, social services
985Professional fee, electrocardiogram (EKG)
986Professional fee, electroencephalography (EEG)
987Professional fee, house visit
988Professional fee, consultation

In the ever-evolving healthcare industry landscape, maximizing revenue is a priority for providers and organizations alike. One crucial aspect of revenue optimization lies in effectively understanding and utilizing CMS revenue codes. These codes, developed by the Centers for Medicare & Medicaid Services (CMS), are pivotal in billing and reimbursement. This comprehensive guide will shed light on the significance of CMS revenue codes, how to utilize them to your advantage and address common questions surrounding their implementation. So, let’s embark on this journey to unlock the secrets of maximizing your revenue!

Hospital Billing Revenue Codes:

Before delving into the intricacies of Medicare revenue codes list 2023, let’s establish a solid foundation by understanding their purpose and relevance. CMS revenue codes are alphanumeric codes that categorize specific healthcare services and procedures provided to patients. They play a vital role in accurately identifying and billing various services and ensuring appropriate reimbursement from insurance providers and government payers.

CMS revenue codes list

Why Are CMS Revenue Codes Important?

CMS revenue codes serve as a standardized system to effectively capture and communicate healthcare services and associated charges. They facilitate the billing process, ensuring transparency and accurate payment reimbursement. By assigning the appropriate CMS revenue codes, healthcare providers can streamline revenue cycles, minimize claim denials, and maximize financial success.

FAQs:

Q1. What happens if I use the wrong CMS revenue code?

Ans. Using an incorrect CMS revenue code can lead to claim denials or delays in reimbursement. Selecting the most accurate code that aligns with the service provided is crucial to avoid financial setbacks.

Q2. How often do CMS revenue codes change?

Ans. CMS revenue codes undergo periodic updates to reflect changes in healthcare services and billing practices. It is essential to stay informed about these changes and update your coding practices accordingly.

Q3. Can CMS revenue codes be used for all healthcare services?

Ans. CMS revenue codes are primarily used for services provided under Medicare and Medicaid. However, depending on the payer’s requirements, they can also be utilized in some private insurance claims.

Q4. Are there any penalties for incorrect CMS revenue code usage?

Ans. Incorrect CMS revenue code usage can result in claim denials, delayed reimbursement, or potential legal consequences. It is crucial to ensure proper code selection to avoid these issues.

Q5. Can I use multiple CMS revenue codes for a single service?

Ans. Multiple CMS revenue codes may sometimes be required to represent a complex service or procedure accurately. Ensure proper code sequencing and documentation to support the use of multiple codes.

Q6. How can I update my coding staff on the latest CMS revenue code changes?

Ans. Provide ongoing training, attend coding workshops, and encourage membership in professional organizations specializing in coding to keep your staff well-informed about the latest CMS revenue code updates.

Conclusion:

CMS revenue codes are vital to unlocking your organization’s revenue optimization potential. Understanding their significance, following best practices, and staying abreast of changes can streamline your billing processes and maximize financial success. Remember to select codes accurately, invest in staff education, and perform regular audits to ensure compliance and prevent revenue leakage. Embrace the power of CMS Revenue code list 2024, and watch your organization thrive in the dynamic healthcare landscape.

The list of revenue codes in medical billing plays an important role in hospital claims. Using inappropriate revenue code cause denial of the claim also less payment issued by Insurance companies as well.

Author

    by
  • NSingh (MBA, RCM Expert)

    The author and contributor of this blog "NSingh" is working in Medical Billing and Coding since 2010. He is MBA in marketing and Having vaste experience in different scopes of Medical Billing and Coding as AR-Follow-up, Payment Posting, Charge posting, Coding, etc.