UB04/CMS1450 Revenue Codes - Group 07
- 0700 General Classification UB04 Revenue Code
- 0709 Cast Room: Reserved UB04 Revenue Code
- 070X Cast Room UB04 Revenue Code
- 0710 General Classification UB04 Revenue Code
- 0719 Recovery Room: Reserved UB04 Revenue Code
- 071X Recovery Room UB04 Revenue Code
- 0720 General Classification UB04 Revenue Code
- 0721 Labor UB04 Revenue Code
- 0722 Delivery UB04 Revenue Code
- 0723 Circumcision UB04 Revenue Code
- 0724 Birthing Center UB04 Revenue Code
- 0729 Other Labor Room/Delivery UB04 Revenue Code
- 072X Labor Room/Delivery UB04 Revenue Code
- 0730 General Classification UB04 Revenue Code
- 0731 Holter Monitor UB04 Revenue Code
- 0732 Telemetry UB04 Revenue Code
- 0739 Other EKG/ECG UB04 Revenue Code
- 073X Electrocardiogram (EKG/ECG) UB04 Revenue Code
- 0740 Charges for operation of specialized equipment to measure impulse frequencies and differences in electrical potential in various areas of the bra
- 0749 Electroencephalogram (EEG): Reserved UB04 Revenue Code
- 074X Electroencephalogram (EEG) UB04 Revenue Code
- 0750 General Classification UB04 Revenue Code
- 0759 Gastro-Intestinal Services: Reserved UB04 Revenue Code
- 075X Gastro-Intestinal Services UB04 Revenue Code
- 0760 General Classification UB04 Revenue Code
- 0761 Treatment Room UB04 Revenue Code
- 0762 Observation Hours UB04 Revenue Code
- 0769 Other Specialty Services UB04 Revenue Code
- 076X Specialty Services UB04 Revenue Code
- 0770 General Classification UB04 Revenue Code
- 0771 Vaccine Administration UB04 Revenue Code
- 0779 Preventative Care Services: Reserved UB04 Revenue Code
- 077X Preventative Care Services UB04 Revenue Code
- 0780 General Classification UB04 Revenue Code
- 0789 Telemedicine - Future use to be announced - Medicare Demonstration Project: Reserved UB04 Revenue Code
- 078X Telemedicine - Future use to be announced - Medicare Demonstration Project UB04 Revenue Code
- 0790 Charges related to Extra-Corporeal Shock Wave Therapy (ESWT). UB04 Revenue Code
- 0799 Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy): Reserved UB04 Revenue Code
- 079X Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) UB04 Revenue Code
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What are UB04 Revenue Codes?
Form CMS-1450 (UB-04)This form, also known as the UB-04, is a uniform institutional provider bill suitable for use in billing multiple third party payers. Because it serves many payers, a particular payer may not need some data elements. The National Uniform Billing Committee (NUBC) maintains lists of approved coding for the form. All items on Form CMS-1450 are described. The FI must be able to capture all NUBC-approved input data described in section 75 (of the Medicare Claims Processing Manual Chapter 25) for audit trail purposes and be able to pass all data to other payers with whom it has a coordination of benefits agreement.
CMS1450/UB04 Field: 42 - Revenue Code (Required)
The provider enters the appropriate revenue codes to identify specific accommodation and/or ancillary charges. It must enter the appropriate numeric revenue code on the adjacent line in FL 42 to explain each charge in FL 47. Additionally, there is no fixed "Total" line in the charge area. The provider must enter revenue code 0001 instead in FL 42. Thus, the adjacent charges entry in FL 47 is the sum of charges billed. This is the same line on which non-covered charges, in FL 48, if any, are summed. To assist in bill review, the provider must list revenue codes in ascending numeric sequence and not repeat on the same bill to the extent possible. To limit the number of line items on each bill, it should sum revenue codes at the "zero" level to the extent possible.
Source: Adapted from the Medicare Claims Processing Manual Chapter 25 - Completing and Processing the Form CMS-1450 Data Set
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