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Record Layout / Sample Data

File Description / Details:

Description: Revenue codes are three digit numerical codes that describe and group a hospital’s itemized charges.
File Name: Revenue Codes 

Record Layout:
Field Type Size  Description
Code Num 3 Three digit code for hospital charges
Version Num 3 Version
Description Text 60 Code description
Update Date 8 Date of last update

Sample Data  
Code Version Description   updated
0022    1 SNF claim paid under PPS submitted as TOB 21X, effective for cost reporting periods beginning on or after 7/1/98 (dates of service after 6/30/98).   7/24/2002
0023    1 Home Health services paid under PPS submitted as TOB 32X and 33X, effective 10/00.  This code may appear multiple times on a claim to identify different HIPPS/Home Health Resource Groups (HRG). 7/24/2002
0024    1 Inpatient rehabilitation facility prospective payment system
0100    1 All inclusive rate-room and board plus ancillary 7/24/2002
0101    1 All inclusive rate-room and board 7/24/2002
0110    1 Private medical or general-general classification 7/24/2002
0111    1 Private medical or general-medical/surgical/GYN 7/24/2002

 

06/27/07