What is revenue code 1000?

Editorial team Published on

Revenue code 1000 is a standard UB-04 medical billing code used to designate Behavioral Health Accommodations – General Classification.

Overview of Revenue Code 1000

  • Category: Behavioral Health Accommodations (100X series).
  • Purpose: Identifies general room, board, and accommodation charges related to behavioral health or psychiatric care facilities.
  • Form: Reported on the UB-04 (CMS-1450) claim form submitted by institutional providers.

Related Behavioral Health Codes (100X Series)

  • 1000: General Classification
  • 1001: Residential Treatment – Psychiatric
  • 1002: Residential Treatment – Chemical Dependency
  • 1003: Supervised Living
  • 1004: Halfway House
  • 1005: Group Home
  • 1006: Outdoor/Wilderness Behavioral Health

You can review additional details and descriptions through the Noridian Medicare Revenue Codes Reference or look up specific billing rules on Find-A-Code.

What are the revenue codes?

Revenue codes are four-digit numeric identifiers used on institutional medical billing claims to specify the hospital department, accommodation type, or cost center where a patient received care.

Maintained by the National Uniform Billing Committee (NUBC), these codes appear on the UB-04 (CMS-1450) paper form or its electronic equivalent (837I). They do not describe what medical procedure was performed—that is the job of CPT or HCPCS codes—but rather where inside the facility it took place.

How Revenue Codes Work

  • Structure: They are technically three digits with a leading zero added to make them four digits (e.g., 0250 for pharmacy). The first digit generally represents a broad service category, while the remaining digits provide finer details.
  • Facility vs. Professional: They are used strictly by institutional providers like hospitals, nursing facilities, and hospices, not by independent private physician practices.
  • Claim Matching: Insurance payers cross-reference revenue codes with CPT/HCPCS and diagnosis codes to verify that the billed charges match the clinical documentation.

Common Examples of Revenue Codes

  • 0250 – Pharmacy (General)
  • 0300 – Laboratory (General)
  • 0360 – Operating Room Services
  • 0450 – Emergency Room (General)
  • 0121 – Inpatient Room and Board (Private Room)

What is revenue code 001?

Revenue code 0001 (often written as 001 or 0001) represents the Total Charge summary line on a standard institutional medical claim form (such as the UB-04 / CMS-1450).

Key Details

  • Purpose: It provides the final sum of all billed charges and non-covered charges included on the medical claim.
  • Placement: It must always be entered as the very last line item in the revenue code section (Form Locator 42) of a paper claim.
  • Validation: The amount listed next to code 0001 must exactly equal the combined total of all other individual revenue code charges listed on the bill. If any data or charges are placed after the 0001 line, the claim can be rejected or invalidated.
  • Electronic vs. Paper Usage: According to National Uniform Billing Committee (NUBC) guidelines, revenue code 0001 is traditionally designated for paper claims; many electronic clearinghouses and payers reject electronic claims that explicitly include code 0001 instead of relying on the electronic file's computed total.

What is code 1000 in a hospital?

Code 1000 is a facility-specific emergency code used at select medical centers, such as Fletcher Allen Medical Center (now University of Vermont Medical Center) in Burlington, Vermont, typically indicating a specific internal alert or specialized emergency response tailored to that facility's operational guidelines.

Because hospital emergency codes are not universally standardized across the United States, numerical codes like Code 1000 are usually defined by individual hospital policy rather than national standards (which generally rely on standardized colors like Code Blue for medical emergencies or Code Red for fire).

What is revenue code 1003?

Revenue Code 1003 is a standard UB-04 billing code used to designate supervised living accommodations under the behavioral health category (range 100X).

Overview of Revenue Code 1003

  • Service Category: Behavioral Health Accommodations (100X)
  • Specific Description: Supervised Living (often tied to sober living, transitional living, or structured mental health residential per diem charges).
  • Governing Body: Maintained and regulated by the National Uniform Billing Committee (NUBC).

Related Behavioral Health Codes (100X Series)

  • 1000: General Behavioral Health Accommodations
  • 1001: Residential Treatment – Psychiatric
  • 1002: Residential Treatment – Chemical Dependency
  • 1003: Supervised Living
  • 1004: Halfway House
  • 1005: Group Home
  • 1006: Outdoor/Wilderness Behavioral Health

You can review complete lists of approved classifications through the UB04 Revenue Codes Guide or check specific regional billing guidelines via Noridian Medicare Revenue Codes.

A 1,000% Tax Wasn't Enough. HR 8741 Goes Further

9 related questions found

What do revenue codes mean?

A revenue code is a four-digit numerical code used on institutional medical claims to identify the specific department, accommodation, or service category where a patient received care.

You can read more about official billing standards through the Centers for Medicare & Medicaid Services portal.

How They Work

  • Location vs. Procedure: Unlike CPT or HCPCS codes that explain what medical procedure was performed, revenue codes tell the insurance payer where or in which cost center it happened (such as the emergency room or pharmacy).
  • Where They Appear: They are required on standard institutional claim forms like the UB-04 (CMS-1450) submitted by hospitals, skilled nursing facilities, and clinics.
  • Reimbursement: Insurance companies use these codes to verify coverage, match clinical records, and determine how much to pay the facility.

Common Examples

  • 0250: Pharmacy
  • 0360: Operating room services
  • 0450: General emergency room
  • 0121: Inpatient private room and board

Can you give me some examples of revenue codes?

A revenue code is a four-digit numeric code used on institutional medical billing claims (like the UB-04 form) to identify a specific hospital department, accommodation, or service category.

Common Revenue Code Examples

  • 0250: General pharmacy (drugs and medications)
  • 0300: Laboratory services
  • 0320: Diagnostic radiology (X-rays and imaging)
  • 0360: Operating room services
  • 0450: Emergency room (general)
  • 0760: Observation room

How Revenue Codes Work With Procedure Codes

Revenue codes tell the insurance payer where a service happened, while CPT or HCPCS codes explain what specific service was performed.

  • Example Claim Line:
    • Revenue Code: 0320 (Radiology Department)
    • CPT Code: 71045 (Chest X-ray procedure)
    • Meaning: The patient received a chest X-ray inside the hospital's radiology department.

What is revenue code 990?

Revenue code 0990 on a UB-04 institutional claim designates the general classification for patient convenience items or specific ancillary services.

Overview of Revenue Code 0990

  • Category: Patient Convenience Items / Other Services (099X series).
  • Purpose: Used by healthcare facilities to bill for miscellaneous or general patient convenience services that do not fall under a more specific sub-category.
  • Billing Form: Entered in Form Locator 42 of the UB-04/CMS-1450 paper or electronic institutional claim form.

Key Billing Considerations

  • Documentation: Requires clear itemization in the billing record, as general classification codes can trigger additional payer scrutiny if descriptions are vague.
  • Coding Pairing: Ensure it is accompanied by appropriate HCPCS/CPT codes in Form Locator 44 when required by your specific insurance contractor or Medicare Administrative Contractor (MAC).

What does revenue code 450 mean?

Revenue code 450 (or 0450) means general Emergency Room services on a hospital facility bill.

What Code 450 Covers

  • Location and Facility: It shows that a service happened inside a hospital's emergency department.
  • General Classification: It acts as a general catch-all code for emergency room access and basic facility usage when a more specific sub-category does not apply.
  • Not a Specific Procedure: It does not name a specific medical test, drug, or doctor's diagnosis.

Revenue Codes vs. CPT Codes

  • Revenue Codes (Where): A four-digit number like 0450 tells the insurance company where the service took place, such as the emergency room.
  • CPT Codes (What): A five-digit code tells the insurance company what specific medical care or treatment was performed (like a low- or high-complexity evaluation).
  • Working Together: Hospitals usually list revenue code 0450 alongside a matching CPT code (such as 99281–99285) to bill for an emergency visit. As users on Reddit note, the revenue code categorizes the department, but the exact dollar charge usually depends on the paired CPT procedure code.

What is revenue code 960?

Revenue code 0960 (often written as 960) is a standard professional fee revenue code used on institutional UB-04 claim forms to track and bill for physician or healthcare provider professional services.

Key Details

  • Category: Professional Fees (Range 0960–0989)
  • Purpose: It identifies the general classification of professional services rendered within a facility setting.
  • Matching CPT/HCPCS: Like most revenue codes, code 0960 must be paired with the correct CPT or HCPCS procedure code that details the specific medical service or evaluation provided, ensuring the claim matches institutional billing guidelines.