Service Visit Codes

Revenue Code : 027X

Description:Medical/Surgical Supplies

Revenue Code : 0274 (Optional Billing of DME)

Description:Prosthetic/Orthotic Devices

Revenue Code : 029X (Optional Billing of DME)

Description:Durable Medical Equipment (Other than Renal)

Revenue Code : 042X

Description:Physical Therapy

Revenue Code : 043X

Description:Occupational Therapy

Revenue Code : 044X

Description:Speech-Language Pathology

Revenue Code : 055X

Description:Skilled Nursing

Revenue Code : 056X

Description:Medical Social Services

Revenue Code : 057X

Description:Home Health Aide

Revenue Code : 060X (Optional Billing of DME)

Description:Oxygen

Revenue Code : 0623

Description: Medical/Surgical Supplies - Extension of 027X Required detail: Only service units and a charge must be reported with this revenue code. If also reporting revenue code 027X to identify nonroutine supplies other than those used for wound care, the HHA must ensure that the charge amounts for the two revenue code lines are mutually exclusive.

HCPCS Codes

Discipline/Revenue Code : Physical Therapy (042X)

Applicable HCPCS Code:G0151, G0157, G0159

Discipline/Revenue Code : Occupational Therapy (043X)

Applicable HCPCS Code: G0152, G0158, G0160

Discipline/Revenue Code : Speech-Language Pathology (044X)

Applicable HCPCS Code:G0153, G0161

Discipline/Revenue Code : Skilled Nursing (055X)

Applicable HCPCS Code:G0154, G0162, G0163, G0164

Discipline/Revenue Code : Medical Social Services (056X)

Applicable HCPCS Code:G0155

Discipline/Revenue Code : Home Health Aide (057X)

Applicable HCPCS Code:G0156

Note: In the course of a single visit, a nurse or qualified therapist may provide more than one of the nursing or therapy services reflected in the codes above. HHAs must not report more than one G-code for each visit regardless of the variety of services provided during the visit. In cases where more than one nursing or therapy service is provided in a visit, the HHA must report the Gcode which reflects the service for which the clinician spent most of his/her time.