REVENUE CODE LIST-CPT-HCPCS - Cigna
REVENUE CODE LIST-CPT-HCPCS
For Providers
Effective March 15, 2020
Revenue Code 240 260 261 262
263
264 269
274
280 290 291 292 294 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318
Description All inclusive ancillary, general Intravenous (IV) therapy Intravenous (IV) therapy, infusion pump Intravenous (IV) therapy, pharmacy services Intravenous (IV) therapeutic drug, supply and delivery Intravenous (IV) therapy, supplies Intravenous (IV) therapy, other Medical/surgical supplies and devices, prosthetic/orthotic devices Oncology Durable medical equipment, general Durable medical equipment, rental Durable medical equipment, purchase of new Durable medical equipment, supplies and drugs Durable medical equipment, other Laboratory, general classification Laboratory, chemistry Laboratory, immunology Laboratory, renal patient (home) Laboratory, dialysis Laboratory, hematology Laboratory, bacteriology and microbiology Laboratory, urology Reserved laboratory Laboratory, other Laboratory, pathology general classification Laboratory pathology cytology Laboratory pathology histology Reserved laboratory pathology Laboratory, pathology biopsy Reserved laboratory, pathology Reserved laboratory, pathology Reserved laboratory, pathology Reserved laboratory, pathology
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
319
Laboratory, pathology other
320
Radiology, diagnostic general classification
321
Radiology, diagnostic angiocardiology
322
Radiology, diagnostic arthrography
323
Radiology, diagnostic arteriography
324
Radiology, diagnostic chest X-ray
325
Reserved radiology, diagnostic
326
Reserved radiology, diagnostic
327
Reserved radiology, diagnostic
328
Reserved radiology, diagnostic
329
Radiology, diagnostic other
330
Radiology, therapeutic chemotherapy general
classification
Radiology, therapeutic chemotherapy, chemotherapy
331
administration ? injected
Radiology, therapeutic chemotherapy, chemotherapy
332
administration ? oral
333
Radiology, therapeutic chemotherapy, radiation therapy
334
Reserved radiology, therapeutic chemotherapy
Radiology, therapeutic chemotherapy, administration
335
? intravenous (IV)
336
Reserved radiology, therapeutic chemotherapy
337
Reserved radiology, therapeutic chemotherapy
338
Reserved radiology, therapeutic chemotherapy
339
Radiology, therapeutic chemotherapy other
340
Nuclear medicine, general classification
341
Nuclear medicine, diagnostic
342
Nuclear medicine, therapeutic
343
Nuclear medicine, diagnostic radiopharmaceuticals
344
Nuclear medicine, therapeutic radiopharmaceuticals
349
Nuclear medicine, other
350
Computerized axial tomography (CAT) scan, general
351
Computerized axial tomography (CAT) scan, head scan
352
Computerized axial tomography (CAT) scan, body scan
353
Reserved computerized axial tomography (CAT) scan
354
Reserved computerized axial tomography (CAT)
scan
355
Reserved computerized axial tomography (CAT)
scan
356
Reserved computerized axial tomography (CAT)
scan
357
Reserved computerized axial tomography (CAT)
scan
358
Reserved computerized axial tomography (CAT)
scan
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
359
Computerized axial tomography (CAT) scan, other
360
Operating room services, general
361
Operating room services, minor surgery
362
Operating services, organ transplant other than
kidney
363
Reserved operating room services
364
Reserved operating room services
365
Reserved operating room services
366
Reserved operating room services
367
Operating room services, kidney transplant
368
Reserved operating room services
369
Operating room services
380
Blood and blood products, general
381
Blood and blood products, packed red cells
382
Blood and blood products, whole blood products
383
Blood and blood products, plasma
384
Blood and blood products, platelets
385
Blood and blood products, leukocytes
386
Blood and blood products, other components
387
Blood and blood products, other derivatives
(cryoprecipitate)
388
Blood and blood products, reserved components
389
Blood and blood products, other
390
Blood administration process, storage general
391
Blood administration process, storage
administration
399
Blood, other storage
400
Imaging services, general
401
Imaging services, diagnostic mammography
402
Imaging services, ultrasound
403
Imaging services, screening mammography
404
Imaging services, positron emission tomography
405
Reserved imaging services
406
Reserved imaging services
407
Reserved imaging services
408
Reserved imaging services
409
Imaging services, other
410
Respiratory services, general
411
Reserved respiratory services
412
Respiratory services, inhalation
413
Respiratory services, hyperbaric oxygen therapy
414
Reserved respiratory services
415
Reserved respiratory services
416
Reserved respiratory services
417
Reserved respiratory services
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
418
Reserved respiratory services
419
Respiratory services, other
420
Physical therapy, general
421
Physical therapy, visit
422
Physical therapy, hourly
423
Physical therapy, group
424
Physical therapy, evaluation or reevaluation
425
Reserved physical therapy
426
Reserved physical therapy
427
Reserved physical therapy
428
Reserved physical therapy
429
Physical therapy, other
430
Occupational therapy, general
431
Occupational therapy, visit
432
Occupational therapy, hourly
433
Occupational therapy, group
434
Occupational therapy, evaluation or reevaluation
435
Reserved occupational therapy
436
Reserved occupational therapy
437
Reserved occupational therapy
438
Reserved occupational therapy
439
Occupational therapy, other
440
Speech therapy, general
441
Speech therapy, visit
442
Speech therapy, hourly
443
Speech therapy, group
444
Speech therapy, evaluation or reevaluation
445
Reserved speech therapy
446
Reserved speech therapy
447
Reserved speech therapy
448
Reserved speech therapy
449
Speech therapy, other
450
Emergency room, general
451
Emergency room, EMTALA emergency medical
screening
452
Emergency room, beyond EMTALA screening
453
Reserved emergency room
454
Reserved emergency room
455
Reserved emergency room
456
Emergency room, urgent care
457
Reserved emergency room
458
Reserved emergency room
459
Emergency room, other
460
Pulmonary function, general
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
461
Reserved pulmonary function
462
Reserved pulmonary function
463
Reserved pulmonary function
464
Reserved pulmonary function
465
Reserved pulmonary function
466
Reserved pulmonary function
467
Reserved pulmonary function
468
Reserved pulmonary function
469
Pulmonary function, other
470
Audiology, general
471
Audiology, diagnostic
472
Audiology, treatment
473
Reserved audiology
474
Reserved audiology
475
Reserved audiology
476
Reserved audiology
477
Reserved audiology
478
Reserved audiology
479
Audiology, other
480
Cardiology, general
481
Cardiology, cardiac catheterization laboratory
482
Cardiology, stress test
483
Cardiology, echocardiology
484
Reserved cardiology
485
Reserved cardiology
486
Reserved cardiology
487
Reserved cardiology
488
Reserved cardiology
489
Cardiology, other
490
Ambulatory surgery
499
Other, ambulatory surgery
500
Outpatient services
510
Clinic, other
511
Clinic, chronic pain center
512
Clinic, dental
513
Clinic, psychiatric
514
Clinic, obstetrics/gynecology (OB/GYN)
515
Clinic, pediatric
516
Clinic, urgent care
517
Clinic, family practice
518
Reserved clinic
519
Clinic, other
521
Rural clinic
526
Urgent care clinic
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
529
Other
530
Osteopathic services, general
531
Osteopathic services, therapy
532
Reserved osteopathic services
533
Reserved osteopathic services
534
Reserved osteopathic services
535
Reserved osteopathic services
536
Reserved osteopathic services
537
Reserved osteopathic services
538
Reserved osteopathic services
539
Osteopathic services, other
540
Ambulance, general
541
Ambulance, supplies
542
Ambulance, medical transport
543
Ambulance, heart mobile
544
Ambulance, oxygen
545
Ambulance, air
546
Ambulance, neonatal services
547
Ambulance, pharmacy
548
Ambulance, electrocardiogram (EKG) transmission
549
Ambulance, other
550
Skilled nursing
551
Skilled nursing, visit
561
Home health medical, social services, general
571
Aide/home health visit
601
Home health, oxygen, general
610
Magnetic resonance technology, general
611
Magnetic resonance technology, brain/brain stem
612
Magnetic resonance technology, spinal cord/spine
613
Magnetic resonance technology reserved
614
Magnetic resonance technology, other magnetic
resonance imaging (MRI)
615
Magnetic resonance technology, head and neck
616
Magnetic resonance technology, lower extremities
617
Magnetic resonance technology reserved
618
Magnetic resonance technology, other
619
Magnetic resonance technology, other
621
Medical surgical supplies incidentals, radiology
622
Medical surgical supplies incidental to other
diagnostic services
624
U.S. Food and Drug Administration (FDA)
investigational devices
631
Drug, single
632
Drug, multi
634
Pharmacy, extension of 025X erythropoietin (EPO)
less than 10,000 units
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
635
Pharmacy extension of 025X erythropoietin (EPO)
10,000 or more units
636
Pharmacy 025x extension drugs requiring detailed
coding
650
Hospice
651
Hospice, routine home care
652
Hospice, continuous home care
656
Hospice, general inpatient care (non-respite)
722
Labor room delivery, delivery room
723
Labor room delivery, circumcision
724
Labor room delivery birthing center
729
Labor room delivery, other
730
Electrocardiogram (EKG), electroencephalogram
(EEG)
731
Electrocardiogram (EKG), electroencephalogram
(EEG), Holter monitor
732
Telemetry
739
Electrocardiogram (EKG), electroencephalogram
(EEG), other
740
Electroencephalogram (EEG), general
741
Reserved electroencephalogram (EEG)
742
Reserved electroencephalogram (EEG)
743
Reserved electroencephalogram (EEG)
744
Reserved electroencephalogram (EEG)
745
Reserved electroencephalogram (EEG)
746
Reserved electroencephalogram (EEG)
747
Reserved electroencephalogram (EEG)
748
Reserved electroencephalogram (EEG)
749
Reserved electroencephalogram (EEG)
750
Gastrointestinal (GI) services general
751
Reserved gastrointestinal (GI) services
752
Reserved gastrointestinal (GI) services
753
Reserved gastrointestinal (GI) services
754
Reserved gastrointestinal (GI) services
755
Reserved gastrointestinal (GI) services
756
Reserved gastrointestinal (GI) services
757
Reserved gastrointestinal (GI) services
758
Reserved gastrointestinal (GI) services
759
Reserved gastrointestinal (GI) services
760
Specialty room, general
761
Specialty room, treatment room
769
Specialty room, other rooms
770
Preventive care services, general
771
Preventive care services, vaccine administration
772
Reserved preventive care services
773
Reserved preventive care services
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
774
Reserved preventive care services
775
Reserved preventive care services
776
Reserved preventive care services
777
Reserved preventive care services
778
Reserved preventive care services
779
Reserved preventive care services
780
Telemedicine, general
781
Reserved telemedicine
782
Reserved telemedicine
783
Reserved telemedicine
784
Reserved telemedicine
785
Reserved telemedicine
786
Reserved telemedicine
787
Reserved telemedicine
788
Reserved telemedicine
789
Reserved telemedicine
790
Extra-corporeal shock wave therapy, general
791
Reserved extra-corporeal shock wave therapy
792
Reserved extra-corporeal shock wave therapy
793
Reserved extra-corporeal shock wave therapy
794
Reserved extra-corporeal shock wave therapy
795
Reserved extra-corporeal shock wave therapy
796
Reserved extra-corporeal shock wave therapy
797
Reserved extra-corporeal shock wave therapy
798
Reserved extra-corporeal shock wave therapy
799
Reserved extra-corporeal shock wave therapy
811
Acquisition of body components, living donor
812
Acquisition of body components, cadaver donor
813
Acquisition of body components, unknown donor
814
Acquisition of body components unsuccessful organ
search, donor bank charges
819
Other, donor
820
Hemodialysis, outpatient or home general
821
Hemodialysis, composite or other rate
829
Hemodialysis, other
831
Peritoneal dialysis, outpatient or home composite or
other rate
851
Continuous cycling peritoneal dialysis, outpatient or
home composite or other rate
880
Dialysis, miscellaneous
900
Behavioral health treatment services, general
901
Behavioral health treatment services, electroshock
902
Behavioral health treatment services, milieu therapy
903
Behavioral health treatment services, play therapy
904
Behavioral health treatment services, activity
Therapy
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
PCOMM-2020-036. ? 2020 Cigna. Some content provided under license.
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