The following chart identifies revenue codes that require a specific CPT/HCPCS code in field 44 of the UB-04.
Revenue Code Description CPT/HCPCS Code
0300 - 0309 Laboratory – Clinical Diagnostic Code for lab procedure performed
0310 - 0319 Laboratory - Pathology Code for pathology procedure performed
0320 - 0329 Radiology - Diagnostic Code for radiology procedure performed
0333 Radiology - Therapeutic Code for therapeutic radiology procedure performed
0340 - 0349 Nuclear Medicine Code for nuclear medicine procedure performed
0350 - 0359 CT Scan Code for CT scan performed
0360 - 0369 Operating Room Services Code for surgery procedure performed
0400 - 0409 Other Imaging Services Code for imaging services, such as, mammography, ultrasound, PET, etc.
0450 - 0459 Emergency Room Code for visit or surgery procedure performed
0460 - 0469 Pulmonary Function Code for pulmonary function procedure performed
0471 Audiology Code for audiology service performed