Revenue Code Matrix

Hospice Care: Summary of Revenue Codes and Covered Services

Revenue CodeServiceHMSA PaymentCovered by Medicare?
650
(HCPCS code S0255) 
Referral visitPer referralNo
651Routine home carePer diemYes
652Continuous home carePer hourYes
655Inpatient respite carePer diemYes
656General inpatient carePer diemYes
659
(CPT code 99199-32) 
Other hospice servicePer diemNo

Revision History

Date Nature of Revision
08/03/2026

Migrated to new platform