Original Effective Date:
08/01/1994
Current Effective Date:
01/01/2015
The following revenue codes require procedure codes for outpatient services, long-term care ancillary and wait listed ancillary services. Enter the code in Form Locator 44-HCPCS/Rate.
| Revenue Code | Description |
|---|---|
| 26X | Miscellaneous Services |
| 27X | Medical/Surgical Supplies and Devices |
| 28X | Treatment Room |
| 29X | Durable Medical Equipment (Other than rental) |
| 30X | Laboratory |
| 31X | Laboratory – Pathology |
| 32X | Radiology – Diagnostic |
| 33X | Radiology – Therapeutic |
| 34X | Nuclear Medicine |
| 35X | CT Scan |
| 36X | Operating Room Services |
| 40X | Other Imaging Services |
| 42X | Physical Therapy |
| 43X | Occupational Therapy |
| 44X | Speech-Language Pathology |
| 46X | Pulmonary Function |
| 47X | Audiology |
| 48X | Cardiology |
| 49X | Ambulatory Surgical Care |
| 61X | Radiology – Diagnostic |
| 62X | Dressings and Supplies |
| 73X | EKG/ECG |
| 74X | EEG |
| 76X | Treatment Room |
| 92X | Other Diagnostic Services |
Facility outpatient intravenous therapy claims also should provide HCPCS codes for the following revenue codes:
| Revenue Code | Description |
|---|---|
| 636 | Drugs requiring specific identification; detailed coding |
| 94X | Other therapeutic service; general |
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |