Table Of Content

HCUP Methods Series Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: [email protected] or Phone: 1-866-290-HCUP Recommended citation: Elixhauser A, Barrett M, Nisbet J. Development of Utilization Flags for Use with UB-92 Administrative Data. HCUP Methods Series Report # 2006-04 Online. July 14, 2006. U.S. Agency for Healthcare Research and Quality. Available:http://www.hcup-us.ahrq.gov/reports/methods.jsp Appendix A: Sources of 2003 HCUP Data with Charge Detail State Data Source SID SASD SEDD Arizona Arizona Department of Health Services Buckets (63) Colorado Colorado Health & Hospital Association Buckets (5) Buckets (5) Connecticut Chime, Inc. Buckets (16) Buckets (16) Buckets (16) Florida Florida Agency for Health Care Administration Buckets (24) Buckets (11) GHA: An Association of Hospitals & Health Georgia Buckets (32) Buckets (32) Buckets (32) Systems Illinois Illinois Department of Public Health Buckets (10) Iowa Iowa Hospital Association Buckets (23) Kentucky Kentucky Department for Public Health Rev Codes Rev Codes Maine Maine Health Data Organization Rev Codes Rev Codes Rev Codes Maryland Health Services Cost Review Commission Buckets (31) Rev Codes Rev Codes Massachusetts Division of Health Care Finance and Policy Rev Codes Minnesota Minnesota Hospital Association Rev Codes Rev Codes Rev Codes Nevada Nevada Department of Human Resources Rev Codes Nebraska Nebraska Hospital Association Rev Codes Rev Codes Rev Codes New Jersey Department of Health & Senior New Jersey Buckets (35) Buckets (35) Services New York New York State Department of Health Rev Codes Rev Codes North Carolina Department of Health and North Carolina Rev Codes Buckets (10) Human Services Oregon Association of Hospitals & Health Oregon Buckets (10) Systems Pennsylvania Health Care Cost Containment Pennsylvania Rev Codes Council Rhode Island Rhode Island Department of Health Buckets (12) South Carolina South Carolina State Budget & Control Board Buckets (78) Buckets (78) Buckets (78) South Dakota Association of Healthcare South Dakota Buckets (23) Organizations Tennessee Tennessee Hospital Association Rev Codes Rev Codes Rev Codes Texas Texas Department of State Health Services Rev Codes Office of Health Care Statistics, Utah Utah Buckets (4) Buckets (3) Department of Health Rev Codes Rev Codes Rev Codes Vermont Association of Hospitals and Health Vermont (Only first 2 (Only first 2 (Only first 2 Systems digits) digits) digits) Virginia Virginia Health Information Buckets (14) Washington Washington State Department of Health Rev Codes West Virginia West Virginia Health Care Authority Rev Codes Data Source provides UB-92 revenue codes and charges. A complete list of UB-92 Rev Codes revenue codes is provided in Appendix B.1 Data Source provides detailed charges in predefined categories. Definitions of the charge Buckets buckets are provided in Appendix B.2. Data Source does not provide detailed charges for this data type or does not provide this data type. Appendix A Appendix B.1: Complete List of UB-92 Revenue Codes (As of July 20, 2005) UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 0001 Total Charge 0001Total Charge TOTALCHARGE 011x Room & Board - Private 0110General Classification ROOM-BOARD/PVT 011x Room & Board - Private 0111Medical/Surgical/Gyn MED/SUR/GY/PVT 011x Room & Board - Private 0112OB OB/PVT 011x Room & Board - Private 0113Pediatric PEDS/PVT 011x Room & Board - Private 0114Psychiatric PSYCH/PVT 011x Room & Board - Private 0115Hospice HOSPICE/PVT 011x Room & Board - Private 0116Detoxification DETOX/PVT 011x Room & Board - Private 0117Oncology ONCOLOGY/PVT 011x Room & Board - Private 0118Rehabilitation REHAB/PVT 011x Room & Board - Private 0119Other OTHER/PVT 012x Room & Board - Semi-Private 2 0120General Classification ROOM-BOARD/SEMI bed 012x Room & Board - Semi-Private 2 0121Medical/Surgical/Gyn MED-SUR-GY/2BED bed 012x Room & Board - Semi-Private 2 0122OB OB/2BED bed 012x Room & Board - Semi-Private 2 0123Pediatric PEDS/2BED bed 012x Room & Board - Semi-Private 2 0124Psychiatric PSTAY/2BED bed 012x Room & Board - Semi-Private 2 0125Hospice HOSPICE/2BED bed 012x Room & Board - Semi-Private 2 0126Detoxification DETOX/2BED bed 012x Room & Board - Semi-Private 2 0127Oncology ONCOLOGY/2BED bed 012x Room & Board - Semi-Private 2 0128Rehabilitation REHAB/2BED bed 012x Room & Board - Semi-Private 2 0129Other OTHER/2BED bed 013x Room & Board - Semi-Private 3-4 0130General Classification ROOM-BOARD/3&4BED bed 013x Room & Board - Semi-Private 3-4 0131Medical/Surgical/Gyn MED/SURGY/3&4BED bed 013x Room & Board - Semi-Private 3-4 0132OB OB/3&4BED bed 013x Room & Board - Semi-Private 3-4 0133Pediatric PEDS/3&4BED bed 013x Room & Board - Semi-Private 3-4 0134Psychiatric PSYCH/3&4BED bed 013x Room & Board - Semi-Private 3-4 0135Hospice HOSPICE/3&4BED bed 013x Room & Board - Semi-Private 3-4 0136Detoxification DETOX/3&4BED bed 013x Room & Board - Semi-Private 3-4 0137Oncology ONCOLOGY/3&4BED bed 013x Room & Board - Semi-Private 3-4 0138Rehabilitation REHAB/3&4BED bed 013x Room & Board - Semi-Private 3-4 0139Other OTHER/3&4BED bed 014x Room & Board - Private Deluxe 0140General Classification ROOM-BOARD/PVT/DLX 014x Room & Board - Private Deluxe 0141Medical/Surgical/Gyn MED/SUR/GY/DLX 014x Room & Board - Private Deluxe 0142OB OB/DLX 014x Room & Board - Private Deluxe 0143Pediatric PEDS/DLX 014x Room & Board - Private Deluxe 0144Psychiatric PSYCH/DLX 014x Room & Board - Private Deluxe 0145Hospice HOSPICE/DLX 014x Room & Board - Private Deluxe 0146Detoxification DETOX/DLX 014x Room & Board - Private Deluxe 0147Oncology ONCOLOGY/DLX 014x Room & Board - Private Deluxe 0148Rehabilitation REHAB/DLX 014x Room & Board - Private Deluxe 0149Other OTHER/DLX 015x Room & Board - Ward 0150General Classification ROOM-BOARD/WARD 015x Room & Board - Ward 0151Medical/Surgical/Gyn MED/SUR/GY/WARD 015x Room & Board - Ward 0152OB OB/WARD 015x Room & Board - Ward 0153Pediatric PEDS/WARD 2 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 015x Room & Board - Ward 0154Psychiatric PSYCH/WARD 015x Room & Board - Ward 0155Hospice HOSPICE/WARD 015x Room & Board - Ward 0156Detoxification DETOX/WARD 015x Room & Board - Ward 0157Oncology ONCOLOGY/WARD 015x Room & Board - Ward 0158Rehabilitation REHAB/WARD 015x Room & Board - Ward 0159Other OTHER/WARD 016x Room & Board - Other 0160General Classification R&B 016x Room & Board - Other 0164Sterile Environment R&B/STERILE 016x Room & Board - Other 0167Self Care R&B/SELF 016x Room & Board - Other 0169Other R&B/OTHER 017x Nursery 0170General Classification NURSERY 017x Nursery 0171Newborn - Level I NURSERY/LEVELI 017x Nursery 0172Newborn - Level II NURSERY/LEVELII 017x Nursery 0173Newborn - Level III NURSERY/LEVELIII 017x Nursery 0174Newborn - Level IV NURSERY/LEVELIV 017x Nursery 0179Other Nursery NURSERY/OTHER 018x Leave of Absence 0180General Classification LEAVE OF ABSENCE OR LOA 018x Leave of Absence 0182Patient Convenience LOA/PT CONV 018x Leave of Absence 0183Therapeutic Leave LOA/THERAPEUTIC 018x Leave of Absence 0184ICF/MR - Any Reason LOA/ICF/MR 018x Leave of Absence 0185Nursing Home for Hospitalization LOA/NURS HOME 018x Leave of Absence 0189Other Leave of Absence LOA/OTHER 019x Subacute Care 0190General Classification SUBACUTE 019x Subacute Care 0191Subacute Care -Level I SUBACUTE/LEVELI 019x Subacute Care 0192Subacute Care -Level II SUBACUTE/LEVELII 019x Subacute Care 0193Subacute Care -Level III SUBACUTE/LEVELIII 019x Subacute Care 0194Subacute Care -Level IV SUBACUTE/LEVELIV 019x Subacute Care 0199Other Subacute Care SUBACUTE/OTHER 020x Intensive Care 0200General Classification INTENSIVE CARE (or ICU) 020x Intensive Care 0201Surgical ICU/SURGICAL 020x Intensive Care 0202Medical ICU/MEDICAL 020x Intensive Care 0203Pediatric ICU PEDS 020x Intensive Care 0204Psychiatric ICU/PSTAY 020x Intensive Care 0206Intermediate ICU ICU/INTERMEDIATE 020x Intensive Care 0207Burn Care ICU/BURN CARE 020x Intensive Care 0208Trauma ICU/TRAMA 020x Intensive Care 0209Other Intensive Care ICU/OTHER 021x Coronary Care 0210General Classification CORONARY CARE (or CCU) 021x Coronary Care 0211Myocardial Infarction CCU/MYO INFARC 021x Coronary Care 0212Pulmonary Care CCU/PULMONARY 021x Coronary Care 0213Heart Transplant CCU/TRANSPLANTICU PEDS 021x Coronary Care 0214Intermediate CCU CCU/INTERMEDIATE 021x Coronary Care 0219Other Coronary Care CCU/OTHER 022x Special Charges 0220GENERAL CLASSIFICATION SPECIAL CHARGES 022x Special Charges 0221ADMISSION CHARGE ADMIT CHARGE 022x Special Charges 0222TECHNICAL SUPPORT CHARGE TECH SUPPORT CHG 022x Special Charges 0223U. R. SERVICE CHARGE UR CHARGE 022x Special Charges 0224LATE CHARGE, MEDICALLY NECESSARY LATE DISCH/MED NEC 022x Special Charges 0229OTHER SPECIAL CHARGES OTHER SPEC CHG 023x Incremental Nursing Charge Rate 0230GENERAL CLASSIFICATION NURSING INCREM 023x Incremental Nursing Charge Rate 0231NURSERY NUR INCR/NURSERY 023x Incremental Nursing Charge Rate 0232OB (INCLUDING GYNECOLOGICAL) NUR INCR/OB-GY 023x Incremental Nursing Charge Rate 0233ICU NUR INCR/ICU 023x Incremental Nursing Charge Rate 0234CCU NUR INCR/CCU 023x Incremental Nursing Charge Rate 0235HOSPICE NUR INCR/HOSPICE 023x Incremental Nursing Charge Rate 0239OTHER NUR INCR/OTHER 024x All inclusive Ancillary 0240GENERAL CLASSIFICATION ALL INCL ANCIL 024x All inclusive Ancillary 0240GENERAL CLASSIFICATION ALL INCL ANCIL 024x All inclusive Ancillary 0241BASIC ALL INCL BASIC 024x All inclusive Ancillary 0242COMPREHENSIVE ALL INCL COMP 024x All inclusive Ancillary 0243SPECIALTY ALL INCL SPECIAL 024x All inclusive Ancillary 0249OTHER INCLUSIVE ANCILLARY ALL INCL ANCIL/OTHER 025x Pharmacy 0250GENERAL CLASSIFICATION PHARMACY 025x Pharmacy 0251GENERIC DRUGS DRUGS/GENERIC 025x Pharmacy 0252NON-GENERIC DRUGS DRUGS/NONGENERIC 025x Pharmacy 0253TAKE HOME DRUGS DRUGS/TAKEHOME 025x Pharmacy 0254DRUGS INCIDENT TO OTHER DIAGNOSTIC DRUGS/INCIDNT OTHER DX SERVICES 3 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 025x Pharmacy 0255DRUGS INCIDENT TO RADIOLOGY DRUGS/INCIDENT RAD 025x Pharmacy 0256EXPERIMENTAL DRUGS DRUGS/EXPERIMT 025x Pharmacy 0257NON-PRESCRIPTION DRUGS/NONSCRPT 025x Pharmacy 0258IV SOLUTIONS IV SOLUTIONS 025x Pharmacy 0259OTHER PHARMACY DRUGS/OTHER 026x IV Therapy 0260GENERAL CLASSIFICATION IV THERAPY 026x IV Therapy 0261INFUSION PUMP IV THER/INFSN PUMP 026x IV Therapy 0262IV THERAPY/PHARMACY SERVICES IV THER/PHARM/SVC 026x IV Therapy 0263IV THERAPY/DRUG/SUPPLY DELIVERY IV THER/DRUG/SUPPLY DELV 026x IV Therapy 0264IV THERAPY/SUPPLIES IV THER/SUPPLIES 026x IV Therapy 0269OTHER IV THERAPY IV THERAPY/OTHER 027x Med/Surg Supplies and Devices 0270GENERAL CLASSIFICATION MED-SUR SUPPLIES 027x Med/Surg Supplies and Devices 0271NON STERILE SUPPLY NON-STER SUPPLY 027x Med/Surg Supplies and Devices 0272STERILE SUPPLY STERILE SUPPLY 027x Med/Surg Supplies and Devices 0273TAKE HOME SUPPLIES TAKEHOME SUPPLY 027x Med/Surg Supplies and Devices 0274PROSTHETIC/ORTHOTIC DEVICES PROSTH/ORTH DEV 027x Med/Surg Supplies and Devices 0275PACE MAKER PACE MAKER 027x Med/Surg Supplies and Devices 0276INTRAOCULAR LENS INTRA OC LENS 027x Med/Surg Supplies and Devices 0277OXYGEN - TAKE HOME O2/TAKEHOME 027x Med/Surg Supplies and Devices 0278OTHER IMPLANTS SUPPLY/IMPLANTS 027x Med/Surg Supplies and Devices 0279OTHER SUPPLIES/DEVICES SUPPLY/OTHER 028x Oncology 0280GENERAL CLASSIFICATION ONCOLOGY/OTHER 028x Oncology 0289OTHER ONCOLOGY ONCOLOGY/OTHER 029x Durable medical equipment 0290GENERAL CLASSIFICATION MED EQUIP/DURAB 029x Durable medical equipment 0291RENTAL MED EQUIP/RENT 029x Durable medical equipment 0292PURCHASE OF NEW DME MED EQUIP/NEW 029x Durable medical equipment 0293PURCHASE OF USED DME MED EQUIP/USED 029x Durable medical equipment 0294SUPPLIES/DRUGS FOR DME MED EQUIP/SUPPLIES/DRUGS EFFECTIVENESS 029x Durable medical equipment 0299OTHER EQUIPMENT MED EQUIP/OTHR 030x Laboratory 0300GENERAL CLASSIFICATION LABORATORY OR LAB 030x Laboratory 0301CHEMISTRY LAB/CHEMISTRY 030x Laboratory 0302IMMUNOLOGY LAB/IMMUNOLOGY 030x Laboratory 0303RENAL PATIENT (HOME) LAB/RENAL HOME 030x Laboratory 0304NON-ROUTINE DIALYSIS LAB/NR DIALYSIS 030x Laboratory 0305HEMATOLOGY LAB/HEMATOLOGY 030x Laboratory 0306BACTERIOLOGY AND MICROBIOLOGY LAB/BACT-MICRO 030x Laboratory 0307UROLOGY LAB/UROLOGY 031x Laboratory pathology 0310GENERAL CLASSIFICATION PATHOLOGY LAB OR PATH LAB 031x Laboratory pathology 0311CYTOLOGY PATHOL/CYTOLOGY 031x Laboratory pathology 0312HISTOLOGY PATHOL/HYSTOL 031x Laboratory pathology 0314BIOPSY PATHOL/BIOPSY 031x Laboratory pathology 0319OTHER PATHOL/OTHER 032x Radiology - Diagnostic 0320GENERAL CLASSIFICATION DX X-RAY 032x Radiology - Diagnostic 0321ANGIOCARDIOGRAPHY DX X-RAY/ANGIO 032x Radiology - Diagnostic 0322ARTHROGRAPHY DX X-RAY/ARTH 032x Radiology - Diagnostic 0323ARTERIOGRAPHY DX X-RAY/ARTER 032x Radiology - Diagnostic 0324CHEST X-RAY DX X-RAY/CHEST 032x Radiology - Diagnostic 0329OTHER DX X-RAY/OTHER 033x Radiology - Theurapeutic 0330GENERAL CLASSIFICATION RX X-RAY 033x Radiology - Theurapeutic 0331CHEMOTHERAPY - INJECTED CHEMOTHER/INJ 033x Radiology - Theurapeutic 0332CHEMOTHERAPY - ORAL CHEMOTHER/ORAL 033x Radiology - Theurapeutic 0333RADIATION THERAPY RADIATION RX 033x Radiology - Theurapeutic 0335CHEMOTHERAPY - IV CHEMOTHERP-IV 033x Radiology - Theurapeutic 0339OTHER RX X-RAY/OTHER 034x Nuclear Medicine 0340GENERAL CLASSIFICATION NUCLEAR MEDICINE OR NUC MED 034x Nuclear Medicine 0341DIAGNOSTIC NUC MED/DX 034x Nuclear Medicine 0342THERAPEUTIC NUC MED/RX 034x Nuclear Medicine 0343DIAGNOSTIC RADIOPHARMACEUTICALS NUC MED/DX-RADIOPHARM 034x Nuclear Medicine 0344THERAPEUTIC RADIOPHARMACEUTICALS NUC MED/RX-RADIOPHARM 034x Nuclear Medicine 0349OTHER NUC MED/OTHER 035x CT scan 0350GENERAL CLASSIFICATION CT SCAN 035x CT scan 0351HEAD SCAN CT SCAN/HEAD 035x CT scan 0352BODY SCAN CT SCAN/BODY 035x CT scan 0359OTHER CT SCANS CT SCAN/OTHER 036x Operating Rm 0360GENERAL CLASSIFICATION OR SERVICES 036x Operating Rm 0361MINOR SURGERY OR MINOR 4 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 036x Operating Rm 0362ORGAN TRANSPLANT - OTHER THAN OR/ORGAN TRANS KIDNEY 036x Operating Rm 0367KIDNEY TRANSPLANT OR/KIDNEY TRANS 036x Operating Rm 0369OTHER OPERATING ROOM SERVICES OR/OTHER 037x Anesthesia 0370GENERAL CLASSIFICATION ANESTHESIA 037x Anesthesia 0371ANESTHESIA INCIDENT TO RADIOLOGY ANESTHE/INCIDENT RAD 037x Anesthesia 0372ANESTHESIA INCIDENT TO OTHER ANESTHE/INCDNT OTHER DX DIAGNOSTIC SERVICES 037x Anesthesia 0374ACUPUNCTURE ANESTHE/ACUPUNC 037x Anesthesia 0379OTHER ANESTHESIA ANESTHE/OTHER 038x Blood 0380GENERAL CLASSIFICATION BLOOD 038x Blood 0381PACKED RED CELLS BLOOD/PKD RED 038x Blood 0382WHOLE BLOOD BLOOD/WHOLE 038x Blood 0383PLASMA BLOOD/PLASMA 038x Blood 0384PLATELETS BLOOD/PLATELETS 038x Blood 0385LEUCOCYTES BLOOD/LEUCOCYTES 038x Blood 0386OTHER COMPONENTS BLOOD/COMPONENTS 038x Blood 0387OTHER DERIVATIVES BLOOD/DERIVATIVES (CRYOPRICIPITATES) 038x Blood 0389OTHER BLOOD BLOOD/OTHER 039x Blood admin & storage 0390GENERAL CLASSIFICATION BLOOD/STOR-PROC 039x Blood admin & storage 0391BLOOD ADMINISTRATION BLOOD/ADMIN 039x Blood admin & storage 0399OTHER BLOOD STORAGE & PROCESSING BLOOD/OTHER STOR 040x Other Imaging Services 0400GENERAL CLASSIFICATION IMAGE SERVICE 040x Other Imaging Services 0401DIAGNOSTIC MAMMOGRAPHY DIAG MAMMOGRAPHY 040x Other Imaging Services 0402ULTRASOUND ULTRASOUND 040x Other Imaging Services 0403SCREENING MAMMOGRAPHY SCRN MAMMOGRAPHY 040x Other Imaging Services 0404POSITRON EMISSION TOMOGRAPHY PET SCAN 040x Other Imaging Services 0409OTHER IMAGING SERVICES OTHER IMAG SVS 041x Respiratory Services 0410GENERAL CLASSIFICATION RESPIRATORY SVC 041x Respiratory Services 0412INHALATION SERVICES INHALATION SVC 041x Respiratory Services 0413HYPERBARIC OXYGEN THERAPY HYPERBARIC O2 041x Respiratory Services 0419OTHER RESPIRATORY SERVICES OTHER PRESPIR SVS 042x Physical Therapy 0420GENERAL CLASSIFICATION PHYSICAL THERP 042x Physical Therapy 0421VISIT CHARGE PHYS THERP/VISIT 042x Physical Therapy 0422HOURLY CHARGE PHYS THERP/HOUR 042x Physical Therapy 0423GROUP RATE PHYS THERP/GROUP 042x Physical Therapy 0424EVALUATION OR RE-EVALUATION PHYS THERP/EVAL 042x Physical Therapy 0429OTHER PHYSICAL THERAPY OTHER PHYS THERP 043x Occupational Therapy 0430GENERAL CLASSIFICATION OCCUPATIONAL THER 043x Occupational Therapy 0431VISIT CHARGE OCCUP THERP/VISIT 043x Occupational Therapy 0432HOURLY CHARGE OCCUP THERP/HOUR 043x Occupational Therapy 0433GROUP RATE OCCUP THERP/GROUP 043x Occupational Therapy 0434EVALUATION OR RE-EVALUATION OCCUP THERP/EVAL 043x Occupational Therapy 0439OTHER OCCUPATIONAL THERAPY OTHER OCCUP THERP 044x Speech Pathology 0440GENERAL CLASSIFICATION SPEECH PATHOL 044x Speech Pathology 0441VISIT CHARGE SPEECH PATH/VISIT 044x Speech Pathology 0442HOURLY CHARGE SPEECH PATH/HOUR 044x Speech Pathology 0443GROUP RATE SPEECH PATH/GROUP 044x Speech Pathology 0444EVALUATION OR RE-EVALUATION SPEECH PATH/EVAL 044x Speech Pathology 0449OTHER SPEECH-LANGUAGE PATHOLOGY OTHER SPEECH PAT 045x Emergency Room 0450GENERAL CLASSIFICATION EMERG ROOM 045x Emergency Room 0451EMTALA EMERGENCY MEDICAL ER/EMTALA SCREENING SERVICE 045x Emergency Room 0452ER BEYOND EMTALA SCREENING ER/BEYOND EMTALA (Effective 4/1/1996) 045x Emergency Room 0456URGENT CARE (Effective 10/1/1995) URGENT CARE 045x Emergency Room 0459OTHER EMERGENCY ROOM OTHER EMERG ROOM 046x Pulmonary Function 0460GENERAL CLASSIFICATION PULMONARY FUNC 046x Pulmonary Function 0469OTHER PULMONARY FUNCTION OTHER PULMON FUNC 047x Audiology 0470GENERAL CLASSIFICATION AUDIOLOGY 047x Audiology 0471DIAGNOSTIC AUDIOLOGY/DX 047x Audiology 0472TREATMENT AUDIOLOGY/RX 047x Audiology 0479OTHER AUDIOLOGY OTHER AUDIOL 048x Cardiology 0480GENERAL CLASSIFICAITON CARDIOLOGY 048x Cardiology 0481CARDIAC CATH LAB CARDIAC CATH LAB 048x Cardiology 0482STRESS TEST STRESS TEST 048x Cardiology 0483ECHOCARDIOLOGY ECHOCARDIOLOGY 5 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 048x Cardiology 0489OTHER CARDIOLOGY OTHER CARDIOL 049x Ambulatory Surgical Care 0490GENERAL CLASSIFICATION AMBUL SURG 049x Ambulatory Surgical Care 0499OTHER AMBULATORY SURGICAL CARE OTHER AMBL SURG 050x Outpatient Services 0500GENERAL CLASSIFICATION OUTPATIENT SVS 050x Outpatient Services 0509OTHER OUTPATIENT SERVICES OUTPATIENT/OTHER 051x Clinic 0510GENERAL CLASSIFICATION CLINIC 051x Clinic 0511CHRONIC PAIN CENTER CHRONIC PAIN CL 051x Clinic 0512DENTAL CLINIC DENTAL CLINIC 051x Clinic 0513PSYCHIATRIC CLINIC PSYCH CLINIC 051x Clinic 0514OB-GYN CLINIC OB-GYN CLINIC 051x Clinic 0515PEDIATRIC CLINIC PEDS CLINIC 051x Clinic 0516URGENT CARE CLINIC (Effective 10/1/1995) URGENT CLINIC 051x Clinic 0517FAMILY CLINIC (Effective 10/1/1995) FAMILY CLINIC 051x Clinic 0519OTHER CLINIC OTHER CLINIC 052x Free-standing clinic 0520GENERAL CLASSIFICATION FREESTAND CLINIC 052x Free-standing clinic 0521RURAL HEALTH - CLINIC RURAL/CLINIC 052x Free-standing clinic 0522RURAL HEALTH - HOME RURAL/HOME 052x Free-standing clinic 0523FAMILY PRACTICE FR/STD FAMILY CLINIC 052x Free-standing clinic 0526URGENT CARE CLINIC (Effective 10/1/1996) FR/STD URGENT CLINIC 052x Free-standing clinic 0529OTHER FREESTANDING CLINIC OTHER FR/STD CLINIC 053x Osteopathic services 0530GENERAL CLASSIFICATION OSTEOPATH SVS 053x Osteopathic services 0531OSTEOPATHIC THERAPY OSTEOPATH RX 053x Osteopathic services 0539OTHER OSTEOPATHIC SERVICES OTHER OSTEOPATH 054x Ambulance 0540GENERAL CLASSIFICATION AMBULANCE 054x Ambulance 0541SUPPLIES AMBUL/SUPPLY 054x Ambulance 0542MEDICAL TRANSPORT AMBUL/MED TRANS 054x Ambulance 0543HEART MOBILE AMBUL/HEARTMOBL 054x Ambulance 0544OXYGEN AMBUL/OXY 054x Ambulance 0545AIR AMBULANCE AIR AMBULANCE 054x Ambulance 0546NEONATAL AMBULANCE SERVICES AMBUL/NEONAT 054x Ambulance 0547PHARMACY AMBUL/PHARMACY 054x Ambulance 0548TELEPHONE TRANSMISSION EKG AMBUL/TELEPHONIC EKG 054x Ambulance 0549OTHER AMBULANCE OTHER AMBULANCE 055x Skilled Nursing 0550GENERAL CLASSIFICATION SKILLED NURSING 055x Skilled Nursing 0551VISIT CHARGE SKILLED NURS/VISIT 055x Skilled Nursing 0552HOURLY CHARGE SKILLED NURS/HOUR 055x Skilled Nursing 0559OTHER SKILLED NURSING SKILLED NURS/OTHER 056x Medical Social Services 0560GENERAL CLASSIFICATION MED SOCIAL SVS 056x Medical Social Services 0561VISIT CHARGE MED SOC SERVS/VISIT 056x Medical Social Services 0562HOURLY CHARGE MED SOC SERV/HOUR 056x Medical Social Services 0569OTHER MEDICAL SOCIAL SERVICES MED SOC SERV/OTHER 057x Home Health Aide 0570GENERAL CLASSIFICATION AID/HOME HEALTH 057x Home Health Aide 0571VISIT CHARGE AIDE/HOME HLTH/VISIT 057x Home Health Aide 0572HOURLY CHARGE AIDE/HOME HLTH/HOUR 057x Home Health Aide 0579OTHER HOME HEALTH AIDE AIDE/HOME HLTH/OTHER 058x Home Health Other Visit 0580GENERAL CLASSIFICATION VISIT HOME HEALTH 058x Home Health Other Visit 0581VISIT CHARGE VISIT/HOME HLTH/VISIT 058x Home Health Other Visit 0582HOURLY CHARGE VISIT/HOME HLTH/HOUR 058x Home Health Other Visit 0583ASSESSMENT VISIT/HOME HLTH/ASSESS 058x Home Health Other Visit 0589OTHER HOME HEALTH VISITS VISIT/HOME HLTH/OTHER 059x Home Health Units of Service 0590GENERAL CLASSIFICATION UNIT/HOME HEALTH 059x Home Health Units of Service 0599HOME HEALTH OTHER UNITS UNIT/HOME HLTH/OTHER 060x Home Health Oxygen 0600GENERAL CLASSIFICATION O2/HOME HEALTH 060x Home Health Oxygen 0601OXYGEN - STATE/EQUIP/SUPPL OR CONT O2/STAT EQUIP/SUPPL/CONT 060x Home Health Oxygen 0602OXYGEN - STATE/EQUIP/SUPPL/UNDER 1 O2/STAT EQUIP/UNDER 1 LPM LPM 060x Home Health Oxygen 0603OXYGEN - STATE/EQUIP/OVER 4 LPM O2/STAT EQUIP/OVER 4 LPM 060x Home Health Oxygen 0604OXYGEN - PORTABLE ADD-ON O2/PORTABLE ADD-ON 060x Home Health Oxygen 0609OTHER OXYGEN O2 - OTHER 061x Magnetic Resonance Technology 0610GENERAL CLASSIFICATION MRT 061x Magnetic Resonance Technology 0611MRI - BRAIN (INCLUDING BRAINSTEM) MRI - BRAIN 061x Magnetic Resonance Technology 0612MRI - SPINAL CORD (INCLUDING SPINE) MRI - SPINE 061x Magnetic Resonance Technology 0614MRI - OTHER MRI - OTHER 061x Magnetic Resonance Technology 0615MRA - HEAD AND NECK MRA - HEAD AND NECK 061x Magnetic Resonance Technology 0616MRA - LOWER EXTREMITIES MRA - LOWER EXT 061x Magnetic Resonance Technology 0618MRA - OTHER MRA - OTHER 061x Magnetic Resonance Technology 0619OTHER MRI MRI - OTHER 062x Med/Surg Supplies and Devices 0621SUPPLIES INCIDENT TO RADIOLOGY MED-SUP SUP/INCDNT RAD 6 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 062x Med/Surg Supplies and Devices 0622SUPPLIES INCIDENT TO OTHER MED-SUR SUP/INCDNT ODX DIAGNOSTIC SERVICES 062x Med/Surg Supplies and Devices 0623SURGICAL DRESSINGS (Effective 1/1/1995) MED-SUR SUP/DRESS 062x Med/Surg Supplies and Devices 0624FDA INVESTIGATIONAL DEVICES (Effective FDA INVEST DEVICE 10/1/1996) 063x Pharmacy 0630GENERAL CLASSIFICATION DRUGS 063x Pharmacy 0631SINGLE SOURCE DRUG DRUG/SINGLE 063x Pharmacy 0632MULTIPLE SOURCE DRUG DRUG/MULT 063x Pharmacy 0633RESTRICTIVE PRESCRIPTION DRUG/RSTR 063x Pharmacy 0634ERYTHROPOIETIN (EPO) LESS THAN DRUG/EPO<10,000 UNITS 10,000 UNITS 063x Pharmacy 0635ERYTHROPOIETIN (EPO) 10,000 UNITS OR DRUG/EPO=>10,000 UNITS MORE 063x Pharmacy 0636DRUGS REQUIRING DETAILED CODING DRUGS/DETAIL CODE 063x Pharmacy 0637SELF-ADMINISTRABLE DRUGS (Effective DRUGS/SELF ADMIN 10/1/1997) 064x Home IV Therapy Services 0640GENERAL CLASSIFICATION IV THERAPY SVC 064x Home IV Therapy Services 0641NONROUTINE NURSING, CENTRAL LINE NON RT NURSING/CENTRAL 064x Home IV Therapy Services 0642IV SITE CARE, CENTRAL LINE (SEE NOTE) IV SITE CARE/CENTRAL 064x Home IV Therapy Services 0643IV START/CHANGE, PERIPHERAL LINE IV STRT/CHNG/PERIPHAL 064x Home IV Therapy Services 0644NONROUTINE NURSING, PERIPHERAL NONRT NURSING/PERIPHRL LINE 064x Home IV Therapy Services 0645TRAINING PATIENT/CAREGIVER, TRNG PT/CAREGVR/CENTRAL CENTRAL LINE 064x Home IV Therapy Services 0646TRAINING, DISABLED PATIENT, CENTRAL TRNG DSBLPT/CENTRAL LINE 064x Home IV Therapy Services 0647TRAINING, PATIENT/CAREGIVER, TRNG/PT/CARGVR/PERIPHRL PERIPHERAL LINE 064x Home IV Therapy Services 0648TRAINING, DISABLED PATIENT TRNG/DSBLPAT/PERIPHRL PERIPHERAL LINE 064x Home IV Therapy Services 0649OTHER IV THERAPY SERVICES OTHER IV THERAPY SVC 065x Hospice 0650GENERAL CLASSIFICATION HOSPICE 065x Hospice 0651ROUTINE HOME CARE HOSPICE/RTN HOME 065x Hospice 0652CONTINUOUS HOME CARE HOSPICE CTNS HOME 065x Hospice 0655INPATIENT RESPITE CARE HOSPICE/IP RESPITE 065x Hospice 0656GENERAL INPATIENT CARE (NON- HOSPICE/IP NON-RESPITE RESPITE) 065x Hospice 0657PHYSICIAN SERVICES HOSPICE/PHYSICIAN 065x Hospice 0659OTHER HOSPICE HOSPICE/OTHER 066x Respite Care 0660GENERAL CLASSIFICATION RESPITE CARE 066x Respite Care 0661HOURLY CHARGE/SKILLED NURSING RESPITE/SKILLED NURSE 066x Respite Care 0662HOURLY CHARGE/HOME HEALTH RESPITE/HMEAID/HMEMKR AIDE/HOMEMAKER 066x Respite Care 0663DAILY RESPITE CHARGE RESPITE DAILY 066x Respite Care 0669OTHER RESPITE CARE RESPITE OTHER 067x Outpatient Special Residence 0670GENERAL CLASSIFICATION OP SPEC RES 067x Outpatient Special Residence 0671HOSPITAL BASED OP SPEC RES/HOSP BASED 067x Outpatient Special Residence 0672CONTRACTED OP SPEC RES/CONTRACTED 067x Outpatient Special Residence 0679OTHER SPECIAL RESIDENCE CHARGES OP SPEC RES/OTHER 068x Trauma Response 0681LEVEL I TRAUMA LEVEL I 068x Trauma Response 0682LEVEL II TRAUMA LEVEL II 068x Trauma Response 0683LEVEL III TRAUMA LEVEL III 068x Trauma Response 0684LEVEL IV TRAUMA LEVEL IV 068x Trauma Response 0689OTHER TRAUMA RESPONSE TRAUMA OTHER 070x Cast Room 0700GENERAL CLASSIFICATION CAST ROOM 070x Cast Room 0709OTHER CAST ROOM OTHER CAST ROOM 071x Recovery Room 0710GENERAL CLASSIFICATION RECOVERY ROOM 071x Recovery Room 0719OTHER RECOVERY ROOM OTHER RECOV RM 072x Labor Room/Delivery 0720GENERAL CLASSIFICATION DELIVEROOM/LABOR 072x Labor Room/Delivery 0721LABOR LABOR 072x Labor Room/Delivery 0722DELIVERY DELIVERY ROOM 072x Labor Room/Delivery 0723CIRCUMCISION CIRCUMCISION 072x Labor Room/Delivery 0724BIRTHING CENTER BIRTHING CENTER 072x Labor Room/Delivery 0729OTHER LABOR ROOM/DELIVERY OTHER/DELIV-LABOR 073x Electrocardiogram 0730GENERAL CLASSIFICATION EKG/ECG 073x Electrocardiogram 0731HOLTER MONITOR HOLTER MONT 073x Electrocardiogram 0732TELEMETRY TELEMETRY 7 Appendix B.1 UB92 Group UB92 Group Name UB92 CodeUB92 Description UB92 Short Title 073x Electrocardiogram 0739OTHER EKG/ECG OTHER EKG-ECG 074x Electroencephalogram 0740GENERAL CLASSIFICATION EEG 074x Electroencephalogram 0749OTHER EEG OTHER EEG 075x Gastro-intestinal services 0750GENERAL CLASSIFICATION GASTR-INST SVS 075x Gastro-intestinal services 0759OTHER GASTRO-INTESTINAL OTHER GASTRO-INTS 076x Treatment/Observation Room 0760GENERAL CLASSIFICATION TREATMENT/OBSERVATION RM 076x Treatment/Observation Room 0761TREATMENT ROOM TREATMENT RM 076x Treatment/Observation Room 0762OBSERVATION ROOM OBSERVATION RM 076x Treatment/Observation Room 0769OTHER TREATMENT/OBSERVATION OTHER TREAT/OBSERV RM ROOM 077x Preventive Care Services 0770GENERAL CLASSIFICATION PREVENT CARE SVS 077x Preventive Care Services 0771VACCINE ADMINISTRATION TREATMENT RM 077x Preventive Care Services 0779OTHER OTHER PREVENT 078x Telemedicine 0780GENERAL CLASSIFICATION TELEMEDICINE 078x Telemedicine 0789TELEMEDICINE OTHER TELEMEDICINE/OTHER 079x Extra-Corporeal Shock Wave 0790GENERAL CLASSIFICATION LITHOTRIPSY Therapy 079x Extra-Corporeal Shock Wave 0799OTHER LITHOTRIPSY LITHOTRIPSY/OTHER Therapy 080x Renal Dialysis - Inpatient 0800GENERAL CLASSIFICATION RENAL DIALYSIS 080x Renal Dialysis - Inpatient 0801HEMODIALYSIS (INPATIENT) DIALY/INPT 080x Renal Dialysis - Inpatient 0802PERITONEAL DIALYSIS INPATIENT (NON- DIALY/INP/PER CAPD) 080x Renal Dialysis - Inpatient 0803CONTINUOUS AMBULATORY PERITONEAL DIALY/INPT/CAPD DIALYSIS - (CAPD) INPATIENT 080x Renal Dialysis - Inpatient 0804CONTINUOUS CYCLING PERITONEAL DIALY/INPT/CCPD DIALYSIS - (CAPD) INPATIENT 080x Renal Dialysis - Inpatient 0809OTHER INPATIENT DIALYSIS DIALY/INPT/OTHER 081x Organ Acquisition 0810GENERAL CLASSIFICATION ORGAN ACQUIST 081x Organ Acquisition 0811LIVING DONOR LIVING DONOR 081x Organ Acquisition 0812CADAVER DONOR CADAVER DONOR 081x Organ Acquisition 0813UNKNOWN DONOR UNKNOWN DONOR 081x Organ Acquisition 0814UNSUCCESSFUL ORGAN SEARCH UNSUCCESSFUL SEARCH 081x Organ Acquisition 0819OTHER ORGAN ACQUISITION OTHER DONOR 082x Hemodialysis - OP or home 0820GENERAL CLASSIFICATION HEMO/OP OR HOME 082x Hemodialysis - OP or home 0821HEMODIALYSIS/COMPOSITE OR OTHER HEMO/COMPOSITE RATE 082x Hemodialysis - OP or home 0822HOME SUPPLIES HEMO/HOME/SUPPL 082x Hemodialysis - OP or home 0823HOME EQUIPMENT HEMO/HOME/EQUIP 082x Hemodialysis - OP or home 0824MAINTENANCE 100% HEMO/HOME/100% 082x Hemodialysis - OP or home 0825SUPPORT SERVICES HEMO/HOME/SUPSERV 082x Hemodialysis - OP or home 0829OTHER OUTPATIENT HEMODIALYSIS HEMO/HOME/OTHER 083x Peritoneal Dialysis - OP or home 0830GENERAL CLASSIFICATION PERITONEAL/OP OR HOME 083x Peritoneal Dialysis - OP or home 0831PERITONEAL/COMPOSITE OR OTHER PERTNL/COMPOSITE RATE 083x Peritoneal Dialysis - OP or home 0832HOME SUPPLIES PERTNL/HOME/SUPPL 083x Peritoneal Dialysis - OP or home 0833HOME EQUIPMENT PERTNL/HOME/EQUIP 083x Peritoneal Dialysis - OP or home 0834MAINTENANCE 100% PERTNL/HOME/100% 083x Peritoneal Dialysis - OP or home 0835SUPPORT SERVICES PERTNL/HOME/SUPSERV 083x Peritoneal Dialysis - OP or home 0839OTHER OUTPATIENT PERITONEAL PERTNL/HOME/OTHER DIALYSIS 084x Continuous ambulatory peritoneal 0840GENERAL CLASSIFICATION CAPD/OP OR HOME dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0841CAPD/COMPOSITE OR OTHER RATE CAPD/COMPOSITE dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0842HOME SUPPLIES CAPD/HOME/SUPPL dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0843HOME EQUIPMENT CAPD/HOME/EQUIP dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0844MAINTENANCE 100% CAPD/HOME/100% dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0845SUPPORT SERVICES CAPD/HOME/SUPSERV dialysis (CAPD) - OP or home 084x Continuous ambulatory peritoneal 0849OTHER OUTPATIENT CAPD CAPD/HOME/OTHER dialysis (CAPD) - OP or home 085x Continuous cycling peritoneal 0850GENERAL CLASSIFICATION CCPD/OP OR HOME dialysis (CCPD) - OP or home 8 Appendix B.1

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EMG. 092x. Other Diagnostic Services. 0923 PAP SMEAR. PAP SMEAR. 092x .. 11x-16x, 230, 235, 239. Iowa. SID. 3 Medical - Surgical Charges (MSA).

Appendices - HCUP - Agency for Healthcare Research and Quality PDF

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EMG. 092x. Other Diagnostic Services. 0923 PAP SMEAR. PAP SMEAR. 092x .. 11x-16x, 230, 235, 239. Iowa. SID. 3 Medical - Surgical Charges (MSA).

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