Revenue Codes | Executive Office of Health and Human Services (2024)

Revenue Code Description
251 Pharmacy, generic drugs
252 Pharmacy, non-generic drugs
253 Pharmacy, take home drugs
254 Pharmacy, less than effective
255 Drugs incident of radiology
256 Pharmacy, experimental drugs
257 Pharmacy, non-prescription
258 Pharmacy, iv solutions
259 Pharmacy, other pharmacy
270 Pharmacy, non-prescription
272 Medical/surgical sterile supplies
276 Medical-surgical supplies
360 OR services, general
361 OR services, minor surgery
362 OR services, organ transplant (other)
367 OR services, kidney transplant
369 OR services, other
370 Anesthesia, general
371 Anesthesia incident to radiology
374 Anesthesia, acupuncture
379 Anesthesia, other
380 Blood, general
381 Blood, packed red cells
382 Blood, whole blood
383 Blood, plasma
384 Blood, platelets
385 Blood, leukocytes
386 Blood, other components
387 Blood, other derivatives
389 Blood, other blood
390 Blood, storage and processing
391 Blood, storage and processing
399 Blood, storage and processing
450 ER, general
459 ER, other
490 Ambulatory surgical care, general
499 Ambulatory surgical care, other
510 Clinic, general
511 Clinic, chronic pain center
512 Clinic, dental clinic
519 Clinic, other
520 Free-standing clinic, general
521 Free-standing clinic, rural health
522 Free-standing clinic, rural health
523 Free-standing clinic, family practice
529 Free-standing clinic, other
700 Cast room, general
709 Cast room, other
710 Recovery room, general
719 Recovery room, other
750 Gastrointestinal services, general
759 Gastrointestinal services, other
760 Holding/observation room service
761 Treatment room
762 Observation room
920 Other diagnostic services, general
929 Other diagnostic services
940 Other therapeutic services, general
949 Lithotripsy - other therapeutic services

When it comes to healthcare revenue codes, they serve as a critical system for billing and coding various medical services and procedures. Let's break down the revenue codes provided and discuss their concepts:

Pharmacy Codes:

  • 251 - Pharmacy, generic drugs: This code pertains to the dispensing or provision of generic drugs through a pharmacy.
  • 252 - Pharmacy, non-generic drugs: Refers to the dispensing of non-generic drugs through a pharmacy.
  • 253 - Pharmacy, take-home drugs: Involves drugs provided by a pharmacy specifically for take-home use by patients.
  • 254 - Pharmacy, less than effective: Likely used for drugs deemed less effective or not meeting a certain standard.
  • 255 - Drugs incident of radiology: Concerns drugs utilized in conjunction with radiology procedures.
  • 256 - Pharmacy, experimental drugs: This code might cover the provision of experimental drugs via a pharmacy setting.
  • 257 - Pharmacy, non-prescription: Involves over-the-counter drugs available at a pharmacy.
  • 258 - Pharmacy, IV solutions: Refers to intravenous solutions dispensed by a pharmacy.
  • 259 - Pharmacy, other pharmacy: An unspecified category covering other pharmacy-related services or items.

Medical/Surgical Codes:

  • 272 - Medical/surgical sterile supplies: Involves sterile supplies used in medical or surgical procedures.
  • 276 - Medical-surgical supplies: Covers general medical and surgical supplies used in procedures.

Operating Room (OR) Services:

  • 360 - OR services, general: General operating room services.
  • 361 - OR services, minor surgery: Specifically for minor surgical procedures.
  • 362 - OR services, organ transplant (other): Likely covers organ transplants conducted in the OR.
  • 367 - OR services, kidney transplant: Specific to kidney transplant procedures.
  • 369 - OR services, other: For other types of OR services not specified elsewhere.

Anesthesia Codes:

  • 370 - Anesthesia, general: General anesthesia services.
  • 371 - Anesthesia incident to radiology: Anesthesia related to radiological procedures.
  • 374 - Anesthesia, acupuncture: Anesthesia services related to acupuncture.
  • 379 - Anesthesia, other: Covers anesthesia services not falling into other specified categories.

Blood and Blood Products:

  • 380-389 - Various codes for different blood and blood product components: Covering general blood, packed red cells, whole blood, plasma, platelets, leukocytes, other blood components, derivatives, and storage/processing of blood.

Emergency Room (ER) Services:

  • 450 - ER, general: General emergency room services.
  • 459 - ER, other: For other types of ER services not specified elsewhere.

Ambulatory and Clinic Codes:

  • 490-499, 510-529 - Codes for ambulatory, clinic, and free-standing clinic services: These cover general services in clinics, chronic pain centers, dental clinics, family practice clinics, rural health clinics, and other unspecified clinic services.

Other Services:

  • 700-719, 750-762, 920-929, 940-949 - Codes for various diagnostic, therapeutic, and procedural services: Covering cast rooms, recovery rooms, gastrointestinal services, observation and treatment rooms, and various other diagnostic and therapeutic services like lithotripsy.

These revenue codes are essential for accurately categorizing and billing for a wide range of medical services and procedures within healthcare systems.

Revenue Codes | Executive Office of Health and Human Services (2024)
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