UB04/CMS1450 Revenue Codes - Group 09
- 0900 General Classification UB04 Revenue Code
- 0901 Electroshock Treatment UB04 Revenue Code
- 0902 Milieu Therapy UB04 Revenue Code
- 0903 Play Therapy UB04 Revenue Code
- 0904 Activity Therapy UB04 Revenue Code
- 0905 Intensive Outpatient Services-Psychiatric UB04 Revenue Code
- 0906 BH/INTENS OP/PSYCH UB04 Revenue Code
- 0907 BH/INTENS OP/CHEM DEP UB04 Revenue Code
- 0908 Behavior Health Treatments/Services (Also see 091X, an extension of 090X): Reserved for National Use UB04 Revenue Code
- 0909 Behavior Health Treatments/Services (Also see 091X, an extension of 090X): Reserved for National Use UB04 Revenue Code
- 090X Behavior Health Treatments/Services (Also see 091X, an extension of 090X) UB04 Revenue Code
- 0910 Behavioral Health Treatment/Services-Extension of 090X: Reserved for National Assignment UB04 Revenue Code
- 0911 Rehabilitation UB04 Revenue Code
- 0912 Partial Hospitalization* - Less Intensive UB04 Revenue Code
- 0913 Partial Hospitalization* - Intensive UB04 Revenue Code
- 0914 Individual Therapy UB04 Revenue Code
- 0915 Group Therapy UB04 Revenue Code
- 0916 Family Therapy UB04 Revenue Code
- 0917 Bio Feedback UB04 Revenue Code
- 0918 Testing UB04 Revenue Code
- 0919 Other Behavior Health Treatments/Services UB04 Revenue Code
- 091X Behavioral Health Treatment/Services-Extension of 090X UB04 Revenue Code
- 0920 General Classification UB04 Revenue Code
- 0921 Peripheral Vascular Lab UB04 Revenue Code
- 0922 Electromyelogram UB04 Revenue Code
- 0923 Pap Smear UB04 Revenue Code
- 0924 Allergy test UB04 Revenue Code
- 0925 Pregnancy test UB04 Revenue Code
- 0929 Other Diagnostic Service UB04 Revenue Code
- 092X Other Diagnostic Services UB04 Revenue Code
- 0931 Half Day UB04 Revenue Code
- 0932 Full Day UB04 Revenue Code
- 093X Medical Rehabilitation Day Program UB04 Revenue Code
- 0940 General Classification UB04 Revenue Code
- 0941 Recreational Therapy UB04 Revenue Code
- 0942 Education/Training (includes diabetes related dietary therapy) UB04 Revenue Code
- 0943 Cardiac Rehabilitation UB04 Revenue Code
- 0944 Drug Rehabilitation UB04 Revenue Code
- 0945 Alcohol Rehabilitation UB04 Revenue Code
- 0946 Complex Medical Equipment Routine UB04 Revenue Code
- 0947 Complex Medical Equipment Ancillary UB04 Revenue Code
- 0948 Pulmonary Rehabilitation (effective 10/1/07 ? not used by Medicare) UB04 Revenue Code
- 0949 Other Therapeutic Services UB04 Revenue Code
- 094X Other Therapeutic Services (also See 095X, an extension of 094X) UB04 Revenue Code
- 0950 Other Therapeutic Services-Extension of 094X: Reserved UB04 Revenue Code
- 0951 Athletic Training UB04 Revenue Code
- 0952 Kinesiotherapy UB04 Revenue Code
- ABC Medical Services, Remedies, and Supply Codes - Group
- 095X Other Therapeutic Services-Extension of 094X UB04 Revenue Code
- 0960 General Classification UB04 Revenue Code
- 0961 Psychiatric UB04 Revenue Code
- 0962 Ophthalmology UB04 Revenue Code
- 0963 Anesthesiologist (MD) UB04 Revenue Code
- 0964 Anesthetist (CRNA) UB04 Revenue Code
- 0969 Other Professional Fees UB04 Revenue Code
- 096X Professional Fees UB04 Revenue Code
- 0971 Laboratory UB04 Revenue Code
- 0972 Radiology - Diagnostic UB04 Revenue Code
- 0973 Radiology - Therapeutic UB04 Revenue Code
- 0974 Radiology - Nuclear Medicine UB04 Revenue Code
- 0975 Operating Room UB04 Revenue Code
- 0976 Respiratory Therapy UB04 Revenue Code
- 0977 Physical Therapy UB04 Revenue Code
- 0978 Occupational Therapy UB04 Revenue Code
- 0979 Speech Pathology UB04 Revenue Code
- 097X Professional Fees - Extension of 096X UB04 Revenue Code
- 0981 Emergency Room UB04 Revenue Code
- 0982 Outpatient Services UB04 Revenue Code
- 0983 Clinic UB04 Revenue Code
- 0984 Medical Social Services UB04 Revenue Code
- 0985 EKG UB04 Revenue Code
- 0986 EEG UB04 Revenue Code
- 0987 Hospital Visit UB04 Revenue Code
- 0988 Consultation UB04 Revenue Code
- 0989 Private Duty Nurse UB04 Revenue Code
- 098X Professional Fees - Extension of 096X & 097X UB04 Revenue Code
- 0990 General Classification UB04 Revenue Code
- 0991 Cafeteria/Guest Tray UB04 Revenue Code
- 0992 Private Linen Service UB04 Revenue Code
- 0993 Telephone/Telegraph UB04 Revenue Code
- 0994 TV/Radio UB04 Revenue Code
- 0995 Non-patient Room Rentals UB04 Revenue Code
- 0996 Late Discharge Charge UB04 Revenue Code
- 0997 Admission Kits UB04 Revenue Code
- 0998 Beauty Shop/Barber UB04 Revenue Code
- 0999 Other Patient Convenience Items UB04 Revenue Code
- 099X Patient Convenience Items UB04 Revenue Code
Back to UB04/CMS1450 Revenue Codes Groups List
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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