Back

Outpatient Hospital Fee Schedule Reference Extract

RF796 - Bundled Revenue Codes
CodeDescriptionBegin DateEnd Date
0250PHARMACY2005070199999999
0251PHARMACY GENERIC2005070199999999
0252PHARMACY NON-GENERIC2005070199999999
0254PHARMACY INCIDENT TO OTHER DIAGNOSTIC2005070199999999
0255PHARMACY INCIDENT TO RADIOLOGY2005070199999999
0257NONPRESCRIPTION DRUGS2005070199999999
0258IV SOLUTIONS2005070199999999
0259OTHER PHARMACY2005070199999999
0260IV THERAPY, GENERAL CLASS2005070199999999
0262IV THERAPY, PHARMACY SERVICES2005070199999999
0263SUPPLY/DELIVERY2005070199999999
0264IV THERAPY, SUPPLIES2005070199999999
0269OTHER IV THERAPY2005070199999999
0270M&S SUPPLIES2005070199999999
0271NONSTERILE SUPPLIES2005070199999999
0272STERILE SUPPLIES2005070199999999
0274PROSTHETIC/ORTHOTIC DEVICES2005070199999999
0275PACEMAKER DRUG2005070199999999
0276INTRAOCULAR LENS SOURCE DRUG2005070199999999
0278OTHER IMPLANTS2005070199999999
0279OTHER M&S SUPPLIES2005070199999999
0280ONCOLOGY2005070199999999
0289OTHER ONCOLOGY2005070199999999
0290DURABLE MEDICAL EQUIPTMENT2005070199999999
0343DIAGNOSTIC RADIOPHARMACEUTICALS2005070199999999
0344THERAPEUTIC RADIOPHARMACEUTICALS2005070199999999
0370ANESTHESIA2005070199999999
0371ANESTHESIA INCIDENT TO RADIOLGOY2005070199999999
0372ANESTHESIA INCIDENT TO OTHER DIAGNOSTIC2005070199999999
0379OTHER ANESTHESIA2005070199999999
0390BLOOD STORAGE AND PROCESSING2005070199999999
0399OTHER BLOOD STORAGE AND PROCESSING2005070199999999
0560MEDICAL SOCIAL SERVICES2005070199999999
0569OTHER MEDICAL SOCIAL SERVICES2005070199999999
0621SUPPLIES INCIDENT TO RADIOLOGY2005070199999999
0622SUPPLIES INCIDENT TO OTHER DIAGNOSTIC2005070199999999
0624INVESTIGATIONAL DEVICE (IDE)2005070199999999
0630DRUGS REQUIRING SPECIFIC IDENTIFICATION2005070199999999
0631SINGLE SOURCE2005070199999999
0632MULTIPLE SOURCE2005070199999999
0633RESTRICTIVE PRESCRIPTION2005070199999999
0637SELF-ADMINISTERED DRUG2005070199999999
0681TRAUMA LEVEL I2005070199999999
0682TRAUMA LEVEL II2005070199999999
0683TRAUMA LEVEL III2005070199999999
0684TRAUMA LEVEL IV2005070199999999
0685TRAUMA OTHER2005070199999999
0700CAST ROOM2005070199999999
0709OTHER CAST ROOM2005070199999999
0710RECOVERY ROOM2005070199999999
0719OTHER RECOVERY ROOM2005070199999999
0720LABOR ROOM2005070199999999
0721LABOR2005070199999999
0762OBSERVATION ROOM2005070199999999
0942EDUCATION/TRAINING2005070199999999
Copyright Arizona Health Care Cost Containment System (AHCCCS), All Rights Reserved
Page generated on: 11/21/2024 6:17:23 AM