Revenue Code List Requiring CPT and HCPS Codes for ...
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.
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