Revenue Code measures

Several measures in Clinical Analytics are calculated based on the Revenue Codes of the encounter. The table below outlines the revenue codes associated with each measure.

NOTE: Clinical Analytics receives charge data from the MedPAR dataset according to Cost Center, not by Revenue Code; Medicare/MedPAR benchmarks are only available for the measures below listing Medicare in the Type column. For more information, visit the CMS website.

For a full list of measures and definitions, see Measure definitions.

Days measures

Measure Type Abbreviated Revenue Codes Revenue Codes (Detail)
Coronary Care All-payer, Medicare 021x 0210, 0211, 0212, 0213, 0214, 0219
Critical Care/ Intermediate ICU All-payer, Medicare 020x, 021x 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209, 0210, 0211, 0212, 0213, 0214, 0219
Intermediate ICU/CCU All-payer   0206, 0214
Critical Care Without Intermediate ICU/CCU All-payer   0200, 0201, 0202, 0203, 0204, 0207, 0208, 0209, 0210, 0211, 0212, 0213, 0219
ICU All-payer, Medicare 020x 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209
Private, Semi-Private and Ward All-payer, Medicare Sum of LOS: Private, Semi-Private, and Ward 0100, 0101, 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149, 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199
NICU All-payer 023x, 024x 0230-0232, 0234, 0235, 0239, 0240, 0249
Nursery All-payer 017x 0170, 0171, 0172, 0173, 0174, 0179
Nursery & NICU All-payer 023x, 024x 0230-0232, 0234, 0235, 0239, 0240, 0249

Charges & Costs measures

Each of the following measures has Cost, Charges, Direct Cost, and Indirect Cost versions.

Measure Type Abbreviated Revenue Codes Revenue Codes (Detail)
Total All-payer, Medicare 0001 This value is provided in the charge records and is not the sum of all other revenue codes.
Total Accommodations All-payer, Medicare Sum of Accommodation Charges: Critical Care, Private, Semi-Private, Ward 0100, 0101, 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119 ,0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149, 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199, 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209, 0210, 0211, 0212, 0213, 0214, 0219
Coronary Care All-payer, Medicare 021x 0210, 0211, 0212, 0213, 0214, 0219
Intermediate ICU/CCU All-payer   0206, 0214
Critical Care - Not Including Intermediate ICU/CCU All-payer   0200, 0201, 0202, 0203, 0204, 0207, 0208, 0209, 0210, 0211, 0212, 0213, 0219
CT Scan All-payer 035x 0350, 0351, 0352, 0359
Private All-payer, Medicare 011x, 014x 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149
Semi-Private All-payer, Medicare 010x, 012x, 013x, 016x, 017x, 018x, 019x, 0100, 0101, 0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199
Ward All-payer, Medicare 015x 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159
Private, Semi Private and Ward All-payer, Medicare Sum of Accommodation Charges: Private, Semi-Private, and Ward 0100, 0101, 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149, 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199
Ambulance All-payer, Medicare 054x 0540, 0541, 0542, 0543, 0544, 0545, 0546, 0547, 0548, 0549
Anesthesiology All-payer, Medicare 037X 0370, 0371, 0372, 0374, 0379
Blood Administration All-payer, Medicare 039x 0390, 0391, 0399
Blood Use All-payer, Medicare 038x 0380, 0381, 0382, 0383, 0384, 0385, 0386, 0387, 0389
Cardiology All-payer, Medicare 048X, 073X 0480, 0481, 0482, 0483, 0489, 0730, 0731, 0732, 0739
Clinic Visit All-payer, Medicare 051x 0510, 0511, 0512, 0513, 0514, 0515, 0516, 0517, 0519
Durable Medical Equipment All-payer, Medicare 029x (without 0293) 0290, 0291, 0292, 0294, 0299
Emergency Department All-payer, Medicare 045X 0450, 0451, 0452, 0456, 0459
ESRD All-payer, Medicare 080x, 082x, 088x 0800, 0801, 0802, 0803, 0804, 0809, 0820, 0821, 0822, 0823, 0824, 0825, 0829, 0880, 0881, 0882, 0889
Labor and Delivery All-payer 072x 0720, 0721, 0722, 0723, 0724, 0729
Laboratory and Pathology All-payer, Medicare 030X, 031X, 074X, 075X 0300, 0301, 0302, 0303, 0304, 0305, 0306, 0307, 0309, 0310, 0311, 0312, 0314, 0319, 0740, 0749, 0750, 0759
Lithotripsy All-payer, Medicare 079x 0790, 0799
Medical/Surgical Supplies All-payer, Medicare 027X, 062X 0270, 0271, 0272, 0273, 0274, 0275, 0276, 0277, 0278, 0279, 0620, 0621, 0622, 0623, 0624
MRI All-payer, Medicare 061x 0610, 0611, 0612, 0614, 0615, 0616, 0618, 0619

NICU

 All-payer 023x, 024x 0230, 0231, 0232, 0234, 0235, 0239, 0240, 0249
Nuclear Medicine All-payer 034x 0340, 0341, 0342, 0349
Nursery All-payer 017x 0171-0174, 0179
Nursery & NICU All-payer 023x, 024x 0230, 0231, 0232, 0234, 0235, 0239, 0240, 0249
Occupational Therapy All-payer, Medicare 043x 0430, 0431, 0432, 0433, 0434, 0439
Oncology All-payer 028x, 033x 0280, 0289, 0331, 0332, 0333, 0335
Operating Room, Labor & Delivery All-payer, Medicare 036X, 071X, 072X 0360, 0361, 0362, 0367, 0369, 0710, 0719, 0720, 0721, 0722, 0723, 0724, 0729
Organ Acquisition All-payer, Medicare 081x, 089x 0810, 0811, 0812, 0813, 0814, 0819, 0890, 0891, 0892, 0893, 0899
Other All-payer, Medicare 022X, 023x, 024x, 052X, 053X,055X, 056X, 057X, 058X, 059X, 060X, 064X, 065X, 066X, 067X, 068X, 069X,070X, 076X, 077X, 078X, 090x, 091x, 092X, 093X, 094X, 095X, 099X 0220, 0221 ,0222, 0223, 0224, 0229, 0230, 0231, 0232, 0233, 0234, 0235, 0239, 0240, 0249, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999
Other Not Including Nursery and NICU and Psych All-payer 022X, 052X, 053X, 055X, 056X, 057X, 058X, 059X, 060X, 064X, 065X, 066X, 067X, 068X, 069X, 070X, 076X, 077X, 078X, 092X, 093X, 094X, 095X, 099X 0220, 0221 ,0222, 0223, 0224, 0229, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999
Outpatient Services All-payer, Medicare 049x, 050x 0490, 0499, 0500, 0509
Pathology All-payer 031x 0310, 0311, 0312, 0314, 0319
Pharmacy All-payer, Medicare 025X, 026X, 063X 0250, 0251, 0252, 0253, 0254, 0255, 0256, 0257, 0258, 0259, 0260, 0261, 0262, 0263, 0264, 0269, 0630, 0631, 0632, 0633, 0634, 0635, 0636, 0637
Physical Therapy All-payer, Medicare 042x 0420, 0421, 0422, 0423, 0424, 0429
Professional Fee All-payer, Medicare 096x, 097x, 098x, 0960, 0961, 0962, 0963, 0964, 0969, 0971, 0972, 0973, 0974, 0975, 0976, 0977, 0978, 0979, 0981, 0982, 0983, 0984, 0985, 0986, 0987, 0988, 0989
Psych Services All-payer 090x, 091x 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919
Radiology and CT Scan All-payer 028x, 032x, 033x, 035x, 040x 0320, 0321, 0322, 0323, 0324, 0329, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409
Radiology, CT Scan, Oncology & Nuclear Medicine All-payer, Medicare 028x, 032x, 033x, 034x, 035x, 040x 0280, 0289, 0320, 0321, 0322, 0323, 0324, 0329, 0330, 0331, 0332, 0333, 0335, 0339, 0340, 0341, 0342, 0349, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409
Respiratory Services All-payer 041x 0410, 0412, 0413, 0419
Respiratory Therapy All-payer, Medicare 041x, 046x 0410, 0412, 0413, 0419, 0460, 0469
Speech Pathology All-payer, Medicare 044x, 047x 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479
Therapy: Physical, Occupational, Speech All-payer 042x, 043x, 044x, 047x 0420, 0421, 0422, 0423, 0424, 0429, 0430, 0431, 0432, 0433, 0434, 0439, 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479
Used Durable Medical Equipment All-payer, Medicare   0293

Usage measures

Measure Type Abbreviated Revenue Codes Revenue Codes (Detail)
Usage - Blood Use Medicare 038x 0380, 0381, 0382, 0383, 0384, 0385, 0386, 0387, 0389
Usage - Blood Administration   039x 0390, 0391, 0399
Usage - Coronary Care Medicare 021x 0210, 0211, 0212, 0213, 0214, 0219
Usage - Critical Care/ Intermediate ICU Medicare 020x, 021x 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209, 0210, 0211, 0212, 0213, 0214, 0219
Usage - CT Scan Medicare 035x 0350, 0351, 0352, 0359
Usage - ICU Medicare 020x 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209
Usage - MRI Use Medicare 061x 0610, 0611, 0612, 0614, 0615, 0616, 0618, 0619

Usage - Occupational Therapy Use

043x 0430, 0431, 0432, 0433, 0434, 0439

Usage - Physical Therapy Use

042x 0420, 0421, 0422, 0423, 0424, 0429
Usage - Radiology & CT Scan Medicare 032x, 033x, 034x, 035x, 040x 0320, 0321, 0322, 0323, 0324, 0329, 0330, 0339, 0340, 0341, 0342, 0349, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409

Usage - Respiratory Therapy Use

041x 0410, 0412, 0413, 0419

Usage - Speech Therapy Use

044x, 047x 0440, 0441, 0442, 0443, 0444, 0449, 0470-0472, 0479
Usage - Therapy: Physical, Occupational and Speech Medicare 042x, 043x, 044x, 047x 0420, 0421, 0422, 0423, 0424, 0429, 0430, 0431, 0432, 0433, 0434, 0439, 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479