change viewer calling paths (#1410)
[openemr.git] / interface / billing / ub04_codes.inc.php
blobf2418be6f8315aa238ca59dceddb5b26f834bfe8
1 <?php
2 $ub04_codes = array(
3 array('id' => '1','code_group' => 'revenue_code','code' => '0001','desc' => 'Total Charge','desc1' => '','desc2' => '','desc3' => ''),
4 array('id' => '2','code_group' => 'revenue_code','code' => '0022','desc' => 'HIPPS','desc1' => '','desc2' => '','desc3' => ''),
5 array('id' => '3','code_group' => 'revenue_code','code' => '0023','desc' => 'HIPPS','desc1' => '','desc2' => '','desc3' => ''),
6 array('id' => '4','code_group' => 'revenue_code','code' => '0024','desc' => 'HIPPS','desc1' => '','desc2' => '','desc3' => ''),
7 array('id' => '5','code_group' => 'revenue_code','code' => '0100','desc' => 'All Inclusive Rate','desc1' => '','desc2' => '','desc3' => ''),
8 array('id' => '6','code_group' => 'revenue_code','code' => '0101','desc' => 'All Inclusive Rate','desc1' => '','desc2' => '','desc3' => ''),
9 array('id' => '7','code_group' => 'revenue_code','code' => '0110','desc' => 'Room & Board (Private)','desc1' => '','desc2' => '','desc3' => ''),
10 array('id' => '8','code_group' => 'revenue_code','code' => '0111','desc' => 'Medical/Surgical/Gyn','desc1' => '','desc2' => '','desc3' => ''),
11 array('id' => '9','code_group' => 'revenue_code','code' => '0112','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
12 array('id' => '10','code_group' => 'revenue_code','code' => '0113','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
13 array('id' => '11','code_group' => 'revenue_code','code' => '0114','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
14 array('id' => '12','code_group' => 'revenue_code','code' => '0115','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
15 array('id' => '13','code_group' => 'revenue_code','code' => '0116','desc' => 'Detoxification','desc1' => '','desc2' => '','desc3' => ''),
16 array('id' => '14','code_group' => 'revenue_code','code' => '0117','desc' => 'Oncology','desc1' => '','desc2' => '','desc3' => ''),
17 array('id' => '15','code_group' => 'revenue_code','code' => '0118','desc' => 'Rehab','desc1' => '','desc2' => '','desc3' => ''),
18 array('id' => '16','code_group' => 'revenue_code','code' => '0119','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
19 array('id' => '17','code_group' => 'revenue_code','code' => '0120','desc' => 'Room & Board (Semi-Private 2 beds)','desc1' => '','desc2' => '','desc3' => ''),
20 array('id' => '18','code_group' => 'revenue_code','code' => '0121','desc' => 'Medical/Surgical/Gyn','desc1' => '','desc2' => '','desc3' => ''),
21 array('id' => '19','code_group' => 'revenue_code','code' => '0122','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
22 array('id' => '20','code_group' => 'revenue_code','code' => '0123','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
23 array('id' => '21','code_group' => 'revenue_code','code' => '0124','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
24 array('id' => '22','code_group' => 'revenue_code','code' => '0125','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
25 array('id' => '23','code_group' => 'revenue_code','code' => '0126','desc' => 'Detoxification','desc1' => '','desc2' => '','desc3' => ''),
26 array('id' => '24','code_group' => 'revenue_code','code' => '0127','desc' => 'Oncology','desc1' => '','desc2' => '','desc3' => ''),
27 array('id' => '25','code_group' => 'revenue_code','code' => '0128','desc' => 'Rehab','desc1' => '','desc2' => '','desc3' => ''),
28 array('id' => '26','code_group' => 'revenue_code','code' => '0129','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
29 array('id' => '27','code_group' => 'revenue_code','code' => '0130','desc' => 'Room&Board (Semi private 3-4 beds)','desc1' => '','desc2' => '','desc3' => ''),
30 array('id' => '28','code_group' => 'revenue_code','code' => '0131','desc' => 'Medical/Surgical/Gyn','desc1' => '','desc2' => '','desc3' => ''),
31 array('id' => '29','code_group' => 'revenue_code','code' => '0132','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
32 array('id' => '30','code_group' => 'revenue_code','code' => '0133','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
33 array('id' => '31','code_group' => 'revenue_code','code' => '0134','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
34 array('id' => '32','code_group' => 'revenue_code','code' => '0135','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
35 array('id' => '33','code_group' => 'revenue_code','code' => '0136','desc' => 'Detoxification','desc1' => '','desc2' => '','desc3' => ''),
36 array('id' => '34','code_group' => 'revenue_code','code' => '0137','desc' => 'Oncology','desc1' => '','desc2' => '','desc3' => ''),
37 array('id' => '35','code_group' => 'revenue_code','code' => '0138','desc' => 'Rehab','desc1' => '','desc2' => '','desc3' => ''),
38 array('id' => '36','code_group' => 'revenue_code','code' => '0139','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
39 array('id' => '37','code_group' => 'revenue_code','code' => '0140','desc' => 'Room & Board (Private Deluxe)','desc1' => '','desc2' => '','desc3' => ''),
40 array('id' => '38','code_group' => 'revenue_code','code' => '0141','desc' => 'Medical/Surgical/Gyn','desc1' => '','desc2' => '','desc3' => ''),
41 array('id' => '39','code_group' => 'revenue_code','code' => '0142','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
42 array('id' => '40','code_group' => 'revenue_code','code' => '0143','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
43 array('id' => '41','code_group' => 'revenue_code','code' => '0144','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
44 array('id' => '42','code_group' => 'revenue_code','code' => '0145','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
45 array('id' => '43','code_group' => 'revenue_code','code' => '0146','desc' => 'Detoxification','desc1' => '','desc2' => '','desc3' => ''),
46 array('id' => '44','code_group' => 'revenue_code','code' => '0147','desc' => 'Oncology','desc1' => '','desc2' => '','desc3' => ''),
47 array('id' => '45','code_group' => 'revenue_code','code' => '0148','desc' => 'Rehab','desc1' => '','desc2' => '','desc3' => ''),
48 array('id' => '46','code_group' => 'revenue_code','code' => '0149','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
49 array('id' => '47','code_group' => 'revenue_code','code' => '0150','desc' => 'Room & Board (Ward)','desc1' => '','desc2' => '','desc3' => ''),
50 array('id' => '48','code_group' => 'revenue_code','code' => '0151','desc' => 'Medical/Surgical/Gyn','desc1' => '','desc2' => '','desc3' => ''),
51 array('id' => '49','code_group' => 'revenue_code','code' => '0152','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
52 array('id' => '50','code_group' => 'revenue_code','code' => '0153','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
53 array('id' => '51','code_group' => 'revenue_code','code' => '0154','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
54 array('id' => '52','code_group' => 'revenue_code','code' => '0155','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
55 array('id' => '53','code_group' => 'revenue_code','code' => '0156','desc' => 'Detoxification','desc1' => '','desc2' => '','desc3' => ''),
56 array('id' => '54','code_group' => 'revenue_code','code' => '0157','desc' => 'Oncology','desc1' => '','desc2' => '','desc3' => ''),
57 array('id' => '55','code_group' => 'revenue_code','code' => '0158','desc' => 'Rehab','desc1' => '','desc2' => '','desc3' => ''),
58 array('id' => '56','code_group' => 'revenue_code','code' => '0159','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
59 array('id' => '57','code_group' => 'revenue_code','code' => '0160','desc' => 'Room & Board (other)','desc1' => '','desc2' => '','desc3' => ''),
60 array('id' => '58','code_group' => 'revenue_code','code' => '0164','desc' => 'Sterile Environment','desc1' => '','desc2' => '','desc3' => ''),
61 array('id' => '59','code_group' => 'revenue_code','code' => '0167','desc' => 'Self care','desc1' => '','desc2' => '','desc3' => ''),
62 array('id' => '60','code_group' => 'revenue_code','code' => '0169','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
63 array('id' => '61','code_group' => 'revenue_code','code' => '0170','desc' => 'Nursery','desc1' => '','desc2' => '','desc3' => ''),
64 array('id' => '62','code_group' => 'revenue_code','code' => '0171','desc' => 'Newborn-Level I','desc1' => '','desc2' => '','desc3' => ''),
65 array('id' => '63','code_group' => 'revenue_code','code' => '0172','desc' => 'Newborn-Level II','desc1' => '','desc2' => '','desc3' => ''),
66 array('id' => '64','code_group' => 'revenue_code','code' => '0173','desc' => 'Newborn-Level III','desc1' => '','desc2' => '','desc3' => ''),
67 array('id' => '65','code_group' => 'revenue_code','code' => '0174','desc' => 'Newborn-Level IV','desc1' => '','desc2' => '','desc3' => ''),
68 array('id' => '66','code_group' => 'revenue_code','code' => '0179','desc' => 'Other Nursery','desc1' => '','desc2' => '','desc3' => ''),
69 array('id' => '67','code_group' => 'revenue_code','code' => '0180','desc' => 'Leave of Absence','desc1' => '','desc2' => '','desc3' => ''),
70 array('id' => '68','code_group' => 'revenue_code','code' => '0182','desc' => 'Patient Convenience','desc1' => '','desc2' => '','desc3' => ''),
71 array('id' => '69','code_group' => 'revenue_code','code' => '0183','desc' => 'Therapeutic Leave','desc1' => '','desc2' => '','desc3' => ''),
72 array('id' => '70','code_group' => 'revenue_code','code' => '0185','desc' => 'Hospitalization','desc1' => '','desc2' => '','desc3' => ''),
73 array('id' => '71','code_group' => 'revenue_code','code' => '0189','desc' => 'Other leave of absence','desc1' => '','desc2' => '','desc3' => ''),
74 array('id' => '72','code_group' => 'revenue_code','code' => '0190','desc' => 'Subacute care','desc1' => '','desc2' => '','desc3' => ''),
75 array('id' => '73','code_group' => 'revenue_code','code' => '0191','desc' => 'Subacute care-Level I','desc1' => '','desc2' => '','desc3' => ''),
76 array('id' => '74','code_group' => 'revenue_code','code' => '0192','desc' => 'Subacute care-Level II','desc1' => '','desc2' => '','desc3' => ''),
77 array('id' => '75','code_group' => 'revenue_code','code' => '0193','desc' => 'Subacute care-Level III','desc1' => '','desc2' => '','desc3' => ''),
78 array('id' => '76','code_group' => 'revenue_code','code' => '0194','desc' => 'Subacute care-Level IV','desc1' => '','desc2' => '','desc3' => ''),
79 array('id' => '77','code_group' => 'revenue_code','code' => '0199','desc' => 'Other subacute care','desc1' => '','desc2' => '','desc3' => ''),
80 array('id' => '78','code_group' => 'revenue_code','code' => '0200','desc' => 'Intensive care','desc1' => '','desc2' => '','desc3' => ''),
81 array('id' => '79','code_group' => 'revenue_code','code' => '0201','desc' => 'Surgical','desc1' => '','desc2' => '','desc3' => ''),
82 array('id' => '80','code_group' => 'revenue_code','code' => '0202','desc' => 'Medical','desc1' => '','desc2' => '','desc3' => ''),
83 array('id' => '81','code_group' => 'revenue_code','code' => '0203','desc' => 'Pediatric','desc1' => '','desc2' => '','desc3' => ''),
84 array('id' => '82','code_group' => 'revenue_code','code' => '0204','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
85 array('id' => '83','code_group' => 'revenue_code','code' => '0206','desc' => 'Intermediate ICU','desc1' => '','desc2' => '','desc3' => ''),
86 array('id' => '84','code_group' => 'revenue_code','code' => '0207','desc' => 'Burn care','desc1' => '','desc2' => '','desc3' => ''),
87 array('id' => '85','code_group' => 'revenue_code','code' => '0208','desc' => 'Trauma','desc1' => '','desc2' => '','desc3' => ''),
88 array('id' => '86','code_group' => 'revenue_code','code' => '0209','desc' => 'Other intensive care','desc1' => '','desc2' => '','desc3' => ''),
89 array('id' => '87','code_group' => 'revenue_code','code' => '0210','desc' => 'Coronary care','desc1' => '','desc2' => '','desc3' => ''),
90 array('id' => '88','code_group' => 'revenue_code','code' => '0211','desc' => 'Myocardial Infarction','desc1' => '','desc2' => '','desc3' => ''),
91 array('id' => '89','code_group' => 'revenue_code','code' => '0212','desc' => 'Pulmonary Care','desc1' => '','desc2' => '','desc3' => ''),
92 array('id' => '90','code_group' => 'revenue_code','code' => '0213','desc' => 'Heart Transplant','desc1' => '','desc2' => '','desc3' => ''),
93 array('id' => '91','code_group' => 'revenue_code','code' => '0214','desc' => 'Intermediate CCU','desc1' => '','desc2' => '','desc3' => ''),
94 array('id' => '92','code_group' => 'revenue_code','code' => '0219','desc' => 'Other Coronary Care','desc1' => '','desc2' => '','desc3' => ''),
95 array('id' => '93','code_group' => 'revenue_code','code' => '0220','desc' => 'Special charges','desc1' => '','desc2' => '','desc3' => ''),
96 array('id' => '94','code_group' => 'revenue_code','code' => '0221','desc' => 'Admission charge','desc1' => '','desc2' => '','desc3' => ''),
97 array('id' => '95','code_group' => 'revenue_code','code' => '0222','desc' => 'Technical support charge','desc1' => '','desc2' => '','desc3' => ''),
98 array('id' => '96','code_group' => 'revenue_code','code' => '0223','desc' => 'U.R. service charge','desc1' => '','desc2' => '','desc3' => ''),
99 array('id' => '97','code_group' => 'revenue_code','code' => '0224','desc' => 'Late discharge, medically necessary','desc1' => '','desc2' => '','desc3' => ''),
100 array('id' => '98','code_group' => 'revenue_code','code' => '0229','desc' => 'Other special charges','desc1' => '','desc2' => '','desc3' => ''),
101 array('id' => '99','code_group' => 'revenue_code','code' => '0230','desc' => 'Incremental nursing charge rate','desc1' => '','desc2' => '','desc3' => ''),
102 array('id' => '100','code_group' => 'revenue_code','code' => '0231','desc' => 'Nursery','desc1' => '','desc2' => '','desc3' => ''),
103 array('id' => '101','code_group' => 'revenue_code','code' => '0232','desc' => 'OB','desc1' => '','desc2' => '','desc3' => ''),
104 array('id' => '102','code_group' => 'revenue_code','code' => '0233','desc' => 'ICU','desc1' => '','desc2' => '','desc3' => ''),
105 array('id' => '103','code_group' => 'revenue_code','code' => '0234','desc' => 'CCU','desc1' => '','desc2' => '','desc3' => ''),
106 array('id' => '104','code_group' => 'revenue_code','code' => '0235','desc' => 'Hospice','desc1' => '','desc2' => '','desc3' => ''),
107 array('id' => '105','code_group' => 'revenue_code','code' => '0239','desc' => 'Other','desc1' => '','desc2' => '','desc3' => ''),
108 array('id' => '106','code_group' => 'revenue_code','code' => '0240','desc' => 'All inclusive Ancillary','desc1' => '','desc2' => '','desc3' => ''),
109 array('id' => '107','code_group' => 'revenue_code','code' => '0241','desc' => 'Basic','desc1' => '','desc2' => '','desc3' => ''),
110 array('id' => '108','code_group' => 'revenue_code','code' => '0242','desc' => 'Comprehensive','desc1' => '','desc2' => '','desc3' => ''),
111 array('id' => '109','code_group' => 'revenue_code','code' => '0243','desc' => 'Specialty','desc1' => '','desc2' => '','desc3' => ''),
112 array('id' => '110','code_group' => 'revenue_code','code' => '0249','desc' => 'Other all inclusive ancillary','desc1' => '','desc2' => '','desc3' => ''),
113 array('id' => '111','code_group' => 'revenue_code','code' => '0250','desc' => 'Pharmacy','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
114 array('id' => '112','code_group' => 'revenue_code','code' => '0251','desc' => 'Pharmacy: Generic','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
115 array('id' => '113','code_group' => 'revenue_code','code' => '0252','desc' => 'Pharmacy: Nongeneric','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
116 array('id' => '114','code_group' => 'revenue_code','code' => '0253','desc' => 'Take home drugs','desc1' => '','desc2' => '','desc3' => ''),
117 array('id' => '115','code_group' => 'revenue_code','code' => '0254','desc' => 'Pharmacy: Incident to other diagnostic services','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
118 array('id' => '116','code_group' => 'revenue_code','code' => '0255','desc' => 'Pharmacy: Incident to radiology','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
119 array('id' => '117','code_group' => 'revenue_code','code' => '0256','desc' => 'Pharmacy: Experimental drugs','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
120 array('id' => '118','code_group' => 'revenue_code','code' => '0257','desc' => 'Pharmacy: Non-prescription','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
121 array('id' => '119','code_group' => 'revenue_code','code' => '0258','desc' => 'Pharmacy: IV solutions','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
122 array('id' => '120','code_group' => 'revenue_code','code' => '0259','desc' => 'Pharmacy: Other','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
123 array('id' => '121','code_group' => 'revenue_code','code' => '0260','desc' => 'IV Therapy','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
124 array('id' => '122','code_group' => 'revenue_code','code' => '0261','desc' => 'IV Therapy: Infusion pump','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
125 array('id' => '123','code_group' => 'revenue_code','code' => '0262','desc' => 'IV Therapy: IV Therapy, pharm services','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
126 array('id' => '124','code_group' => 'revenue_code','code' => '0263','desc' => 'IV Therapy: IV Therapy/drug/supp/delivery','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
127 array('id' => '125','code_group' => 'revenue_code','code' => '0264','desc' => 'IV Therapy: supplies','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
128 array('id' => '126','code_group' => 'revenue_code','code' => '0269','desc' => 'IV Therapy: Other IV therapy','desc1' => 'Intravenous Therapy','desc2' => '','desc3' => ''),
129 array('id' => '127','code_group' => 'revenue_code','code' => '0270','desc' => 'Medical/Surgical Supplies','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
130 array('id' => '128','code_group' => 'revenue_code','code' => '0271','desc' => 'Medical/Surgical Supplies: Nonsterile supplies','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
131 array('id' => '129','code_group' => 'revenue_code','code' => '0272','desc' => 'Medical/Surgical Supplies: Sterile supplies','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
132 array('id' => '130','code_group' => 'revenue_code','code' => '0273','desc' => 'Medical/Surgical Supplies: Take home supplies','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
133 array('id' => '131','code_group' => 'revenue_code','code' => '0274','desc' => 'Medical/Surgical Supplies: Prosthetic/Orthotic devices','desc1' => 'Prosthetic Devices','desc2' => 'Medical Supplies Charged to Patients','desc3' => ''),
134 array('id' => '132','code_group' => 'revenue_code','code' => '0275','desc' => 'Medical/Surgical Supplies: Pacemaker','desc1' => 'Impl. Dev. Charged to Patient','desc2' => 'Prosthetic Devices','desc3' => 'Medical Supplies Charged to Patients'),
135 array('id' => '133','code_group' => 'revenue_code','code' => '0276','desc' => 'Medical/Surgical Supplies: Intraocular lens','desc1' => 'Impl. Dev. Charged to Patient','desc2' => 'Prosthetic Devices','desc3' => 'Medical Supplies Charged to Patients'),
136 array('id' => '134','code_group' => 'revenue_code','code' => '0277','desc' => 'Oxygen-Take home','desc1' => '','desc2' => '','desc3' => ''),
137 array('id' => '135','code_group' => 'revenue_code','code' => '0278','desc' => 'Medical/Surgical Supplies: Other implants','desc1' => 'Impl. Dev. Charged to Patient','desc2' => 'Medical Supplies Charged to Patients','desc3' => ''),
138 array('id' => '136','code_group' => 'revenue_code','code' => '0279','desc' => 'Medical/Surgical Supplies: Other supplies/devices','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
139 array('id' => '137','code_group' => 'revenue_code','code' => '0280','desc' => 'Oncology','desc1' => 'Oncology','desc2' => '','desc3' => ''),
140 array('id' => '138','code_group' => 'revenue_code','code' => '0289','desc' => 'Oncology: Other oncology','desc1' => 'Oncology','desc2' => '','desc3' => ''),
141 array('id' => '139','code_group' => 'revenue_code','code' => '0290','desc' => 'Durable Medical Equipment','desc1' => '','desc2' => '','desc3' => ''),
142 array('id' => '140','code_group' => 'revenue_code','code' => '0291','desc' => 'DME Rental','desc1' => '','desc2' => '','desc3' => ''),
143 array('id' => '141','code_group' => 'revenue_code','code' => '0292','desc' => 'Durable Medical Equipment: Purchase - new equipment','desc1' => '','desc2' => '','desc3' => ''),
144 array('id' => '142','code_group' => 'revenue_code','code' => '0293','desc' => 'Purchase of used DME','desc1' => '','desc2' => '','desc3' => ''),
145 array('id' => '143','code_group' => 'revenue_code','code' => '0294','desc' => 'Supplies/Drugs for DME effectiveness (HHA only)','desc1' => '','desc2' => '','desc3' => ''),
146 array('id' => '144','code_group' => 'revenue_code','code' => '0299','desc' => 'Durable Medical Equipment: Other equipment','desc1' => 'Durable Medical Equip. - Sold','desc2' => 'Medical Supplies Charged to Patients','desc3' => ''),
147 array('id' => '145','code_group' => 'revenue_code','code' => '0300','desc' => 'Laboratory - Clinical Diagnostic','desc1' => 'Laboratory - Clinical','desc2' => '','desc3' => ''),
148 array('id' => '146','code_group' => 'revenue_code','code' => '0301','desc' => 'Laboratory - Clinical Diagnostic: Chemistry','desc1' => 'Chemistry','desc2' => 'Laboratory - Clinical','desc3' => 'Laboratory'),
149 array('id' => '147','code_group' => 'revenue_code','code' => '0302','desc' => 'Laboratory - Clinical Diagnostic: Immunology','desc1' => 'Immunology','desc2' => 'Laboratory - Clinical','desc3' => 'Laboratory'),
150 array('id' => '148','code_group' => 'revenue_code','code' => '0303','desc' => 'Laboratory - Clinical Diagnostic: Renal patient (home)','desc1' => 'Laboratory - Clinical','desc2' => 'Laboratory','desc3' => ''),
151 array('id' => '149','code_group' => 'revenue_code','code' => '0304','desc' => 'Laboratory - Clinical Diagnostic: Nonroutine dialysis','desc1' => 'Laboratory - Clinical','desc2' => 'Laboratory','desc3' => ''),
152 array('id' => '150','code_group' => 'revenue_code','code' => '0305','desc' => 'Laboratory - Clinical Diagnostic: Hematology','desc1' => 'Hematology','desc2' => 'Laboratory - Clinical','desc3' => 'Laboratory'),
153 array('id' => '151','code_group' => 'revenue_code','code' => '0306','desc' => 'Laboratory - Clinical Diagnostic: Bacteriology/microbiology','desc1' => 'Bacteriology & Microbiology','desc2' => 'Laboratory - Clinical','desc3' => 'Laboratory'),
154 array('id' => '152','code_group' => 'revenue_code','code' => '0307','desc' => 'Laboratory - Clinical Diagnostic: Urology','desc1' => 'Laboratory - Clinical','desc2' => 'Laboratory','desc3' => ''),
155 array('id' => '153','code_group' => 'revenue_code','code' => '0309','desc' => 'Laboratory - Clinical Diagnostic: Other laboratory','desc1' => 'Laboratory - Clinical','desc2' => 'Laboratory','desc3' => ''),
156 array('id' => '154','code_group' => 'revenue_code','code' => '0310','desc' => 'Laboratory - Pathology','desc1' => 'Laboratory - Pathological','desc2' => 'Laboratory','desc3' => ''),
157 array('id' => '155','code_group' => 'revenue_code','code' => '0311','desc' => 'Laboratory - Pathology: Cytology','desc1' => 'Cytology','desc2' => 'Laboratory - Pathological','desc3' => 'Laboratory'),
158 array('id' => '156','code_group' => 'revenue_code','code' => '0312','desc' => 'Laboratory - Pathology: Histology','desc1' => 'Histology','desc2' => 'Laboratory - Pathological','desc3' => 'Laboratory'),
159 array('id' => '157','code_group' => 'revenue_code','code' => '0314','desc' => 'Laboratory - Pathology: Biopsy','desc1' => 'Biopsy','desc2' => 'Laboratory - Pathological','desc3' => 'Laboratory'),
160 array('id' => '158','code_group' => 'revenue_code','code' => '0319','desc' => 'Laboratory - Pathology: Other','desc1' => 'Laboratory - Pathological','desc2' => 'Laboratory','desc3' => ''),
161 array('id' => '159','code_group' => 'revenue_code','code' => '0320','desc' => 'Radiology - Diagnostic','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
162 array('id' => '160','code_group' => 'revenue_code','code' => '0321','desc' => 'Radiology - Diagnostic: Angiocardiography','desc1' => 'Angiocardiography','desc2' => 'Cardiac Catheterization','desc3' => 'Cardiology'),
163 array('id' => '161','code_group' => 'revenue_code','code' => '0322','desc' => 'Radiology - Diagnostic: Arthrography','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
164 array('id' => '162','code_group' => 'revenue_code','code' => '0323','desc' => 'Radiology - Diagnostic: Arteriography','desc1' => 'Vascular Lab','desc2' => 'Radiology - Diagnostic','desc3' => ''),
165 array('id' => '163','code_group' => 'revenue_code','code' => '0324','desc' => 'Radiology - Diagnostic: Chest X-ray','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
166 array('id' => '164','code_group' => 'revenue_code','code' => '0329','desc' => 'Radiology - Diagnostic: Other','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
167 array('id' => '165','code_group' => 'revenue_code','code' => '0330','desc' => 'Radiology - Therapeutic','desc1' => 'Radiology - Therapeutic','desc2' => '','desc3' => ''),
168 array('id' => '166','code_group' => 'revenue_code','code' => '0331','desc' => 'Radiology - Therapeutic: Chemotherapy - injected','desc1' => 'Chemotherapy','desc2' => 'Oncology','desc3' => ''),
169 array('id' => '167','code_group' => 'revenue_code','code' => '0332','desc' => 'Radiology - Therapeutic: Chemotherapy - oral','desc1' => 'Chemotherapy','desc2' => 'Oncology','desc3' => ''),
170 array('id' => '168','code_group' => 'revenue_code','code' => '0333','desc' => 'Radiology - Therapeutic: Radiation therapy','desc1' => 'Radiology - Therapeutic','desc2' => '','desc3' => ''),
171 array('id' => '169','code_group' => 'revenue_code','code' => '0335','desc' => 'Radiology - Therapeutic: Chemotherapy - IV','desc1' => 'Chemotherapy','desc2' => 'Radiology - Therapeutic','desc3' => ''),
172 array('id' => '170','code_group' => 'revenue_code','code' => '0339','desc' => 'Radiology - Therapeutic: Other','desc1' => 'Radiology - Therapeutic','desc2' => '','desc3' => ''),
173 array('id' => '171','code_group' => 'revenue_code','code' => '0340','desc' => 'Nuclear Medicine','desc1' => 'Nuclear Medicine - Diagnostic','desc2' => 'Radiology - Diagnostic','desc3' => ''),
174 array('id' => '172','code_group' => 'revenue_code','code' => '0341','desc' => 'Nuclear Medicine: Diagnostic','desc1' => 'Nuclear Medicine - Diagnostic','desc2' => 'Radiology - Diagnostic','desc3' => ''),
175 array('id' => '173','code_group' => 'revenue_code','code' => '0342','desc' => 'Nuclear Medicine: Therapeutic','desc1' => 'Nuclear Medicine - Therapeutic','desc2' => 'Radiology - Therapeutic','desc3' => ''),
176 array('id' => '174','code_group' => 'revenue_code','code' => '0343','desc' => 'Diagnostic Radiopharms','desc1' => 'Nuclear Medicine - Diagnostic','desc2' => 'Radiology - Diagnostic','desc3' => ''),
177 array('id' => '175','code_group' => 'revenue_code','code' => '0344','desc' => 'Therapeutic Radiopharms','desc1' => 'Nuclear Medicine - Therapeutic','desc2' => 'Radiology - Therapeutic','desc3' => ''),
178 array('id' => '176','code_group' => 'revenue_code','code' => '0349','desc' => 'Nuclear Medicine: Other','desc1' => 'Nuclear Medicine - Diagnostic','desc2' => 'Radiology - Diagnostic','desc3' => ''),
179 array('id' => '177','code_group' => 'revenue_code','code' => '0350','desc' => 'CT Scan','desc1' => 'CT Scan','desc2' => 'Radiology - Diagnostic','desc3' => ''),
180 array('id' => '178','code_group' => 'revenue_code','code' => '0351','desc' => 'CT Scan: Head','desc1' => 'CT Scan','desc2' => 'Radiology - Diagnostic','desc3' => ''),
181 array('id' => '179','code_group' => 'revenue_code','code' => '0352','desc' => 'CT Scan: Body','desc1' => 'CT Scan','desc2' => 'Radiology - Diagnostic','desc3' => ''),
182 array('id' => '180','code_group' => 'revenue_code','code' => '0359','desc' => 'CT Scan: Other CT scans','desc1' => 'CT Scan','desc2' => 'Radiology - Diagnostic','desc3' => ''),
183 array('id' => '181','code_group' => 'revenue_code','code' => '0360','desc' => 'Operating Room Services','desc1' => 'Operating Room','desc2' => '','desc3' => ''),
184 array('id' => '182','code_group' => 'revenue_code','code' => '0361','desc' => 'Operating Room Services: Minor surgery','desc1' => 'Operating Room','desc2' => '','desc3' => ''),
185 array('id' => '183','code_group' => 'revenue_code','code' => '0362','desc' => 'Operating Room Services: Organ trnsplnt, not kidney','desc1' => 'Operating Room','desc2' => '','desc3' => ''),
186 array('id' => '184','code_group' => 'revenue_code','code' => '0367','desc' => 'Operating Room Services: Kidney transplant','desc1' => 'Operating Room','desc2' => '','desc3' => ''),
187 array('id' => '185','code_group' => 'revenue_code','code' => '0369','desc' => 'Operating Room Services: Other operating room services','desc1' => 'Operating Room','desc2' => '','desc3' => ''),
188 array('id' => '186','code_group' => 'revenue_code','code' => '0370','desc' => 'Anesthesia','desc1' => 'Anesthesiology','desc2' => '','desc3' => ''),
189 array('id' => '187','code_group' => 'revenue_code','code' => '0371','desc' => 'Anesthesia: Incident to radiology','desc1' => 'Anesthesiology','desc2' => 'Radiology - Therapeutic','desc3' => ''),
190 array('id' => '188','code_group' => 'revenue_code','code' => '0372','desc' => 'Anesthesia: Incident to other diag services','desc1' => 'Anesthesiology','desc2' => '','desc3' => ''),
191 array('id' => '189','code_group' => 'revenue_code','code' => '0374','desc' => 'Acupuncture','desc1' => '','desc2' => '','desc3' => ''),
192 array('id' => '190','code_group' => 'revenue_code','code' => '0379','desc' => 'Anesthesia: Other anesthesia','desc1' => 'Anesthesiology','desc2' => '','desc3' => ''),
193 array('id' => '191','code_group' => 'revenue_code','code' => '0380','desc' => 'Blood','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
194 array('id' => '192','code_group' => 'revenue_code','code' => '0381','desc' => 'Blood: Packed red cells','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
195 array('id' => '193','code_group' => 'revenue_code','code' => '0382','desc' => 'Blood: Whole blood','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
196 array('id' => '194','code_group' => 'revenue_code','code' => '0383','desc' => 'Blood: Plasma','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
197 array('id' => '195','code_group' => 'revenue_code','code' => '0384','desc' => 'Blood: Platelets','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
198 array('id' => '196','code_group' => 'revenue_code','code' => '0385','desc' => 'Blood: Leukocytes','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
199 array('id' => '197','code_group' => 'revenue_code','code' => '0386','desc' => 'Blood: Other components','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
200 array('id' => '198','code_group' => 'revenue_code','code' => '0387','desc' => 'Blood: Other derivatives','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
201 array('id' => '199','code_group' => 'revenue_code','code' => '0389','desc' => 'Blood: Other blood','desc1' => 'Whole Blood & Packed Red Blood Cells','desc2' => '','desc3' => ''),
202 array('id' => '200','code_group' => 'revenue_code','code' => '0390','desc' => 'Blood Storage/Processing','desc1' => 'Blood Storing, Processing, & Trans.','desc2' => '','desc3' => ''),
203 array('id' => '201','code_group' => 'revenue_code','code' => '0391','desc' => 'Blood: - Administration (e.g. Transfusion)','desc1' => 'Blood Storing, Processing, & Trans.','desc2' => '','desc3' => ''),
204 array('id' => '202','code_group' => 'revenue_code','code' => '0392','desc' => 'Blood: Processing and Storage','desc1' => 'Blood Storing, Processing, & Trans.','desc2' => '','desc3' => ''),
205 array('id' => '203','code_group' => 'revenue_code','code' => '0399','desc' => 'Other blood handling','desc1' => 'Blood Storing, Processing, & Trans.','desc2' => '','desc3' => ''),
206 array('id' => '204','code_group' => 'revenue_code','code' => '0400','desc' => 'Other Imaging Services','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
207 array('id' => '205','code_group' => 'revenue_code','code' => '0401','desc' => 'Other Imaging Services: Diagnostic mammography','desc1' => 'Mammography','desc2' => 'Radiology - Diagnostic','desc3' => ''),
208 array('id' => '206','code_group' => 'revenue_code','code' => '0402','desc' => 'Other Imaging Services: Ultrasound','desc1' => 'Ultra Sound','desc2' => 'Radiology - Diagnostic','desc3' => ''),
209 array('id' => '207','code_group' => 'revenue_code','code' => '0403','desc' => 'Other Imaging Services: Screening mammography','desc1' => 'Mammography','desc2' => 'Radiology - Diagnostic','desc3' => ''),
210 array('id' => '208','code_group' => 'revenue_code','code' => '0404','desc' => 'Other Imaging Services: PET scan','desc1' => 'Nuclear Medicine - Diagnostic','desc2' => 'Radiology - Diagnostic','desc3' => ''),
211 array('id' => '209','code_group' => 'revenue_code','code' => '0409','desc' => 'Other Imaging Services: Other imaging services','desc1' => 'Radiology - Diagnostic','desc2' => '','desc3' => ''),
212 array('id' => '210','code_group' => 'revenue_code','code' => '0410','desc' => 'Respiratory Services','desc1' => 'Respiratory Therapy','desc2' => '','desc3' => ''),
213 array('id' => '211','code_group' => 'revenue_code','code' => '0412','desc' => 'Respiratory Services: Inhalation services','desc1' => 'Respiratory Therapy','desc2' => '','desc3' => ''),
214 array('id' => '212','code_group' => 'revenue_code','code' => '0413','desc' => 'Respiratory Services: Hyberbaric oxygen therapy','desc1' => 'Respiratory Therapy','desc2' => 'Respiratory Therapy','desc3' => ''),
215 array('id' => '213','code_group' => 'revenue_code','code' => '0419','desc' => 'Respiratory Services: Other respiratory services','desc1' => 'Respiratory Therapy','desc2' => '','desc3' => ''),
216 array('id' => '214','code_group' => 'revenue_code','code' => '0420','desc' => 'Physical Therapy','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
217 array('id' => '215','code_group' => 'revenue_code','code' => '0421','desc' => 'Physical Therapy: Visit charge','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
218 array('id' => '216','code_group' => 'revenue_code','code' => '0422','desc' => 'Physical Therapy: Hourly charge','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
219 array('id' => '217','code_group' => 'revenue_code','code' => '0423','desc' => 'Physical Therapy: Group rate','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
220 array('id' => '218','code_group' => 'revenue_code','code' => '0424','desc' => 'Physical Therapy: Evaluation/re-evaluation','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
221 array('id' => '219','code_group' => 'revenue_code','code' => '0429','desc' => 'Physical Therapy: Other physical therapy','desc1' => 'Physical Therapy','desc2' => '','desc3' => ''),
222 array('id' => '220','code_group' => 'revenue_code','code' => '0430','desc' => 'Occupational Therapy','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
223 array('id' => '221','code_group' => 'revenue_code','code' => '0431','desc' => 'Occupational Therapy: Visit charge','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
224 array('id' => '222','code_group' => 'revenue_code','code' => '0432','desc' => 'Occupational Therapy: Hourly charge','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
225 array('id' => '223','code_group' => 'revenue_code','code' => '0433','desc' => 'Occupational Therapy: Group rate','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
226 array('id' => '224','code_group' => 'revenue_code','code' => '0434','desc' => 'Occupational Therapy: Evaluation/re-evaluation','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
227 array('id' => '225','code_group' => 'revenue_code','code' => '0439','desc' => 'Occupational Therapy: Other occupational therapy','desc1' => 'Occupational Therapy','desc2' => '','desc3' => ''),
228 array('id' => '226','code_group' => 'revenue_code','code' => '0440','desc' => 'Speech-Language Pathology','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
229 array('id' => '227','code_group' => 'revenue_code','code' => '0441','desc' => 'Speech-Language Pathology: Visit charge','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
230 array('id' => '228','code_group' => 'revenue_code','code' => '0442','desc' => 'Speech-Language Pathology: Hourly charge','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
231 array('id' => '229','code_group' => 'revenue_code','code' => '0443','desc' => 'Speech-Language Pathology: Group rate','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
232 array('id' => '230','code_group' => 'revenue_code','code' => '0444','desc' => 'Speech-Language Pathology: Evaluation/ re-evaluation','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
233 array('id' => '231','code_group' => 'revenue_code','code' => '0449','desc' => 'Speech-Language Pathology: Other speech language pathology','desc1' => 'Speech Pathology','desc2' => '','desc3' => ''),
234 array('id' => '232','code_group' => 'revenue_code','code' => '0450','desc' => 'Emergency Room','desc1' => 'Emergency','desc2' => '','desc3' => ''),
235 array('id' => '233','code_group' => 'revenue_code','code' => '0451','desc' => 'Emergency Room: EM/EMTALA','desc1' => 'Emergency','desc2' => '','desc3' => ''),
236 array('id' => '234','code_group' => 'revenue_code','code' => '0452','desc' => 'Emergency Room: ER/ Beyond EMTALA','desc1' => 'Emergency','desc2' => '','desc3' => ''),
237 array('id' => '235','code_group' => 'revenue_code','code' => '0456','desc' => 'Emergency Room: Urgent care','desc1' => 'Emergency','desc2' => '','desc3' => ''),
238 array('id' => '236','code_group' => 'revenue_code','code' => '0459','desc' => 'Emergency Room: Other emergency room','desc1' => 'Emergency','desc2' => '','desc3' => ''),
239 array('id' => '237','code_group' => 'revenue_code','code' => '0460','desc' => 'Pulmonary Function','desc1' => 'Pulmonary Function Testing','desc2' => 'Cardiopulmonary','desc3' => ''),
240 array('id' => '238','code_group' => 'revenue_code','code' => '0469','desc' => 'Pulmonary Function: Other','desc1' => 'Pulmonary Function Testing','desc2' => 'Cardiopulmonary','desc3' => ''),
241 array('id' => '239','code_group' => 'revenue_code','code' => '0470','desc' => 'Audiology','desc1' => 'Audiology','desc2' => 'Speech Pathology','desc3' => ''),
242 array('id' => '240','code_group' => 'revenue_code','code' => '0471','desc' => 'Audiology: Diagnostic','desc1' => 'Audiology','desc2' => 'Speech Pathology','desc3' => ''),
243 array('id' => '241','code_group' => 'revenue_code','code' => '0472','desc' => 'Audiology: Treatment','desc1' => 'Audiology','desc2' => 'Speech Pathology','desc3' => ''),
244 array('id' => '242','code_group' => 'revenue_code','code' => '0479','desc' => 'Audiology: Other audiology','desc1' => 'Audiology','desc2' => 'Speech Pathology','desc3' => ''),
245 array('id' => '243','code_group' => 'revenue_code','code' => '0480','desc' => 'Cardiology','desc1' => 'Cardiology','desc2' => '','desc3' => ''),
246 array('id' => '244','code_group' => 'revenue_code','code' => '0481','desc' => 'Cardiology: Cardiac catheter lab','desc1' => 'Cardiac Catheterization','desc2' => 'Cardiology','desc3' => ''),
247 array('id' => '245','code_group' => 'revenue_code','code' => '0482','desc' => 'Cardiology: Stress test','desc1' => 'Stress Test','desc2' => 'Cardiology','desc3' => ''),
248 array('id' => '246','code_group' => 'revenue_code','code' => '0483','desc' => 'Cardiology: Echocardiology','desc1' => 'Echocardiography','desc2' => 'Cardiology','desc3' => ''),
249 array('id' => '247','code_group' => 'revenue_code','code' => '0489','desc' => 'Cardiology: Other cardiology','desc1' => 'Cardiology','desc2' => '','desc3' => ''),
250 array('id' => '248','code_group' => 'revenue_code','code' => '0490','desc' => 'Ambulatory Surgery','desc1' => 'ASC (Non-Distinct Part)','desc2' => 'Operating Room','desc3' => ''),
251 array('id' => '249','code_group' => 'revenue_code','code' => '0499','desc' => 'Ambulatory Surgery: Other ambulatory surgical care','desc1' => 'ASC (Non-Distinct Part)','desc2' => 'Operating Room','desc3' => ''),
252 array('id' => '250','code_group' => 'revenue_code','code' => '0500','desc' => 'Outpatient services','desc1' => '','desc2' => '','desc3' => ''),
253 array('id' => '251','code_group' => 'revenue_code','code' => '0509','desc' => 'Other Outpatient','desc1' => '','desc2' => '','desc3' => ''),
254 array('id' => '252','code_group' => 'revenue_code','code' => '0510','desc' => 'Clinic','desc1' => 'Clinic','desc2' => '','desc3' => ''),
255 array('id' => '253','code_group' => 'revenue_code','code' => '0511','desc' => 'Clinic: Chronic pain center','desc1' => 'Clinic','desc2' => '','desc3' => ''),
256 array('id' => '254','code_group' => 'revenue_code','code' => '0512','desc' => 'Clinic: Dental clinic','desc1' => 'Dental Services','desc2' => 'Clinic','desc3' => ''),
257 array('id' => '255','code_group' => 'revenue_code','code' => '0513','desc' => 'Clinic: Psychiatric clinic','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
258 array('id' => '256','code_group' => 'revenue_code','code' => '0514','desc' => 'Clinic: OB/GYN clinic','desc1' => 'Clinic','desc2' => '','desc3' => ''),
259 array('id' => '257','code_group' => 'revenue_code','code' => '0515','desc' => 'Clinic: Pediatric clinic','desc1' => 'Clinic','desc2' => '','desc3' => ''),
260 array('id' => '258','code_group' => 'revenue_code','code' => '0516','desc' => 'Clinic: Urgent care clinic','desc1' => 'Clinic','desc2' => '','desc3' => ''),
261 array('id' => '259','code_group' => 'revenue_code','code' => '0517','desc' => 'Clinic: Family clinic','desc1' => 'Family Practice','desc2' => 'Clinic','desc3' => ''),
262 array('id' => '260','code_group' => 'revenue_code','code' => '0519','desc' => 'Clinic: Other clinic','desc1' => 'Clinic','desc2' => '','desc3' => ''),
263 array('id' => '261','code_group' => 'revenue_code','code' => '0520','desc' => 'Free-Standing Clinic','desc1' => '','desc2' => '','desc3' => ''),
264 array('id' => '262','code_group' => 'revenue_code','code' => '0521','desc' => 'Rural health-clinic','desc1' => '','desc2' => '','desc3' => ''),
265 array('id' => '263','code_group' => 'revenue_code','code' => '0522','desc' => 'Rural health-home','desc1' => '','desc2' => '','desc3' => ''),
266 array('id' => '264','code_group' => 'revenue_code','code' => '0523','desc' => 'Family Practice Clinic','desc1' => '','desc2' => '','desc3' => ''),
267 array('id' => '265','code_group' => 'revenue_code','code' => '0524','desc' => 'RHC/FQHC visit in Part A covered SNF','desc1' => '','desc2' => '','desc3' => ''),
268 array('id' => '266','code_group' => 'revenue_code','code' => '0525','desc' => 'RHC/FQHC visit in noncovered SNF, NF, ICFMR or other','desc1' => '','desc2' => '','desc3' => ''),
269 array('id' => '267','code_group' => 'revenue_code','code' => '0526','desc' => 'Urgent Care Clinic','desc1' => '','desc2' => '','desc3' => ''),
270 array('id' => '268','code_group' => 'revenue_code','code' => '0527','desc' => 'Nurse visit to home in a HH shortage area','desc1' => '','desc2' => '','desc3' => ''),
271 array('id' => '269','code_group' => 'revenue_code','code' => '0528','desc' => 'RHC/FQHC visit to other non RHC/FQHC site','desc1' => '','desc2' => '','desc3' => ''),
272 array('id' => '270','code_group' => 'revenue_code','code' => '0529','desc' => 'Free-Standing Clinic: Other','desc1' => '','desc2' => '','desc3' => ''),
273 array('id' => '271','code_group' => 'revenue_code','code' => '0530','desc' => 'Osteopathic Services','desc1' => 'Osteopathic Therapy','desc2' => '','desc3' => ''),
274 array('id' => '272','code_group' => 'revenue_code','code' => '0531','desc' => 'Osteopathic Services: Osteopathic therapy','desc1' => 'Osteopathic Therapy','desc2' => '','desc3' => ''),
275 array('id' => '273','code_group' => 'revenue_code','code' => '0539','desc' => 'Osteopathic Services: Other osteopathic services','desc1' => 'Osteopathic Therapy','desc2' => '','desc3' => ''),
276 array('id' => '274','code_group' => 'revenue_code','code' => '0540','desc' => 'Ambulance','desc1' => '','desc2' => '','desc3' => ''),
277 array('id' => '275','code_group' => 'revenue_code','code' => '0541','desc' => 'Supplies','desc1' => '','desc2' => '','desc3' => ''),
278 array('id' => '276','code_group' => 'revenue_code','code' => '0542','desc' => 'Medical Transport','desc1' => '','desc2' => '','desc3' => ''),
279 array('id' => '277','code_group' => 'revenue_code','code' => '0543','desc' => 'Heart Mobile','desc1' => '','desc2' => '','desc3' => ''),
280 array('id' => '278','code_group' => 'revenue_code','code' => '0544','desc' => 'Oxygen','desc1' => '','desc2' => '','desc3' => ''),
281 array('id' => '279','code_group' => 'revenue_code','code' => '0545','desc' => 'Air ambulance','desc1' => '','desc2' => '','desc3' => ''),
282 array('id' => '280','code_group' => 'revenue_code','code' => '0546','desc' => 'Neonatal ambulance services','desc1' => '','desc2' => '','desc3' => ''),
283 array('id' => '281','code_group' => 'revenue_code','code' => '0547','desc' => 'Pharmacy','desc1' => '','desc2' => '','desc3' => ''),
284 array('id' => '282','code_group' => 'revenue_code','code' => '0548','desc' => 'Telephone Transmission EKG','desc1' => '','desc2' => '','desc3' => ''),
285 array('id' => '283','code_group' => 'revenue_code','code' => '0549','desc' => 'Other ambulance','desc1' => '','desc2' => '','desc3' => ''),
286 array('id' => '284','code_group' => 'revenue_code','code' => '0550','desc' => 'Skilled nursing','desc1' => '','desc2' => '','desc3' => ''),
287 array('id' => '285','code_group' => 'revenue_code','code' => '0551','desc' => 'Visit charge','desc1' => '','desc2' => '','desc3' => ''),
288 array('id' => '286','code_group' => 'revenue_code','code' => '0552','desc' => 'Hourly charge','desc1' => '','desc2' => '','desc3' => ''),
289 array('id' => '287','code_group' => 'revenue_code','code' => '0559','desc' => 'Other skilled nursing','desc1' => '','desc2' => '','desc3' => ''),
290 array('id' => '288','code_group' => 'revenue_code','code' => '0560','desc' => 'Home Health (HH) -- Medical Social Services','desc1' => '','desc2' => '','desc3' => ''),
291 array('id' => '289','code_group' => 'revenue_code','code' => '0561','desc' => 'Home Heath (HH) Medical Social Services: Visit charge','desc1' => '','desc2' => '','desc3' => ''),
292 array('id' => '290','code_group' => 'revenue_code','code' => '0562','desc' => 'Home Health (HH) Medical Social Services: Hourly charge','desc1' => '','desc2' => '','desc3' => ''),
293 array('id' => '291','code_group' => 'revenue_code','code' => '0569','desc' => 'Home Health (HH) Medical Social Services: Other Medical Social Services','desc1' => '','desc2' => '','desc3' => ''),
294 array('id' => '292','code_group' => 'revenue_code','code' => '0570','desc' => 'Home health-Home health aide','desc1' => '','desc2' => '','desc3' => ''),
295 array('id' => '293','code_group' => 'revenue_code','code' => '0571','desc' => 'Visit charge','desc1' => '','desc2' => '','desc3' => ''),
296 array('id' => '294','code_group' => 'revenue_code','code' => '0572','desc' => 'Hourly charge','desc1' => '','desc2' => '','desc3' => ''),
297 array('id' => '295','code_group' => 'revenue_code','code' => '0579','desc' => 'Other home health aide','desc1' => '','desc2' => '','desc3' => ''),
298 array('id' => '296','code_group' => 'revenue_code','code' => '0580','desc' => 'Home health-other visits','desc1' => '','desc2' => '','desc3' => ''),
299 array('id' => '297','code_group' => 'revenue_code','code' => '0581','desc' => 'Visit charge','desc1' => '','desc2' => '','desc3' => ''),
300 array('id' => '298','code_group' => 'revenue_code','code' => '0582','desc' => 'Hourly charge','desc1' => '','desc2' => '','desc3' => ''),
301 array('id' => '299','code_group' => 'revenue_code','code' => '0583','desc' => 'Assessment','desc1' => '','desc2' => '','desc3' => ''),
302 array('id' => '300','code_group' => 'revenue_code','code' => '0589','desc' => 'Other home health visit','desc1' => '','desc2' => '','desc3' => ''),
303 array('id' => '301','code_group' => 'revenue_code','code' => '0590','desc' => 'Home health-units of service','desc1' => '','desc2' => '','desc3' => ''),
304 array('id' => '302','code_group' => 'revenue_code','code' => '0600','desc' => 'Home health-oxygen','desc1' => '','desc2' => '','desc3' => ''),
305 array('id' => '303','code_group' => 'revenue_code','code' => '0601','desc' => 'Oxygen-state/equip/suppl/ or cont','desc1' => '','desc2' => '','desc3' => ''),
306 array('id' => '304','code_group' => 'revenue_code','code' => '0602','desc' => 'Oxygen-state/equip/suppl/ or under 1 LPM','desc1' => '','desc2' => '','desc3' => ''),
307 array('id' => '305','code_group' => 'revenue_code','code' => '0603','desc' => 'Oxygen-state/equip/over 4 LPM','desc1' => '','desc2' => '','desc3' => ''),
308 array('id' => '306','code_group' => 'revenue_code','code' => '0604','desc' => 'Oxygen-Portable Add-on','desc1' => '','desc2' => '','desc3' => ''),
309 array('id' => '307','code_group' => 'revenue_code','code' => '0609','desc' => 'Other oxygen','desc1' => '','desc2' => '','desc3' => ''),
310 array('id' => '308','code_group' => 'revenue_code','code' => '0610','desc' => 'Magnetic Resonance Tech. (MRT)','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
311 array('id' => '309','code_group' => 'revenue_code','code' => '0611','desc' => 'Magnetic Resonance Tech. (MRT): Brain (incl. Brainstem)','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
312 array('id' => '310','code_group' => 'revenue_code','code' => '0612','desc' => 'Magnetic Resonance Tech. (MRT): Spinal cord (incl. spine)','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
313 array('id' => '311','code_group' => 'revenue_code','code' => '0614','desc' => 'Magnetic Resonance Tech. (MRT): MRI - Other','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
314 array('id' => '312','code_group' => 'revenue_code','code' => '0615','desc' => 'Magnetic Resonance Tech. (MRT): MRA - Head and Neck','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
315 array('id' => '313','code_group' => 'revenue_code','code' => '0616','desc' => 'Magnetic Resonance Tech. (MRT): MRA - Lower Ext','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
316 array('id' => '314','code_group' => 'revenue_code','code' => '0618','desc' => 'Magnetic Resonance Tech. (MRT): MRA - Other','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
317 array('id' => '315','code_group' => 'revenue_code','code' => '0619','desc' => 'Magnetic Resonance Tech. (MRT): Other MRT','desc1' => 'Magnetic Resonance Imaging (MRI)','desc2' => 'Radiology - Diagnostic','desc3' => ''),
318 array('id' => '316','code_group' => 'revenue_code','code' => '0621','desc' => 'Med - Surg Supplies Ext. of 270: Incident to radiology','desc1' => 'Medical Supplies Charged to Patients','desc2' => 'Radiology - Diagnostic','desc3' => 'Radiology - Therapeutic'),
319 array('id' => '317','code_group' => 'revenue_code','code' => '0622','desc' => 'Med - Surg Supplies Ext. of 270: Incident to other diag.','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
320 array('id' => '318','code_group' => 'revenue_code','code' => '0623','desc' => 'Surgical dressings','desc1' => 'Medical Supplies Charged to Patients','desc2' => '','desc3' => ''),
321 array('id' => '319','code_group' => 'revenue_code','code' => '0624','desc' => 'Med - Surg Supplies Ext. of 270: Investigational Device (IDE)','desc1' => 'Impl. Dev. Charged to Patient','desc2' => 'Medical Supplies Charged to Patients','desc3' => ''),
322 array('id' => '320','code_group' => 'revenue_code','code' => '0631','desc' => 'Drugs Require Specific ID: Single source drug','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
323 array('id' => '321','code_group' => 'revenue_code','code' => '0632','desc' => 'Drugs Require Specific ID: Multiple source drug','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
324 array('id' => '322','code_group' => 'revenue_code','code' => '0633','desc' => 'Drugs Require Specific ID: Restrictive prescription','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
325 array('id' => '323','code_group' => 'revenue_code','code' => '0634','desc' => 'Drugs Require Specific ID: EPO under 10,000 units','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
326 array('id' => '324','code_group' => 'revenue_code','code' => '0635','desc' => 'Drugs Require Specific ID: EPO over 10,000 units','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
327 array('id' => '325','code_group' => 'revenue_code','code' => '0636','desc' => 'Drugs Require Specific ID: Drugs requiring detail coding','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
328 array('id' => '326','code_group' => 'revenue_code','code' => '0637','desc' => 'Drugs Require Specific ID: Self admin drugs (insulin admin in emergency-diabetes coma)','desc1' => 'Drugs Charged to Patients','desc2' => '','desc3' => ''),
329 array('id' => '327','code_group' => 'revenue_code','code' => '0640','desc' => 'Home IV Therapy Services','desc1' => '','desc2' => '','desc3' => ''),
330 array('id' => '328','code_group' => 'revenue_code','code' => '0641','desc' => 'Nonroutine nursing, central line','desc1' => '','desc2' => '','desc3' => ''),
331 array('id' => '329','code_group' => 'revenue_code','code' => '0642','desc' => 'IV site care, Central line','desc1' => '','desc2' => '','desc3' => ''),
332 array('id' => '330','code_group' => 'revenue_code','code' => '0643','desc' => 'IV start/change, peripheral line','desc1' => '','desc2' => '','desc3' => ''),
333 array('id' => '331','code_group' => 'revenue_code','code' => '0644','desc' => 'Nonroutine nursing, peripheral line','desc1' => '','desc2' => '','desc3' => ''),
334 array('id' => '332','code_group' => 'revenue_code','code' => '0645','desc' => 'Training patient/caregiver, central line','desc1' => '','desc2' => '','desc3' => ''),
335 array('id' => '333','code_group' => 'revenue_code','code' => '0646','desc' => 'Training, Disabled patient, central line','desc1' => '','desc2' => '','desc3' => ''),
336 array('id' => '334','code_group' => 'revenue_code','code' => '0647','desc' => 'Training, patient/caregiver, peripheral line','desc1' => '','desc2' => '','desc3' => ''),
337 array('id' => '335','code_group' => 'revenue_code','code' => '0648','desc' => 'Training, disabled patient, peripheral line','desc1' => '','desc2' => '','desc3' => ''),
338 array('id' => '336','code_group' => 'revenue_code','code' => '0649','desc' => 'Other IV therapy services','desc1' => '','desc2' => '','desc3' => ''),
339 array('id' => '337','code_group' => 'revenue_code','code' => '0650','desc' => 'Hospice service','desc1' => '','desc2' => '','desc3' => ''),
340 array('id' => '338','code_group' => 'revenue_code','code' => '0651','desc' => 'routine home care','desc1' => '','desc2' => '','desc3' => ''),
341 array('id' => '339','code_group' => 'revenue_code','code' => '0652','desc' => 'continuous home care','desc1' => '','desc2' => '','desc3' => ''),
342 array('id' => '340','code_group' => 'revenue_code','code' => '0655','desc' => 'inpatient respite care','desc1' => '','desc2' => '','desc3' => ''),
343 array('id' => '341','code_group' => 'revenue_code','code' => '0656','desc' => 'general inpatient care (non-respite)','desc1' => '','desc2' => '','desc3' => ''),
344 array('id' => '342','code_group' => 'revenue_code','code' => '0657','desc' => 'physician services','desc1' => '','desc2' => '','desc3' => ''),
345 array('id' => '343','code_group' => 'revenue_code','code' => '0658','desc' => 'Hospice Room & Board-Nursing facility','desc1' => '','desc2' => '','desc3' => ''),
346 array('id' => '344','code_group' => 'revenue_code','code' => '0659','desc' => 'Other hospice service','desc1' => '','desc2' => '','desc3' => ''),
347 array('id' => '345','code_group' => 'revenue_code','code' => '0660','desc' => 'Respite Care','desc1' => '','desc2' => '','desc3' => ''),
348 array('id' => '346','code_group' => 'revenue_code','code' => '0661','desc' => 'Hourly Repite Care Charge Nursing','desc1' => '','desc2' => '','desc3' => ''),
349 array('id' => '347','code_group' => 'revenue_code','code' => '0662','desc' => 'Hourly Respite Care Charge Aide/Homemaker/Companion','desc1' => '','desc2' => '','desc3' => ''),
350 array('id' => '348','code_group' => 'revenue_code','code' => '0663','desc' => 'Daily Respite Charge','desc1' => '','desc2' => '','desc3' => ''),
351 array('id' => '349','code_group' => 'revenue_code','code' => '0669','desc' => 'Other respite care','desc1' => '','desc2' => '','desc3' => ''),
352 array('id' => '350','code_group' => 'revenue_code','code' => '0670','desc' => 'Outpatient Special Residence Charges','desc1' => '','desc2' => '','desc3' => ''),
353 array('id' => '351','code_group' => 'revenue_code','code' => '0671','desc' => 'Hospital based','desc1' => '','desc2' => '','desc3' => ''),
354 array('id' => '352','code_group' => 'revenue_code','code' => '0672','desc' => 'Contracted','desc1' => '','desc2' => '','desc3' => ''),
355 array('id' => '353','code_group' => 'revenue_code','code' => '0679','desc' => 'Other special residence charge','desc1' => '','desc2' => '','desc3' => ''),
356 array('id' => '354','code_group' => 'revenue_code','code' => '0680','desc' => 'Not Used','desc1' => '','desc2' => '','desc3' => ''),
357 array('id' => '355','code_group' => 'revenue_code','code' => '0681','desc' => 'Trauma Response: Level I','desc1' => 'Emergency','desc2' => '','desc3' => ''),
358 array('id' => '356','code_group' => 'revenue_code','code' => '0682','desc' => 'Trauma Response: Level II','desc1' => 'Emergency','desc2' => '','desc3' => ''),
359 array('id' => '357','code_group' => 'revenue_code','code' => '0683','desc' => 'Trauma Response: Level III','desc1' => 'Emergency','desc2' => '','desc3' => ''),
360 array('id' => '358','code_group' => 'revenue_code','code' => '0684','desc' => 'Trauma Response: Level IV','desc1' => 'Emergency','desc2' => '','desc3' => ''),
361 array('id' => '359','code_group' => 'revenue_code','code' => '0689','desc' => 'Trauma Response: Other','desc1' => 'Emergency','desc2' => '','desc3' => ''),
362 array('id' => '360','code_group' => 'revenue_code','code' => '0700','desc' => 'Cast Room','desc1' => 'Clinic','desc2' => '','desc3' => ''),
363 array('id' => '361','code_group' => 'revenue_code','code' => '0710','desc' => 'Recovery Room','desc1' => 'Recovery Room','desc2' => '','desc3' => ''),
364 array('id' => '362','code_group' => 'revenue_code','code' => '0720','desc' => 'Labor Room','desc1' => 'Delivery Room & Labor Room','desc2' => '','desc3' => ''),
365 array('id' => '363','code_group' => 'revenue_code','code' => '0721','desc' => 'Labor Room: Labor','desc1' => 'Delivery Room & Labor Room','desc2' => '','desc3' => ''),
366 array('id' => '364','code_group' => 'revenue_code','code' => '0722','desc' => 'Labor Room: Delivery','desc1' => 'Delivery Room & Labor Room','desc2' => '','desc3' => ''),
367 array('id' => '365','code_group' => 'revenue_code','code' => '0723','desc' => 'Labor Room: Circumcision','desc1' => 'Circumcision','desc2' => 'Delivery Room & Labor Room','desc3' => ''),
368 array('id' => '366','code_group' => 'revenue_code','code' => '0724','desc' => 'Labor Room: Birthing center','desc1' => 'Birthing Center','desc2' => 'Delivery Room & Labor Room','desc3' => ''),
369 array('id' => '367','code_group' => 'revenue_code','code' => '0729','desc' => 'Labor Room: Other labor room/delivery','desc1' => 'Delivery Room & Labor Room','desc2' => '','desc3' => ''),
370 array('id' => '368','code_group' => 'revenue_code','code' => '0730','desc' => 'EKG/ECG','desc1' => 'EKG and EEG','desc2' => 'Electro cardiology','desc3' => 'Cardiology'),
371 array('id' => '369','code_group' => 'revenue_code','code' => '0731','desc' => 'EKG/ECG: Holter monitor','desc1' => 'Holter Monitor','desc2' => 'Electro cardiology','desc3' => 'Cardiology'),
372 array('id' => '370','code_group' => 'revenue_code','code' => '0732','desc' => 'EKG/ECG: Telemetry','desc1' => 'EKG and EEG','desc2' => 'Electro cardiology','desc3' => 'Cardiology'),
373 array('id' => '371','code_group' => 'revenue_code','code' => '0739','desc' => 'EKG/ECG: Other EKG/ECG','desc1' => 'EKG and EEG','desc2' => 'Electro cardiology','desc3' => 'Cardiology'),
374 array('id' => '372','code_group' => 'revenue_code','code' => '0740','desc' => 'EEG','desc1' => 'EKG and EEG','desc2' => 'Electroencephalography','desc3' => ''),
375 array('id' => '373','code_group' => 'revenue_code','code' => '0750','desc' => 'Gastrointestinal','desc1' => 'Gastro Intestinal Services','desc2' => '','desc3' => ''),
376 array('id' => '374','code_group' => 'revenue_code','code' => '0760','desc' => 'Treatment/Observation Room','desc1' => 'Clinic','desc2' => '','desc3' => ''),
377 array('id' => '375','code_group' => 'revenue_code','code' => '0761','desc' => 'Treatment/Observation Room: Treatment room','desc1' => 'Clinic','desc2' => '','desc3' => ''),
378 array('id' => '376','code_group' => 'revenue_code','code' => '0762','desc' => 'Treatment/Observation Room: Observation room','desc1' => 'Observation Beds (Distinct Part)','desc2' => 'Observation Beds (Non-Distinct Part)','desc3' => ''),
379 array('id' => '377','code_group' => 'revenue_code','code' => '0769','desc' => 'Treatment/Observation Room: Other treatment room','desc1' => 'Clinic','desc2' => '','desc3' => ''),
380 array('id' => '378','code_group' => 'revenue_code','code' => '0770','desc' => 'Preventive Care Services','desc1' => 'Clinic','desc2' => '','desc3' => ''),
381 array('id' => '379','code_group' => 'revenue_code','code' => '0771','desc' => 'Preventive Care Services: Admin. of vaccine','desc1' => 'Clinic','desc2' => '','desc3' => ''),
382 array('id' => '380','code_group' => 'revenue_code','code' => '0780','desc' => 'Telemedicine','desc1' => '','desc2' => '','desc3' => ''),
383 array('id' => '381','code_group' => 'revenue_code','code' => '0790','desc' => 'Extra-Corp Shock Wave Therapy','desc1' => 'Urology','desc2' => '','desc3' => ''),
384 array('id' => '382','code_group' => 'revenue_code','code' => '0800','desc' => 'Inpatient Dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
385 array('id' => '383','code_group' => 'revenue_code','code' => '0801','desc' => 'Inpatient Hemodialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
386 array('id' => '384','code_group' => 'revenue_code','code' => '0802','desc' => 'Inpatient peritoneal dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
387 array('id' => '385','code_group' => 'revenue_code','code' => '0803','desc' => 'inpatient dialysis CAPD','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
388 array('id' => '386','code_group' => 'revenue_code','code' => '0804','desc' => 'Inpatient dialysis CCPD','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
389 array('id' => '387','code_group' => 'revenue_code','code' => '0809','desc' => 'Other inp dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
390 array('id' => '388','code_group' => 'revenue_code','code' => '0810','desc' => 'Organ Acquisition','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
391 array('id' => '389','code_group' => 'revenue_code','code' => '0811','desc' => 'Organ Acquisition: Living donor','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
392 array('id' => '390','code_group' => 'revenue_code','code' => '0812','desc' => 'Organ Acquisition: Cadaver donor','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
393 array('id' => '391','code_group' => 'revenue_code','code' => '0813','desc' => 'Organ Acquisition: Unknown donor','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
394 array('id' => '392','code_group' => 'revenue_code','code' => '0814','desc' => 'Organ Acquisition: Unsuccessful Organ Search Donor Bank Charges','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
395 array('id' => '393','code_group' => 'revenue_code','code' => '0819','desc' => 'Organ Acquisition: Other donor','desc1' => 'Other Organ Acquisition (specify)','desc2' => '','desc3' => ''),
396 array('id' => '394','code_group' => 'revenue_code','code' => '0820','desc' => 'Hemo OPD/Home','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
397 array('id' => '395','code_group' => 'revenue_code','code' => '0821','desc' => 'Hemo OPD/Home: Hemodialysis comp or other rate','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
398 array('id' => '396','code_group' => 'revenue_code','code' => '0822','desc' => 'Hemo OPD/Home supplies','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
399 array('id' => '397','code_group' => 'revenue_code','code' => '0823','desc' => 'Hemo OPD/home equipment','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
400 array('id' => '398','code_group' => 'revenue_code','code' => '0824','desc' => 'Hemo OPD/Home Maintenance 100%','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
401 array('id' => '399','code_group' => 'revenue_code','code' => '0825','desc' => 'Hemo OPD/Home Support Services','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
402 array('id' => '400','code_group' => 'revenue_code','code' => '0829','desc' => 'Hemo OPD/Home: Other HEMO outpatient','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
403 array('id' => '401','code_group' => 'revenue_code','code' => '0830','desc' => 'Peritoneal OPD/Home','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
404 array('id' => '402','code_group' => 'revenue_code','code' => '0831','desc' => 'Peritoneal OPD/Home: Peritoneal comp or other rate','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
405 array('id' => '403','code_group' => 'revenue_code','code' => '0832','desc' => 'Home supplies','desc1' => '','desc2' => '','desc3' => ''),
406 array('id' => '404','code_group' => 'revenue_code','code' => '0833','desc' => 'Home equipment','desc1' => '','desc2' => '','desc3' => ''),
407 array('id' => '405','code_group' => 'revenue_code','code' => '0834','desc' => 'Maintenance/100%','desc1' => '','desc2' => '','desc3' => ''),
408 array('id' => '406','code_group' => 'revenue_code','code' => '0835','desc' => 'Support services','desc1' => '','desc2' => '','desc3' => ''),
409 array('id' => '407','code_group' => 'revenue_code','code' => '0839','desc' => 'Peritoneal OPD/Home: Other peritoneal dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
410 array('id' => '408','code_group' => 'revenue_code','code' => '0840','desc' => 'CAPD OPD/Home','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
411 array('id' => '409','code_group' => 'revenue_code','code' => '0841','desc' => 'CAPD OPD/Home: CAPD comp or other rate','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
412 array('id' => '410','code_group' => 'revenue_code','code' => '0842','desc' => 'Home supplies','desc1' => '','desc2' => '','desc3' => ''),
413 array('id' => '411','code_group' => 'revenue_code','code' => '0843','desc' => 'Home equipment','desc1' => '','desc2' => '','desc3' => ''),
414 array('id' => '412','code_group' => 'revenue_code','code' => '0844','desc' => 'Maintenance/100%','desc1' => '','desc2' => '','desc3' => ''),
415 array('id' => '413','code_group' => 'revenue_code','code' => '0845','desc' => 'Support services','desc1' => '','desc2' => '','desc3' => ''),
416 array('id' => '414','code_group' => 'revenue_code','code' => '0849','desc' => 'CAPD OPD/Home: Other CAPD dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
417 array('id' => '415','code_group' => 'revenue_code','code' => '0850','desc' => 'CCPD OPD/Home','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
418 array('id' => '416','code_group' => 'revenue_code','code' => '0851','desc' => 'CCPD OPD/Home: CCPD comp or other rate','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
419 array('id' => '417','code_group' => 'revenue_code','code' => '0852','desc' => 'Home supplies','desc1' => '','desc2' => '','desc3' => ''),
420 array('id' => '418','code_group' => 'revenue_code','code' => '0853','desc' => 'Home equipment','desc1' => '','desc2' => '','desc3' => ''),
421 array('id' => '419','code_group' => 'revenue_code','code' => '0854','desc' => 'Maintenance/100%','desc1' => '','desc2' => '','desc3' => ''),
422 array('id' => '420','code_group' => 'revenue_code','code' => '0855','desc' => 'Support services','desc1' => '','desc2' => '','desc3' => ''),
423 array('id' => '421','code_group' => 'revenue_code','code' => '0859','desc' => 'CCPD OPD/Home: Other CCPD dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
424 array('id' => '422','code_group' => 'revenue_code','code' => '0860','desc' => 'Magnetoencehpahlography (MEG)','desc1' => 'EKG and EEG','desc2' => 'Electroencephalography','desc3' => ''),
425 array('id' => '423','code_group' => 'revenue_code','code' => '0861','desc' => 'MEG','desc1' => 'EKG and EEG','desc2' => 'Electroencephalography','desc3' => ''),
426 array('id' => '424','code_group' => 'revenue_code','code' => '0880','desc' => 'Miscellaneous Dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
427 array('id' => '425','code_group' => 'revenue_code','code' => '0881','desc' => 'Miscellaneous Dialysis: Ultrafiltration','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
428 array('id' => '426','code_group' => 'revenue_code','code' => '0882','desc' => 'Home dialysis aid visit','desc1' => '','desc2' => '','desc3' => ''),
429 array('id' => '427','code_group' => 'revenue_code','code' => '0889','desc' => 'Miscellaneous Dialysis: Other misc dialysis','desc1' => 'Renal Dialysis','desc2' => '','desc3' => ''),
430 array('id' => '428','code_group' => 'revenue_code','code' => '0900','desc' => 'Psychiatric/Psychological Trt','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
431 array('id' => '429','code_group' => 'revenue_code','code' => '0901','desc' => 'Psychiatric/Psychological Trt: Electroshock treatment','desc1' => 'Electroshock Therapy','desc2' => 'Psychiatric/Psychological Services','desc3' => 'Operating Room'),
432 array('id' => '430','code_group' => 'revenue_code','code' => '0902','desc' => 'Psychiatric/Psychological Trt: Milieu therapy','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
433 array('id' => '431','code_group' => 'revenue_code','code' => '0903','desc' => 'Psychiatric/Psychological Trt: Play therapy','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
434 array('id' => '432','code_group' => 'revenue_code','code' => '0904','desc' => 'Psychiatric/Psychological Trt: Activity therapy','desc1' => 'Recreational Therapy','desc2' => 'Psychiatric/Psychological Services','desc3' => 'Clinic'),
435 array('id' => '433','code_group' => 'revenue_code','code' => '0905','desc' => 'Psychiatric/Psychological Trt: Intensive Outpatient serv-sych','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
436 array('id' => '434','code_group' => 'revenue_code','code' => '0906','desc' => 'Psychiatric/Psychological Trt: Intensive out serv - chem dep','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
437 array('id' => '435','code_group' => 'revenue_code','code' => '0907','desc' => 'Psychiatric/Psychological Trt: Comm behavioral program','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
438 array('id' => '436','code_group' => 'revenue_code','code' => '0911','desc' => 'Psychiatric/Psychological Svcs: Rehabilitation','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
439 array('id' => '437','code_group' => 'revenue_code','code' => '0912','desc' => 'Psychiatric/Psychological Svcs: Partial Hosp - less intensive','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
440 array('id' => '438','code_group' => 'revenue_code','code' => '0913','desc' => 'Psychiatric/Psychological Svcs: Partial Hosp - Intensive','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
441 array('id' => '439','code_group' => 'revenue_code','code' => '0914','desc' => 'Psychiatric/Psychological Svcs: Individual therapy','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
442 array('id' => '440','code_group' => 'revenue_code','code' => '0915','desc' => 'Psychiatric/Psychological Svcs: Group therapy','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
443 array('id' => '441','code_group' => 'revenue_code','code' => '0916','desc' => 'Psychiatric/Psychological Svcs: Family therapy','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
444 array('id' => '442','code_group' => 'revenue_code','code' => '0917','desc' => 'Psychiatric/Psychological Svcs: Biofeedback','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
445 array('id' => '443','code_group' => 'revenue_code','code' => '0918','desc' => 'Psychiatric/Psychological Svcs: Testing','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
446 array('id' => '444','code_group' => 'revenue_code','code' => '0919','desc' => 'Psychiatric/Psychological Svcs: Other behavioral treat/serv','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
447 array('id' => '445','code_group' => 'revenue_code','code' => '0920','desc' => 'Other Diagnostic Services','desc1' => '','desc2' => '','desc3' => ''),
448 array('id' => '446','code_group' => 'revenue_code','code' => '0921','desc' => 'Other Diagnostic Services: Peripheral vascular lab','desc1' => 'Vascular Lab','desc2' => 'Radiology - Diagnostic','desc3' => ''),
449 array('id' => '447','code_group' => 'revenue_code','code' => '0922','desc' => 'Other Diagnostic Services: Electromyelogram','desc1' => 'Electromyography','desc2' => '','desc3' => ''),
450 array('id' => '448','code_group' => 'revenue_code','code' => '0923','desc' => 'Other Diagnostic Services: Pap smear','desc1' => 'Cytology','desc2' => 'Laboratory - Pathological','desc3' => 'Laboratory'),
451 array('id' => '449','code_group' => 'revenue_code','code' => '0924','desc' => 'Other Diagnostic Services: Allergy test','desc1' => 'Immunology','desc2' => 'Clinic','desc3' => ''),
452 array('id' => '450','code_group' => 'revenue_code','code' => '0925','desc' => 'Other Diagnostic Services: Pregnancy test','desc1' => 'Laboratory - Clinical','desc2' => 'PBP Clinical Lab. Service - Prgm. Only','desc3' => ''),
453 array('id' => '451','code_group' => 'revenue_code','code' => '0929','desc' => 'Other Diagnostic Services: Other diagnostic services','desc1' => '','desc2' => '','desc3' => ''),
454 array('id' => '452','code_group' => 'revenue_code','code' => '0931','desc' => 'Medical rehab; half day','desc1' => '','desc2' => '','desc3' => ''),
455 array('id' => '453','code_group' => 'revenue_code','code' => '0932','desc' => 'Medical rehab; full day','desc1' => '','desc2' => '','desc3' => ''),
456 array('id' => '454','code_group' => 'revenue_code','code' => '0940','desc' => 'Other Therapeutic Serv','desc1' => '','desc2' => '','desc3' => ''),
457 array('id' => '455','code_group' => 'revenue_code','code' => '0941','desc' => 'Other Therapeutic Serv: Recreation Rx','desc1' => 'Clinic','desc2' => '','desc3' => ''),
458 array('id' => '456','code_group' => 'revenue_code','code' => '0942','desc' => 'Other Therapeutic Serv: Educ/training','desc1' => 'Clinic','desc2' => '','desc3' => ''),
459 array('id' => '457','code_group' => 'revenue_code','code' => '0943','desc' => 'Other Therapeutic Serv: Cardiac rehab','desc1' => 'Cardiology','desc2' => 'Clinic','desc3' => ''),
460 array('id' => '458','code_group' => 'revenue_code','code' => '0944','desc' => 'Other Therapeutic Serv: Drug rehab','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
461 array('id' => '459','code_group' => 'revenue_code','code' => '0945','desc' => 'Other Therapeutic Serv: Alcohol rehab','desc1' => 'Psychiatric/Psychological Services','desc2' => 'Clinic','desc3' => ''),
462 array('id' => '460','code_group' => 'revenue_code','code' => '0946','desc' => 'Complex medical equipment-Routine','desc1' => '','desc2' => '','desc3' => ''),
463 array('id' => '461','code_group' => 'revenue_code','code' => '0947','desc' => 'Complex medical equipment-Ancillary','desc1' => '','desc2' => '','desc3' => ''),
464 array('id' => '462','code_group' => 'revenue_code','code' => '0948','desc' => 'Pulmonary Rehabilitation','desc1' => 'Respiratory Therapy','desc2' => 'Clinic','desc3' => ''),
465 array('id' => '463','code_group' => 'revenue_code','code' => '0949','desc' => 'Other Therapeutic Serv: Additional RX SVS','desc1' => '','desc2' => '','desc3' => ''),
466 array('id' => '464','code_group' => 'revenue_code','code' => '0951','desc' => 'Other therapeutic services-(940x) Athletic training','desc1' => '','desc2' => '','desc3' => ''),
467 array('id' => '465','code_group' => 'revenue_code','code' => '0952','desc' => 'Other therapeutic services-(940x) Kinesiotherapy','desc1' => '','desc2' => '','desc3' => ''),
468 array('id' => '466','code_group' => 'revenue_code','code' => '0960','desc' => 'Professional fees','desc1' => '','desc2' => '','desc3' => ''),
469 array('id' => '467','code_group' => 'revenue_code','code' => '0961','desc' => 'Psychiatric','desc1' => '','desc2' => '','desc3' => ''),
470 array('id' => '468','code_group' => 'revenue_code','code' => '0962','desc' => 'Ophthalmology','desc1' => '','desc2' => '','desc3' => ''),
471 array('id' => '469','code_group' => 'revenue_code','code' => '0963','desc' => 'Anesthesiologist (MD)','desc1' => '','desc2' => '','desc3' => ''),
472 array('id' => '470','code_group' => 'revenue_code','code' => '0964','desc' => 'Anesthetist (CRNA)','desc1' => '','desc2' => '','desc3' => ''),
473 array('id' => '471','code_group' => 'revenue_code','code' => '0969','desc' => 'Other professional fee','desc1' => '','desc2' => '','desc3' => ''),
474 array('id' => '472','code_group' => 'revenue_code','code' => '0971','desc' => 'Professional fees (096x) Laboratory','desc1' => '','desc2' => '','desc3' => ''),
475 array('id' => '473','code_group' => 'revenue_code','code' => '0972','desc' => 'Professional fees (096x) Radiology-Diagnostic','desc1' => '','desc2' => '','desc3' => ''),
476 array('id' => '474','code_group' => 'revenue_code','code' => '0973','desc' => 'Professional fees (096x) Radiology-Therapeutic','desc1' => '','desc2' => '','desc3' => ''),
477 array('id' => '475','code_group' => 'revenue_code','code' => '0974','desc' => 'Professional fees (096x) Radiology-nuclear medicine','desc1' => '','desc2' => '','desc3' => ''),
478 array('id' => '476','code_group' => 'revenue_code','code' => '0975','desc' => 'Professional fees (096x) Operating room','desc1' => '','desc2' => '','desc3' => ''),
479 array('id' => '477','code_group' => 'revenue_code','code' => '0976','desc' => 'Professional fees (096x) Respiratory Therapy','desc1' => '','desc2' => '','desc3' => ''),
480 array('id' => '478','code_group' => 'revenue_code','code' => '0977','desc' => 'Professional fees (096x) Physical therapy','desc1' => '','desc2' => '','desc3' => ''),
481 array('id' => '479','code_group' => 'revenue_code','code' => '0978','desc' => 'Professional fees (096x) Occupational therapy','desc1' => '','desc2' => '','desc3' => ''),
482 array('id' => '480','code_group' => 'revenue_code','code' => '0979','desc' => 'Professional fees (096x) Speech pathology','desc1' => '','desc2' => '','desc3' => ''),
483 array('id' => '481','code_group' => 'revenue_code','code' => '0981','desc' => 'Professional fees (096x) Emergency room','desc1' => '','desc2' => '','desc3' => ''),
484 array('id' => '482','code_group' => 'revenue_code','code' => '0982','desc' => 'Professional fees (096x) Outpatient services','desc1' => '','desc2' => '','desc3' => ''),
485 array('id' => '483','code_group' => 'revenue_code','code' => '0983','desc' => 'Professional fees (096x) clinic','desc1' => '','desc2' => '','desc3' => ''),
486 array('id' => '484','code_group' => 'revenue_code','code' => '0984','desc' => 'Professional fees (096x) medical social services','desc1' => '','desc2' => '','desc3' => ''),
487 array('id' => '485','code_group' => 'revenue_code','code' => '0985','desc' => 'Professional fees (096x) EKG','desc1' => '','desc2' => '','desc3' => ''),
488 array('id' => '486','code_group' => 'revenue_code','code' => '0986','desc' => 'Professional fees (096x) EEK','desc1' => '','desc2' => '','desc3' => ''),
489 array('id' => '487','code_group' => 'revenue_code','code' => '0987','desc' => 'Professional fees (096x) Hospital visit','desc1' => '','desc2' => '','desc3' => ''),
490 array('id' => '488','code_group' => 'revenue_code','code' => '0988','desc' => 'Professional fees (096x) Consultation','desc1' => '','desc2' => '','desc3' => ''),
491 array('id' => '489','code_group' => 'revenue_code','code' => '0989','desc' => 'Private duty nurse','desc1' => '','desc2' => '','desc3' => ''),
492 array('id' => '490','code_group' => 'revenue_code','code' => '0990','desc' => 'Patient convenience items','desc1' => '','desc2' => '','desc3' => ''),
493 array('id' => '491','code_group' => 'revenue_code','code' => '0991','desc' => 'Cafeteria/guest tray','desc1' => '','desc2' => '','desc3' => ''),
494 array('id' => '492','code_group' => 'revenue_code','code' => '0992','desc' => 'private linen service','desc1' => '','desc2' => '','desc3' => ''),
495 array('id' => '493','code_group' => 'revenue_code','code' => '0993','desc' => 'telephone/telegraph','desc1' => '','desc2' => '','desc3' => ''),
496 array('id' => '494','code_group' => 'revenue_code','code' => '0994','desc' => 'TV/radio','desc1' => '','desc2' => '','desc3' => ''),
497 array('id' => '495','code_group' => 'revenue_code','code' => '0995','desc' => 'Nonpatient room rentals','desc1' => '','desc2' => '','desc3' => ''),
498 array('id' => '496','code_group' => 'revenue_code','code' => '0996','desc' => 'Late discharge charge','desc1' => '','desc2' => '','desc3' => ''),
499 array('id' => '497','code_group' => 'revenue_code','code' => '0997','desc' => 'admission kits','desc1' => '','desc2' => '','desc3' => ''),
500 array('id' => '498','code_group' => 'revenue_code','code' => '0998','desc' => 'Beauty shop/barber','desc1' => '','desc2' => '','desc3' => ''),
501 array('id' => '499','code_group' => 'revenue_code','code' => '0999','desc' => 'Other patient convenience item','desc1' => '','desc2' => '','desc3' => ''),
502 array('id' => '500','code_group' => 'revenue_code','code' => '1000','desc' => 'Behavioral health accomodations','desc1' => '','desc2' => '','desc3' => ''),
503 array('id' => '501','code_group' => 'revenue_code','code' => '1001','desc' => 'Residential treatment-psychiatric','desc1' => '','desc2' => '','desc3' => ''),
504 array('id' => '502','code_group' => 'revenue_code','code' => '1002','desc' => 'residential treatment-chemical dependency','desc1' => '','desc2' => '','desc3' => ''),
505 array('id' => '503','code_group' => 'revenue_code','code' => '1003','desc' => 'Supervised living','desc1' => '','desc2' => '','desc3' => ''),
506 array('id' => '504','code_group' => 'revenue_code','code' => '1004','desc' => 'halfway house','desc1' => '','desc2' => '','desc3' => ''),
507 array('id' => '505','code_group' => 'revenue_code','code' => '1005','desc' => 'group home','desc1' => '','desc2' => '','desc3' => ''),
508 array('id' => '506','code_group' => 'revenue_code','code' => '2100','desc' => 'Alternative therapy services','desc1' => '','desc2' => '','desc3' => ''),
509 array('id' => '507','code_group' => 'revenue_code','code' => '2101','desc' => 'acupuncture','desc1' => '','desc2' => '','desc3' => ''),
510 array('id' => '508','code_group' => 'revenue_code','code' => '2102','desc' => 'acupressure','desc1' => '','desc2' => '','desc3' => ''),
511 array('id' => '509','code_group' => 'revenue_code','code' => '2103','desc' => 'massage','desc1' => '','desc2' => '','desc3' => ''),
512 array('id' => '510','code_group' => 'revenue_code','code' => '2104','desc' => 'reflexology','desc1' => '','desc2' => '','desc3' => ''),
513 array('id' => '511','code_group' => 'revenue_code','code' => '2105','desc' => 'biofeedback','desc1' => '','desc2' => '','desc3' => ''),
514 array('id' => '512','code_group' => 'revenue_code','code' => '2106','desc' => 'hypnosis','desc1' => '','desc2' => '','desc3' => ''),
515 array('id' => '513','code_group' => 'revenue_code','code' => '2109','desc' => 'Other alternative therapy services','desc1' => '','desc2' => '','desc3' => ''),
516 array('id' => '514','code_group' => 'revenue_code','code' => '3101','desc' => 'Adult day care, Medical and social, hourly','desc1' => '','desc2' => '','desc3' => ''),
517 array('id' => '515','code_group' => 'revenue_code','code' => '3102','desc' => 'Adult day care, social, hourly','desc1' => '','desc2' => '','desc3' => ''),
518 array('id' => '516','code_group' => 'revenue_code','code' => '3103','desc' => 'Adult day care, medical and social, daily','desc1' => '','desc2' => '','desc3' => ''),
519 array('id' => '517','code_group' => 'revenue_code','code' => '3104','desc' => 'Adult day care, social, daily','desc1' => '','desc2' => '','desc3' => ''),
520 array('id' => '518','code_group' => 'revenue_code','code' => '3105','desc' => 'Adult foster care, daily','desc1' => '','desc2' => '','desc3' => ''),
521 array('id' => '519','code_group' => 'revenue_code','code' => '3109','desc' => 'Other adult care','desc1' => '','desc2' => '','desc3' => ''),
522 array('id' => '520','code_group' => 'condition_code','code' => 'MA','desc' => 'Gastroenteritis (GI) bleed','desc1' => '','desc2' => '','desc3' => ''),
523 array('id' => '521','code_group' => 'condition_code','code' => 'MB','desc' => 'Pneumonia (Not used – effective 01/01/2016)','desc1' => '','desc2' => '','desc3' => ''),
524 array('id' => '522','code_group' => 'condition_code','code' => 'MC','desc' => 'Pericarditis','desc1' => '','desc2' => '','desc3' => ''),
525 array('id' => '523','code_group' => 'condition_code','code' => 'MD','desc' => 'Myelodysplastic Syndrome','desc1' => '','desc2' => '','desc3' => ''),
526 array('id' => '524','code_group' => 'condition_code','code' => 'ME','desc' => 'Hereditary Hemolytic and Sickle Cell Anemia','desc1' => '','desc2' => '','desc3' => ''),
527 array('id' => '525','code_group' => 'condition_code','code' => 'MR','desc' => 'Monoclonal Gammopathy (Not used – effective 01/01/2016)','desc1' => '','desc2' => '','desc3' => ''),
528 array('id' => '526','code_group' => 'condition_code','code' => 'H3','desc' => 'Reoccurrence of GI bleed.','desc1' => '','desc2' => '','desc3' => ''),
529 array('id' => '527','code_group' => 'condition_code','code' => 'H4','desc' => 'Reoccurrence of Pneumonia (CWF no longer tracks condition code H4 for dates of service on or after 01/01/2016).','desc1' => '','desc2' => '','desc3' => ''),
530 array('id' => '528','code_group' => 'condition_code','code' => 'H5','desc' => 'Reoccurrence of pericarditis.','desc1' => '','desc2' => '','desc3' => ''),
531 array('id' => '529','code_group' => 'condition_code','code' => 'D0','desc' => 'zero) - Use when the from and thru date of the claim is changed.','desc1' => '','desc2' => '','desc3' => ''),
532 array('id' => '530','code_group' => 'condition_code','code' => 'D7','desc' => 'Use used when the original claim shows Medicare on the primary payer line and now the adjustment claim shows Medicare on the secondary payer line.','desc1' => '','desc2' => '','desc3' => ''),
533 array('id' => '531','code_group' => 'condition_code','code' => 'D8','desc' => 'Use when the original claim shows Medicare on the secondary payer line and now the adjustment claim shows Medicare on the primary payer line.','desc1' => '','desc2' => '','desc3' => ''),
534 array('id' => '532','code_group' => 'condition_code','code' => 'D2','desc' => 'Use when there is a change to the revenue codes, HCPCS code, RUG code, or HIPPS code.','desc1' => '','desc2' => '','desc3' => ''),
535 array('id' => '533','code_group' => 'condition_code','code' => 'If','desc' => 'nly removing procedure codes or diagnosis codes, D9 would be more appropriate.','desc1' => '','desc2' => '','desc3' => ''),
536 array('id' => '534','code_group' => 'condition_code','code' => 'D3','desc' => 'Use for a second or subsequent interim claim by inpatient PPS hospitals only.','desc1' => '','desc2' => '','desc3' => ''),
537 array('id' => '535','code_group' => 'condition_code','code' => 'D4','desc' => 'Change in grouper input (ICD-9/ICD-10 Diagnosis codes and ICD-9/ICD-10 Procedure codes)','desc1' => '','desc2' => '','desc3' => ''),
538 array('id' => '536','code_group' => 'condition_code','code' => 'D5','desc' => 'Use when canceling a claim to correct the Health Insurance Claim Number (HICN) or provider number.','desc1' => '','desc2' => '','desc3' => ''),
539 array('id' => '537','code_group' => 'condition_code','code' => 'D6','desc' => 'Use when canceling a claim for reasons other than the HICN or provider number. Use when canceling a claim to repay a payment.','desc1' => '','desc2' => '','desc3' => ''),
540 array('id' => '538','code_group' => 'condition_code','code' => 'D1','desc' => 'If one of the above condition codes does not apply and there is a change to the COVERED charges this code should be used.','desc1' => '','desc2' => '','desc3' => ''),
541 array('id' => '539','code_group' => 'condition_code','code' => 'E0','desc' => 'Zero) - Use when the only change on the claim is a correction to the patient status code.','desc1' => '','desc2' => '','desc3' => ''),
542 array('id' => '540','code_group' => 'condition_code','code' => 'D9','desc' => 'Used for adjustments not described in any other condition codes. Remarks are required when using the D9 condition code to make a change.','desc1' => '','desc2' => '','desc3' => ''),
543 array('id' => '541','code_group' => 'condition_code','code' => '01','desc' => 'Military Service Related - This code indicates that the medical condition being treated was incurred during military service. Coordinate coverage with the Department of Veterans Affairs','desc1' => '','desc2' => '','desc3' => ''),
544 array('id' => '542','code_group' => 'condition_code','code' => '02','desc' => 'Condition is employment related. Providers enter this code if the patient alleges that the medical condition causing this episode of care is due to environment/events resulting from employment.','desc1' => '','desc2' => '','desc3' => ''),
545 array('id' => '543','code_group' => 'condition_code','code' => '04','desc' => 'Patient is a member of a Medicare Advantage (MA) plan. Providers report this code for information only purposes to correctly report benefit period utilization to the Common Working File (CWF).','desc1' => '','desc2' => '','desc3' => ''),
546 array('id' => '544','code_group' => 'condition_code','code' => '05','desc' => 'Lien has been filed. The provider has filed legal claim for recovery of funds potentially due to a patient as a result of legal action initiated by or on behalf of a patient.','desc1' => '','desc2' => '','desc3' => ''),
547 array('id' => '545','code_group' => 'condition_code','code' => '06','desc' => 'End Stage Renal Disease (ESRD) patient in the first 30 months of entitlement covered by employer group health insurance. Medicare may be a secondary insurer if the patient is also covered by an employer group health insurance during the patient\'s first 30 months of ESRD entitlement.','desc1' => '','desc2' => '','desc3' => ''),
548 array('id' => '546','code_group' => 'condition_code','code' => '07','desc' => 'Treatment of a non-terminal condition for a hospice patient. Report this code when the patient has elected hospice care, but the provider is not treating the patient for the terminal condition.','desc1' => '','desc2' => '','desc3' => ''),
549 array('id' => '547','code_group' => 'condition_code','code' => '08','desc' => 'Beneficiary would not provide information concerning other insurance coverage. The MAC develops to determine proper payment.','desc1' => '','desc2' => '','desc3' => ''),
550 array('id' => '548','code_group' => 'condition_code','code' => '09','desc' => 'Neither the patient nor the spouse is employed.','desc1' => '','desc2' => '','desc3' => ''),
551 array('id' => '549','code_group' => 'condition_code','code' => '10','desc' => 'Patient and/or spouse is employed but no Employee Group Health Plan (EGHP) coverage exists.','desc1' => '','desc2' => '','desc3' => ''),
552 array('id' => '550','code_group' => 'condition_code','code' => '11','desc' => 'Disabled beneficiary but no Large Group Health Plan (LGHP).','desc1' => '','desc2' => '','desc3' => ''),
553 array('id' => '551','code_group' => 'condition_code','code' => '15','desc' => 'Clean claim delayed in CMS\' processing system. (Payer Only Code)','desc1' => '','desc2' => '','desc3' => ''),
554 array('id' => '552','code_group' => 'condition_code','code' => '16','desc' => 'Skilled Nursing Facility (SNF) transition exemption (Payer Only Code). An exemption from the post-hospital requirement applies for this SNF stay or the qualifying stay dates are more than 30 days prior to the admission date.','desc1' => '','desc2' => '','desc3' => ''),
555 array('id' => '553','code_group' => 'condition_code','code' => '20','desc' => 'Beneficiary requested billing. Provider determined services are part of a non-covered level of care or excluded, but beneficiary requests determination by payer. (Limited to home health and inpatient SNF claims.)','desc1' => '','desc2' => '','desc3' => ''),
556 array('id' => '554','code_group' => 'condition_code','code' => '21','desc' => 'Billing for denial notice.Provider determined services are at a non-covered level or excluded, but it is requesting a denial notice from Medicare in order to bill Medicaid or other insurers.','desc1' => '','desc2' => '','desc3' => ''),
557 array('id' => '555','code_group' => 'condition_code','code' => '26','desc' => 'Veteran\'s Administration (VA) eligible patient chooses to receive services in a Medicare Certified Facility.','desc1' => '','desc2' => '','desc3' => ''),
558 array('id' => '556','code_group' => 'condition_code','code' => '27','desc' => 'Patient referred to a sole community hospital for a diagnostic laboratory test. (Sole Community Hospitals only). The provider uses this code to indicate laboratory service is paid at 62 percent fee schedule rather than 60 percent fee schedule.','desc1' => '','desc2' => '','desc3' => ''),
559 array('id' => '557','code_group' => 'condition_code','code' => '28','desc' => 'Patient\'s and/or spouse\'s EGHP is secondary to Medicare. In response to the Medicare Secondary Payer (MSP) questionnaire, the patient and/or spouse indicated that one or both are employed and that there is group health insurance from an EGHP or other employer-sponsored or provided health insurance that covers the patient but that either: the EGHP is a single employer plan and the employer has fewer than 20 full and part time employees; or the EGHP is a multiple employer plan that elects to pay secondary to Medicare for employees and spouses aged 65 and older for those participating employers who have fewer than 20 employees.','desc1' => '','desc2' => '','desc3' => ''),
560 array('id' => '558','code_group' => 'condition_code','code' => '29','desc' => 'Disabled beneficiary and/or family member\'s LGHP is secondary to Medicare. In response to the Medicare Secondary Payer (MSP) questionnaire, the patient and/or family member(s) indicated that one or more are employed and there is group health insurance from an LGHP or other employer-sponsored or provided health insurance that covers the patient but that either: the LGHP is a single employer plan and the employer has fewer than 100 full and part time employees; or the LGHP is a multiple employer plan and that all employers participating in the plan have fewer than 100 full and part-time employees.','desc1' => '','desc2' => '','desc3' => ''),
561 array('id' => '559','code_group' => 'condition_code','code' => '30','desc' => 'Non-research services provided to all patients, including managed care enrollees, enrolled in a Qualified Clinical Trial.','desc1' => '','desc2' => '','desc3' => ''),
562 array('id' => '560','code_group' => 'condition_code','code' => '31','desc' => 'Patient is a student (full time day).','desc1' => '','desc2' => '','desc3' => ''),
563 array('id' => '561','code_group' => 'condition_code','code' => '32','desc' => 'Patient is a Student (Cooperative/Work Study Program).','desc1' => '','desc2' => '','desc3' => ''),
564 array('id' => '562','code_group' => 'condition_code','code' => '33','desc' => 'Patient is a student (Full-Time Night).','desc1' => '','desc2' => '','desc3' => ''),
565 array('id' => '563','code_group' => 'condition_code','code' => '34','desc' => 'Patient is student (Part-Time).','desc1' => '','desc2' => '','desc3' => ''),
566 array('id' => '564','code_group' => 'condition_code','code' => '36','desc' => 'General care patient in a special unit. - (Not used by Prospective Payment System (PPS) hospitals) The hospital temporarily placed the patient in a special care unit because no general care beds were available. Accommodation charges for this period are at the prevalent semi-private rate.','desc1' => '','desc2' => '','desc3' => ''),
567 array('id' => '565','code_group' => 'condition_code','code' => '37','desc' => 'Ward accommodation at patient\'s request - Not used by PPS Hospitals.','desc1' => '','desc2' => '','desc3' => ''),
568 array('id' => '566','code_group' => 'condition_code','code' => '38','desc' => 'Semi-private room is not available. Not used by PPS Hospitals.','desc1' => '','desc2' => '','desc3' => ''),
569 array('id' => '567','code_group' => 'condition_code','code' => '39','desc' => 'Private room medically necessary. Not used by PPS Hospitals.','desc1' => '','desc2' => '','desc3' => ''),
570 array('id' => '568','code_group' => 'condition_code','code' => '40','desc' => 'Same day transfer. The patient was transferred to another participating Medicare provider before midnight on the day of admission.','desc1' => '','desc2' => '','desc3' => ''),
571 array('id' => '569','code_group' => 'condition_code','code' => '41','desc' => 'Claim is for partial outpatient hospitalization services which include a variety of psychiatric programs.','desc1' => '','desc2' => '','desc3' => ''),
572 array('id' => '570','code_group' => 'condition_code','code' => '42','desc' => 'Continued care plan is not related to the patient\'s inpatient admission condition or diagnosis.','desc1' => '','desc2' => '','desc3' => ''),
573 array('id' => '571','code_group' => 'condition_code','code' => '43','desc' => 'Continued care not provided within post discharge window','desc1' => '','desc2' => '','desc3' => ''),
574 array('id' => '572','code_group' => 'condition_code','code' => '44','desc' => 'Inpatient admission changed to outpatient. –Code used on outpatient claims only, when the physician ordered inpatient services, but upon internal utilization review performed before the claim was originally submitted, the hospital determined that the services did not meet its inpatient criteria. The change in patient status from inpatient to outpatient is made prior to discharge or release while the patient is still a patient of the hospital.','desc1' => '','desc2' => '','desc3' => ''),
575 array('id' => '573','code_group' => 'condition_code','code' => '49','desc' => 'Product lifecycle replacement of a product earlier than the anticipated lifecycle due to an indication that the product is not functioning properly.','desc1' => '','desc2' => '','desc3' => ''),
576 array('id' => '574','code_group' => 'condition_code','code' => '50','desc' => 'Product replacement for known recall by a Product Manufacturer or FDA.','desc1' => '','desc2' => '','desc3' => ''),
577 array('id' => '575','code_group' => 'condition_code','code' => '51','desc' => 'Provider attestation of that services billed are unrelated outpatient non-diagnostic services which should not be bundled into the inpatient hospital claim.','desc1' => '','desc2' => '','desc3' => ''),
578 array('id' => '576','code_group' => 'condition_code','code' => '52','desc' => 'Hospice beneficiary moves out of service area.','desc1' => '','desc2' => '','desc3' => ''),
579 array('id' => '577','code_group' => 'condition_code','code' => '53','desc' => 'The initial placement of a medical device provided as part of a clinical trial or a free sample.','desc1' => '','desc2' => '','desc3' => ''),
580 array('id' => '578','code_group' => 'condition_code','code' => '55','desc' => 'SNF bed is not available. The patient\'s SNF admission was delayed more than 30 days after hospital discharge because a SNF bed was not available.','desc1' => '','desc2' => '','desc3' => ''),
581 array('id' => '579','code_group' => 'condition_code','code' => '56','desc' => 'Medical appropriateness condition code. Patient\'s SNF admission was delayed more than the 30 days after hospital discharge because the patient\'s condition made it inappropriate to begin active care within that period.','desc1' => '','desc2' => '','desc3' => ''),
582 array('id' => '580','code_group' => 'condition_code','code' => '57','desc' => 'SNF readmission when the patient previously received Medicare covered SNF care within 30 days of the current SNF admission.','desc1' => '','desc2' => '','desc3' => ''),
583 array('id' => '581','code_group' => 'condition_code','code' => '58','desc' => 'SNF patient terminated MA Plan enrollment. Providers report this code to waive 3-day qualifying stay requirement.','desc1' => '','desc2' => '','desc3' => ''),
584 array('id' => '582','code_group' => 'condition_code','code' => '59','desc' => 'Non-primary ESRD facility. Provider reports this code to indicate the ESRD beneficiary received non-scheduled or emergency dialysis services at a facility other than his/her primary ESRD dialysis facility.','desc1' => '','desc2' => '','desc3' => ''),
585 array('id' => '583','code_group' => 'condition_code','code' => '60','desc' => 'Operating cost day outlier. (Payer code only.)','desc1' => '','desc2' => '','desc3' => ''),
586 array('id' => '584','code_group' => 'condition_code','code' => '61','desc' => 'Operating cost outlier which is not reported by provider. Pricer indicates this bill is a cost outlier and MAC indicates the operating cost outlier portion paid in value code 17.','desc1' => '','desc2' => '','desc3' => ''),
587 array('id' => '585','code_group' => 'condition_code','code' => '62','desc' => 'PIP bill not reported by providers. Bill was paid under PIP and recorded by system.','desc1' => '','desc2' => '','desc3' => ''),
588 array('id' => '586','code_group' => 'condition_code','code' => '63','desc' => 'Bypass CWF edit for incarcerated beneficiaries. Services rendered to a prisoner or a patient in State or local custody (meets requirements of 42 CFR 411.4(b) for payment). Contractor use only.','desc1' => '','desc2' => '','desc3' => ''),
589 array('id' => '587','code_group' => 'condition_code','code' => '64','desc' => 'Other than clean claim.','desc1' => '','desc2' => '','desc3' => ''),
590 array('id' => '588','code_group' => 'condition_code','code' => '65','desc' => 'Non-PPS bill not reported by providers. MAC records this from system for non-PPS hospital bills.','desc1' => '','desc2' => '','desc3' => ''),
591 array('id' => '589','code_group' => 'condition_code','code' => '66','desc' => 'Hospital does not wish cost outlier payment. The hospital is not requesting additional payment for this stay as a cost outlier. (Only hospitals paid under PPS use this code.)','desc1' => '','desc2' => '','desc3' => ''),
592 array('id' => '590','code_group' => 'condition_code','code' => '67','desc' => 'Beneficiary elects not to use Lifetime Reserve (LTR) Days.','desc1' => '','desc2' => '','desc3' => ''),
593 array('id' => '591','code_group' => 'condition_code','code' => '68','desc' => 'Beneficiary elects to use Lifetime Reserve (LTR) Days.','desc1' => '','desc2' => '','desc3' => ''),
594 array('id' => '592','code_group' => 'condition_code','code' => '69','desc' => 'IME/DGME/N&A payment only billing.','desc1' => '','desc2' => '','desc3' => ''),
595 array('id' => '593','code_group' => 'condition_code','code' => '70','desc' => 'Self-administered erythropoetin alpha (EPO) . Code indicates the billing is for a home dialysis patient who self-administers EPO or darbopoetin alpha.','desc1' => '','desc2' => '','desc3' => ''),
596 array('id' => '594','code_group' => 'condition_code','code' => '71','desc' => 'Full care in unit. The billing is for a patient who received staff-assisted dialysis services in a hospital or renal dialysis facility.','desc1' => '','desc2' => '','desc3' => ''),
597 array('id' => '595','code_group' => 'condition_code','code' => '72','desc' => 'Self-Care in unit. The billing is for a patient who managed his/her own dialysis services without staff assistance in a hospital or renal dialysis facility.','desc1' => '','desc2' => '','desc3' => ''),
598 array('id' => '596','code_group' => 'condition_code','code' => '73','desc' => 'Self-Care training. The bill is for special dialysis services where a patient and his/her helper (if necessary) were learning to perform dialysis.','desc1' => '','desc2' => '','desc3' => ''),
599 array('id' => '597','code_group' => 'condition_code','code' => '74','desc' => 'The bill is for a patient who received dialysis services at home.','desc1' => '','desc2' => '','desc3' => ''),
600 array('id' => '598','code_group' => 'condition_code','code' => '76','desc' => 'Back-up dialysis in-facility The bill is for a home dialysis patient who received back-up dialysis in a facility.','desc1' => '','desc2' => '','desc3' => ''),
601 array('id' => '599','code_group' => 'condition_code','code' => '77','desc' => 'Provider accepts or is obligated/required due to contractual arrangement or law to accept payment by a primary payer as payment in full','desc1' => '','desc2' => '','desc3' => ''),
602 array('id' => '600','code_group' => 'condition_code','code' => '78','desc' => 'Newly covered Medicare service for which an HMO doesn\'t pay. For outpatient bills, condition code 04 should be omitted.','desc1' => '','desc2' => '','desc3' => ''),
603 array('id' => '601','code_group' => 'condition_code','code' => '79','desc' => 'Comprehensive Outpatient Rehabilitation Facilities (CORF) services provided off-site. Physical therapy, occupational therapy, or speech pathology services were provided offsite.','desc1' => '','desc2' => '','desc3' => ''),
604 array('id' => '602','code_group' => 'condition_code','code' => '81','desc' => 'C-sections or inductions performed at less than 39 weeks gestation for medical necessity.','desc1' => '','desc2' => '','desc3' => ''),
605 array('id' => '603','code_group' => 'condition_code','code' => '82','desc' => 'C-sections or inductions performed at less than 39 weeks gestation electively.','desc1' => '','desc2' => '','desc3' => ''),
606 array('id' => '604','code_group' => 'condition_code','code' => '83','desc' => 'C-sections or inductions performed at 39 weeks gestation or greater.','desc1' => '','desc2' => '','desc3' => ''),
607 array('id' => '605','code_group' => 'condition_code','code' => '84','desc' => 'Dialysis for Acute Kidney Injury (AKI) on monthly basis','desc1' => '','desc2' => '','desc3' => ''),
608 array('id' => '606','code_group' => 'condition_code','code' => '88','desc' => 'Medicaid birth weights.','desc1' => '','desc2' => '','desc3' => ''),
609 array('id' => '607','code_group' => 'condition_code','code' => '98','desc' => 'Data associated with diagnosis-related grouper (DRG) 468 has been validated.','desc1' => '','desc2' => '','desc3' => ''),
610 array('id' => '608','code_group' => 'condition_code','code' => 'G0','desc' => 'Distinct medical visit. Multiple medical visits/evaluation and management visits occurred on the same day in the same revenue center and the visits were distinct and constituted independent visits. Not reported by CAHs.','desc1' => '','desc2' => '','desc3' => ''),
611 array('id' => '609','code_group' => 'condition_code','code' => 'H0','desc' => 'Delayed filing, statement of intent submitted within the qualified period to specifically identify the existence of another third party liability situation.','desc1' => '','desc2' => '','desc3' => ''),
612 array('id' => '610','code_group' => 'condition_code','code' => 'A0','desc' => 'Special ambulance zip code reporting.','desc1' => '','desc2' => '','desc3' => ''),
613 array('id' => '611','code_group' => 'condition_code','code' => 'A3','desc' => 'Special Federal Funding','desc1' => '','desc2' => '','desc3' => ''),
614 array('id' => '612','code_group' => 'condition_code','code' => 'A5','desc' => 'Disability','desc1' => '','desc2' => '','desc3' => ''),
615 array('id' => '613','code_group' => 'condition_code','code' => 'A6','desc' => 'Medicare pneumococcal pneumococcal or influenza paid at 100%.','desc1' => '','desc2' => '','desc3' => ''),
616 array('id' => '614','code_group' => 'condition_code','code' => 'A7','desc' => 'Induced Abortion due to danger to life.','desc1' => '','desc2' => '','desc3' => ''),
617 array('id' => '615','code_group' => 'condition_code','code' => 'A9','desc' => 'Second opinion for surgery.','desc1' => '','desc2' => '','desc3' => ''),
618 array('id' => '616','code_group' => 'condition_code','code' => 'AA','desc' => 'Abortion performed due to rape.','desc1' => '','desc2' => '','desc3' => ''),
619 array('id' => '617','code_group' => 'condition_code','code' => 'AB','desc' => 'Abortion performed due to incest.','desc1' => '','desc2' => '','desc3' => ''),
620 array('id' => '618','code_group' => 'condition_code','code' => 'AC','desc' => 'Abortion performed due to serious fetal genetic defect, deformity, abnormality0','desc1' => '','desc2' => '','desc3' => ''),
621 array('id' => '619','code_group' => 'condition_code','code' => 'AD','desc' => 'Abortion performed due to life endangering physical condition caused by, arising from or exacerbated by the pregnancy itself.','desc1' => '','desc2' => '','desc3' => ''),
622 array('id' => '620','code_group' => 'condition_code','code' => 'AE','desc' => 'Abortion performed due to physical health of mother that is not life endangering.','desc1' => '','desc2' => '','desc3' => ''),
623 array('id' => '621','code_group' => 'condition_code','code' => 'AF','desc' => 'Abortion performed due to emotional/psychological health of mother.','desc1' => '','desc2' => '','desc3' => ''),
624 array('id' => '622','code_group' => 'condition_code','code' => 'AG','desc' => 'Abortion performed due to social economic reasons.','desc1' => '','desc2' => '','desc3' => ''),
625 array('id' => '623','code_group' => 'condition_code','code' => 'AH','desc' => 'Elective abortion.','desc1' => '','desc2' => '','desc3' => ''),
626 array('id' => '624','code_group' => 'condition_code','code' => 'AI','desc' => 'Sterilization','desc1' => '','desc2' => '','desc3' => ''),
627 array('id' => '625','code_group' => 'condition_code','code' => 'AJ','desc' => 'Payer responsible for co-payment.','desc1' => '','desc2' => '','desc3' => ''),
628 array('id' => '626','code_group' => 'condition_code','code' => 'AK','desc' => 'Air ambulance required.','desc1' => '','desc2' => '','desc3' => ''),
629 array('id' => '627','code_group' => 'condition_code','code' => 'AL','desc' => 'Specialized treatment/bed unavailable.','desc1' => '','desc2' => '','desc3' => ''),
630 array('id' => '628','code_group' => 'condition_code','code' => 'AM','desc' => 'Non-emergency medically necessary stretcher transport required.','desc1' => '','desc2' => '','desc3' => ''),
631 array('id' => '629','code_group' => 'condition_code','code' => 'B0','desc' => 'Medicare Coordinated Care Demonstration Program (MCCD).','desc1' => '','desc2' => '','desc3' => ''),
632 array('id' => '630','code_group' => 'condition_code','code' => 'B1','desc' => 'Beneficiary is ineligible for Full Demonstration Program.','desc1' => '','desc2' => '','desc3' => ''),
633 array('id' => '631','code_group' => 'condition_code','code' => 'B2','desc' => 'Critical Access Hospital ambulance attestation that it meets the criteria for exemption from the ambulance fee schedule.','desc1' => '','desc2' => '','desc3' => ''),
634 array('id' => '632','code_group' => 'condition_code','code' => 'B3','desc' => 'Pregnancy indicator.','desc1' => '','desc2' => '','desc3' => ''),
635 array('id' => '633','code_group' => 'condition_code','code' => 'EY','desc' => 'Lung reduction study demonstration claims, set demo code 30.','desc1' => '','desc2' => '','desc3' => ''),
636 array('id' => '634','code_group' => 'condition_code','code' => 'MG','desc' => 'Grandfathered Tribal Federally Qualified Health Centers.','desc1' => '','desc2' => '','desc3' => ''),
637 array('id' => '635','code_group' => 'condition_code','code' => 'M0','desc' => 'All-Inclusive rate for outpatient services.','desc1' => '','desc2' => '','desc3' => ''),
638 array('id' => '636','code_group' => 'condition_code','code' => 'M1','desc' => 'Roster billed influenza virus vaccine or pneumococcal pneumonia vaccine (PPV).','desc1' => '','desc2' => '','desc3' => ''),
639 array('id' => '637','code_group' => 'condition_code','code' => 'W0','desc' => 'United Mine Workers of America demonstration indicator.','desc1' => '','desc2' => '','desc3' => ''),
640 array('id' => '638','code_group' => 'condition_code','code' => 'QI','desc' => 'Approval','desc1' => '','desc2' => '','desc3' => ''),
641 array('id' => '639','code_group' => 'condition_code','code' => 'C1','desc' => 'Approved as billed.','desc1' => '','desc2' => '','desc3' => ''),
642 array('id' => '640','code_group' => 'condition_code','code' => 'C3','desc' => 'Partial approval.','desc1' => '','desc2' => '','desc3' => ''),
643 array('id' => '641','code_group' => 'condition_code','code' => 'C4','desc' => 'Admission denied.','desc1' => '','desc2' => '','desc3' => ''),
644 array('id' => '642','code_group' => 'condition_code','code' => 'C5','desc' => 'Post payment review applicable.','desc1' => '','desc2' => '','desc3' => ''),
645 array('id' => '643','code_group' => 'condition_code','code' => 'C6','desc' => 'Pre-admission/pre-procedure authorized but QIO has not reviewed service(s) provided.','desc1' => '','desc2' => '','desc3' => ''),
646 array('id' => '644','code_group' => 'condition_code','code' => 'C7','desc' => 'Extended authorization authorized but QIO has not reviewed service(s) provided.','desc1' => '','desc2' => '','desc3' => ''),
647 array('id' => '645','code_group' => 'condition_code','code' => 'R1','desc' => 'Mathematical or computational mistakes.','desc1' => '','desc2' => '','desc3' => ''),
648 array('id' => '646','code_group' => 'condition_code','code' => 'R2','desc' => 'Inaccurate data entry, for example miskeyed or transposed provider number, referring NPI, date of service, procedure code, etc.','desc1' => '','desc2' => '','desc3' => ''),
649 array('id' => '647','code_group' => 'condition_code','code' => 'R3','desc' => 'Misapplication of a fee schedule.','desc1' => '','desc2' => '','desc3' => ''),
650 array('id' => '648','code_group' => 'condition_code','code' => 'R4','desc' => 'Computer errors.','desc1' => '','desc2' => '','desc3' => ''),
651 array('id' => '649','code_group' => 'condition_code','code' => 'R5','desc' => 'Duplicate claim which the party believes were incorrectly identified as duplicate.','desc1' => '','desc2' => '','desc3' => ''),
652 array('id' => '650','code_group' => 'condition_code','code' => 'R6','desc' => 'Other clerical errors or minor errors and omissions not specified in R1-R5.','desc1' => '','desc2' => '','desc3' => ''),
653 array('id' => '651','code_group' => 'condition_code','code' => 'R7','desc' => 'Claim corrections other than clerical errors within one year of the date of initial determination.','desc1' => '','desc2' => '','desc3' => ''),
654 array('id' => '652','code_group' => 'condition_code','code' => 'R8','desc' => 'A reopening for good cause (one to four years from the date of the initial determination) due to new and material evidence that was not available or known at the time of the determination or decision and may result in a different conclusion.','desc1' => '','desc2' => '','desc3' => ''),
655 array('id' => '653','code_group' => 'condition_code','code' => 'R9','desc' => 'A reopening for good cause (one to four years from the date of initial determination) because the evidence that was considered in making the determination or decision clearly shows that an obvious error was made at the time of the determination or decision.','desc1' => '','desc2' => '','desc3' => ''),
656 array('id' => '654','code_group' => 'patient_status_code','code' => '01','desc' => 'Discharged to home or self care; jail or law enforcement; group home, foster care, & other residential care arrangements; Outpatient programs e.g. partial hospitalization, OP chemical dependency programs; assisted living facilities that are not state designated (routine discharge)','desc1' => '','desc2' => '','desc3' => ''),
657 array('id' => '655','code_group' => 'patient_status_code','code' => '02','desc' => 'Discharged/transferred to short-term general hospital for Inpatient Care','desc1' => '','desc2' => '','desc3' => ''),
658 array('id' => '656','code_group' => 'patient_status_code','code' => '03','desc' => 'Discharged/transferred to SNF with Medicare certification in anticipation of covered skilled care. Do not use this for transfers to a non-Medicare certified area. For Swing Beds see Code 61 below','desc1' => '','desc2' => '','desc3' => ''),
659 array('id' => '657','code_group' => 'patient_status_code','code' => '04','desc' => 'Discharged/transferred to an Intermediate Care Facility e.g. non-certified SNF beds, State designated Assisted Living Facilities','desc1' => '','desc2' => '','desc3' => ''),
660 array('id' => '658','code_group' => 'patient_status_code','code' => '05','desc' => 'Discharged/transferred to a designated cancer center or children\'s hospital','desc1' => '','desc2' => '','desc3' => ''),
661 array('id' => '659','code_group' => 'patient_status_code','code' => '06','desc' => 'Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. Dsch/Trans to home with written plan of care, foster care facility with home care & under home health agency with DME','desc1' => '','desc2' => '','desc3' => ''),
662 array('id' => '660','code_group' => 'patient_status_code','code' => '07','desc' => 'Left against medical advice or discontinued care. Patients who leave before triage or seen by physician','desc1' => '','desc2' => '','desc3' => ''),
663 array('id' => '661','code_group' => 'patient_status_code','code' => '09','desc' => 'Admitted as an inpatient to this hospital-only use on Medicare OP claims when services begin when those Medicare OP services are greater than 3 days prior to an admission','desc1' => '','desc2' => '','desc3' => ''),
664 array('id' => '662','code_group' => 'patient_status_code','code' => '20','desc' => 'Expired -used only when the patient dies','desc1' => '','desc2' => '','desc3' => ''),
665 array('id' => '663','code_group' => 'patient_status_code','code' => '21','desc' => 'Discharges or transfers to court/law enforcement; includes transfers to incarceration facilities such as jail, prison or other detention facilities. Effective 10/1/09','desc1' => '','desc2' => '','desc3' => ''),
666 array('id' => '664','code_group' => 'patient_status_code','code' => '30','desc' => 'Still a patient or expected to return for outpatient services-used when billing for LOA days or interim bills. It can be used for both IP or OP claims, for IP claims the claim needs to be greater than 60 days','desc1' => '','desc2' => '','desc3' => ''),
667 array('id' => '665','code_group' => 'patient_status_code','code' => '40','desc' => 'Expired at home (Hospice claims only) used only on Medicare and TRICARE claims for hospice care','desc1' => '','desc2' => '','desc3' => ''),
668 array('id' => '666','code_group' => 'patient_status_code','code' => '41','desc' => 'Expired in a medical facility (hospital, SNF, Intermediate Care Facility, or free standing hospice) for hospice use only','desc1' => '','desc2' => '','desc3' => ''),
669 array('id' => '667','code_group' => 'patient_status_code','code' => '42','desc' => 'Expired - place unknown -this is used only on Medicare and TRICARE claims for Hospice only','desc1' => '','desc2' => '','desc3' => ''),
670 array('id' => '668','code_group' => 'patient_status_code','code' => '43','desc' => 'Discharged/transferred to a Federal hospital Dept of Defense hospitals, VA hospitals, VA Psych unit or VA nursing facilities','desc1' => '','desc2' => '','desc3' => ''),
671 array('id' => '669','code_group' => 'patient_status_code','code' => '50','desc' => 'Discharged/transferred to Hospice (home)-or alternative setting that is the patient\'s home such as nursing facility, and will receive in-home hospice services','desc1' => '','desc2' => '','desc3' => ''),
672 array('id' => '670','code_group' => 'patient_status_code','code' => '51','desc' => 'Discharged/transferred to Hospice medical facility- patient went to an IP facility that is qualified and the patient is to receive the general IP hospice level of care or hospice respite care. Used also if the patient is discharged from an IP acute care hospital to remain in hospital under hospice care','desc1' => '','desc2' => '','desc3' => ''),
673 array('id' => '671','code_group' => 'patient_status_code','code' => '61','desc' => 'Discharged/transferred within this institution to a hospital based Medicare approved swing bed. This is also used when discharged from an acute care hospital to a CAH swing bed','desc1' => '','desc2' => '','desc3' => ''),
674 array('id' => '672','code_group' => 'patient_status_code','code' => '62','desc' => 'Discharged/transferred to an inpatient rehabilitation facility including distinct part units of a hospital','desc1' => '','desc2' => '','desc3' => ''),
675 array('id' => '673','code_group' => 'patient_status_code','code' => '63','desc' => 'Discharged/transferred to a long term care hospital','desc1' => '','desc2' => '','desc3' => ''),
676 array('id' => '674','code_group' => 'patient_status_code','code' => '64','desc' => 'Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare. If the facility has some Medicare certified beds you should use patient status code 03 or 04 depending on the level of care the patient is receiving and if they are placed in a Medicare certified bed or not','desc1' => '','desc2' => '','desc3' => ''),
677 array('id' => '675','code_group' => 'patient_status_code','code' => '65','desc' => 'Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital','desc1' => '','desc2' => '','desc3' => ''),
678 array('id' => '676','code_group' => 'patient_status_code','code' => '66','desc' => 'Discharged/transferred to a Critical Access Hospital (CAH)','desc1' => '','desc2' => '','desc3' => ''),
679 array('id' => '677','code_group' => 'patient_status_code','code' => '69','desc' => 'Discharged/transferred to a designated disaster alternative care site','desc1' => '','desc2' => '','desc3' => ''),
680 array('id' => '678','code_group' => 'patient_status_code','code' => '70','desc' => 'Discharged/transferred to another type of health care institution not defined elsewhere in the code list','desc1' => '','desc2' => '','desc3' => ''),
681 array('id' => '679','code_group' => 'patient_status_code','code' => '81','desc' => 'Discharged to home or self-care with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
682 array('id' => '680','code_group' => 'patient_status_code','code' => '82','desc' => 'Discharged/transferred to a short term general hospital for inpatient care with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
683 array('id' => '681','code_group' => 'patient_status_code','code' => '83','desc' => 'Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
684 array('id' => '682','code_group' => 'patient_status_code','code' => '84','desc' => 'Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
685 array('id' => '683','code_group' => 'patient_status_code','code' => '85','desc' => 'Discharged/transferred to a designated cancer center or children\'s hospital with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
686 array('id' => '684','code_group' => 'patient_status_code','code' => '86','desc' => 'Discharged/transferred to home under care of organized home health service organization with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
687 array('id' => '685','code_group' => 'patient_status_code','code' => '87','desc' => 'Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
688 array('id' => '686','code_group' => 'patient_status_code','code' => '88','desc' => 'Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
689 array('id' => '687','code_group' => 'patient_status_code','code' => '89','desc' => 'Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
690 array('id' => '688','code_group' => 'patient_status_code','code' => '90','desc' => 'Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
691 array('id' => '689','code_group' => 'patient_status_code','code' => '91','desc' => 'Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
692 array('id' => '690','code_group' => 'patient_status_code','code' => '92','desc' => 'Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
693 array('id' => '691','code_group' => 'patient_status_code','code' => '93','desc' => 'Discharged/transferred to a psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
694 array('id' => '692','code_group' => 'patient_status_code','code' => '94','desc' => 'Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
695 array('id' => '693','code_group' => 'patient_status_code','code' => '95','desc' => 'Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission','desc1' => '','desc2' => '','desc3' => ''),
696 array('id' => '694','code_group' => 'occurrence_span_code','code' => '70','desc' => 'Qualifying Stay Dates - SNF TOB 3-day hospital stay qualifying stay dates for SNF use only.','desc1' => '','desc2' => '','desc3' => ''),
697 array('id' => '695','code_group' => 'occurrence_span_code','code' => '70','desc' => 'Nonutilization Dates - PPS inlier (free days) stay for which the beneficiary has exhausted all regular days and/or coinsurance days, but which is covered on the cost report.','desc1' => '','desc2' => '','desc3' => ''),
698 array('id' => '696','code_group' => 'occurrence_span_code','code' => '71','desc' => 'Hospital Prior Stay Dates - (Part A Claims Only) From/Through dates given by the patient of any hospital stay that ended within 60 days of this hospital or SNF admission.','desc1' => '','desc2' => '','desc3' => ''),
699 array('id' => '697','code_group' => 'occurrence_span_code','code' => '72','desc' => 'First/Last Visit - This code and corresponding dates indicate the actual dates of the first and last outpatient services visit. Note: This code is used for outpatient bills only when the actual from and through service dates shown in FL 6, statement covers period, do not represent the entire billing record. The dates should reflect the first and last time the patient was seen or treated within the FL 6 billing period. Repetitive services and related services should be submitted to Medicare on one monthly bill. When providers bill the entire month, use occurrence span code 72 to reflect the first and last visit dates.','desc1' => '','desc2' => '','desc3' => ''),
700 array('id' => '698','code_group' => 'occurrence_span_code','code' => '74','desc' => 'Noncovered Level of Care - From/through dates of a period at a non-covered level of care or leave of absence in an otherwise covered stay. Also used for Part B repetitive services to show a period of inpatient hospital care or outpatient surgery during the billing period.','desc1' => '','desc2' => '','desc3' => ''),
701 array('id' => '699','code_group' => 'occurrence_span_code','code' => '75','desc' => 'SNF Level of Care - From/through dates of a period at a non-covered level of care during an inpatient hospital stay - only used when SNF bed is not available.','desc1' => '','desc2' => '','desc3' => ''),
702 array('id' => '700','code_group' => 'occurrence_span_code','code' => '76','desc' => 'Patient Liability-From/through dates of a period of non-covered care for which the hospital/ SNF is permitted to charge the Medicare beneficiary.','desc1' => '','desc2' => '','desc3' => ''),
703 array('id' => '701','code_group' => 'occurrence_span_code','code' => '77','desc' => 'Provider Liability-Utilization Charged - The from/through dates of a period of non-covered care for which the provider is liable','desc1' => '','desc2' => '','desc3' => ''),
704 array('id' => '702','code_group' => 'occurrence_span_code','code' => '78','desc' => 'SNF Prior Stay Dates - From/through dates given by the patient of any SNF or nursing home stay that ended within 60 days of this hospital/SNF admission','desc1' => '','desc2' => '','desc3' => ''),
705 array('id' => '703','code_group' => 'occurrence_span_code','code' => '79','desc' => 'Payer Code - THIS CODE IS SET ASIDE FOR PAYER USE ONLY. PROVIDERS DO NOT REPORT THIS CODE.','desc1' => '','desc2' => '','desc3' => ''),
706 array('id' => '704','code_group' => 'occurrence_span_code','code' => 'M0','desc' => 'QIO/UR stay dates - if a code C3 is in FL 24-30, the provider enters the From and Through dates of the approved billing period.','desc1' => '','desc2' => '','desc3' => ''),
707 array('id' => '705','code_group' => 'occurrence_span_code','code' => 'M1','desc' => 'Provider liability - no utilization - code indicating From/Through dates of noncovered care denied for lack of medical necessity. Provider may not collect Part A or Part B deductible or coinsurance from the beneficiary.','desc1' => '','desc2' => '','desc3' => ''),
708 array('id' => '706','code_group' => 'occurrence_span_code','code' => 'M2','desc' => 'Dates of Inpatient Respite Care for hospice patients','desc1' => '','desc2' => '','desc3' => ''),
709 array('id' => '707','code_group' => 'occurrence_span_code','code' => 'M3','desc' => 'ICF Level of Care - From/through dates of a period of intermediate level of care during an inpatient hospital stay','desc1' => '','desc2' => '','desc3' => ''),
710 array('id' => '708','code_group' => 'occurrence_span_code','code' => 'M4','desc' => 'Residential Level of Care - From/through dates of period of residential level of care during an inpatient stay','desc1' => '','desc2' => '','desc3' => ''),
711 array('id' => '709','code_group' => 'occurrence_code','code' => '1','desc' => 'Accident/Medical Coverage - Code indicating accident-related injury for which there is medical payment coverage. Provide the date of accident/injury','desc1' => '','desc2' => '','desc3' => ''),
712 array('id' => '710','code_group' => 'occurrence_code','code' => '2','desc' => 'No-Fault Insurance Involved-including auto accident/other - Date of an accident, including auto or other, where the State has applicable no-fault or liability laws (i.e., legal basis for settlement without admission or proof of guilt).','desc1' => '','desc2' => '','desc3' => ''),
713 array('id' => '711','code_group' => 'occurrence_code','code' => '3','desc' => 'Accident/TORT liability - Date of an accident resulting from a third party\'s action that may involve a civil court action in an attempt to require payment by the third party, other than no-fault liability.','desc1' => '','desc2' => '','desc3' => ''),
714 array('id' => '712','code_group' => 'occurrence_code','code' => '4','desc' => 'Accident/employment related','desc1' => '','desc2' => '','desc3' => ''),
715 array('id' => '713','code_group' => 'occurrence_code','code' => '5','desc' => 'Accident/No medical or liability coverage - Code indicating accident related injury for which there is no medical payment or third-party liability coverage. Provide date of accident or injury.','desc1' => '','desc2' => '','desc3' => ''),
716 array('id' => '714','code_group' => 'occurrence_code','code' => '6','desc' => 'Crime Victim','desc1' => '','desc2' => '','desc3' => ''),
717 array('id' => '715','code_group' => 'occurrence_code','code' => '8','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
718 array('id' => '716','code_group' => 'occurrence_code','code' => '9','desc' => 'Start of infertility treatment Cycle','desc1' => '','desc2' => '','desc3' => ''),
719 array('id' => '717','code_group' => 'occurrence_code','code' => '10','desc' => 'Last menstrual period','desc1' => '','desc2' => '','desc3' => ''),
720 array('id' => '718','code_group' => 'occurrence_code','code' => '11','desc' => 'Onset of Symptoms/Illness - (outpatient claims only). If beneficiary receiving a combination of PT/OT/SLP only one 11 occurrence code is required','desc1' => '','desc2' => '','desc3' => ''),
721 array('id' => '719','code_group' => 'occurrence_code','code' => '12','desc' => 'Date of Onset for a Chronically Dependent Individual (CDI)','desc1' => '','desc2' => '','desc3' => ''),
722 array('id' => '720','code_group' => 'occurrence_code','code' => '16','desc' => 'Date of last therapy - Code indicates the last day of therapy services (e.g., physical, occupational or speech therapy).','desc1' => '','desc2' => '','desc3' => ''),
723 array('id' => '721','code_group' => 'occurrence_code','code' => '17','desc' => 'Date occupational therapy plan established or last reviewed','desc1' => '','desc2' => '','desc3' => ''),
724 array('id' => '722','code_group' => 'occurrence_code','code' => '18','desc' => 'Date of patient/beneficiary retirement','desc1' => '','desc2' => '','desc3' => ''),
725 array('id' => '723','code_group' => 'occurrence_code','code' => '19','desc' => 'Date of retirement of spouse','desc1' => '','desc2' => '','desc3' => ''),
726 array('id' => '724','code_group' => 'occurrence_code','code' => '20','desc' => 'Guarantee of Payment Began-(Part A hospital claims only)-date hospital begins claiming payment.','desc1' => '','desc2' => '','desc3' => ''),
727 array('id' => '725','code_group' => 'occurrence_code','code' => '21','desc' => 'UR Notice Received (Part A SNF Claims Only) - date of receipt by the SNF and hospital of URC finding an admission or further stay was not medically necessary.','desc1' => '','desc2' => '','desc3' => ''),
728 array('id' => '726','code_group' => 'occurrence_code','code' => '22','desc' => 'Date Active Care Ended - date a covered level of care ended in SNF or general hospital or date active care ended in psych or tuberculosis hospital or date patient was released on trial basis from residential facility. *Code not required if code 21 is used.','desc1' => '','desc2' => '','desc3' => ''),
729 array('id' => '727','code_group' => 'occurrence_code','code' => '23','desc' => 'Date of Cancellation of Hospice Election Period. For FI Use Only. Providers Do Not Report. *Not required if code 21 is used.','desc1' => '','desc2' => '','desc3' => ''),
730 array('id' => '728','code_group' => 'occurrence_code','code' => '24','desc' => 'Date insurance denied','desc1' => '','desc2' => '','desc3' => ''),
731 array('id' => '729','code_group' => 'occurrence_code','code' => '25','desc' => 'Date coverage benefits are terminated by primary payer.','desc1' => '','desc2' => '','desc3' => ''),
732 array('id' => '730','code_group' => 'occurrence_code','code' => '26','desc' => 'Date SNF bed available to the Inpatient who requires only SNF level care','desc1' => '','desc2' => '','desc3' => ''),
733 array('id' => '731','code_group' => 'occurrence_code','code' => '27','desc' => 'Date of Hospice Certification or re-certification','desc1' => '','desc2' => '','desc3' => ''),
734 array('id' => '732','code_group' => 'occurrence_code','code' => '28','desc' => 'Date CORF Plan established or last reviewed','desc1' => '','desc2' => '','desc3' => ''),
735 array('id' => '733','code_group' => 'occurrence_code','code' => '29','desc' => 'Date outpatient physical therapy plan established or last reviewed','desc1' => '','desc2' => '','desc3' => ''),
736 array('id' => '734','code_group' => 'occurrence_code','code' => '30','desc' => 'Date outpatient speech language pathology plan established or last reviewed','desc1' => '','desc2' => '','desc3' => ''),
737 array('id' => '735','code_group' => 'occurrence_code','code' => '31','desc' => 'Date beneficiary notified of intent to bill (accommodations) - beneficiary does not (or no longer) require covered level of inpatient care.','desc1' => '','desc2' => '','desc3' => ''),
738 array('id' => '736','code_group' => 'occurrence_code','code' => '32','desc' => 'Date beneficiary notified of intent to bill (diagnostic procedures or treatment) is not reasonable or necessary under Medicare','desc1' => '','desc2' => '','desc3' => ''),
739 array('id' => '737','code_group' => 'occurrence_code','code' => '33','desc' => 'First day of the Medicare Coordination Period for ESRD Beneficiaries covered by an EGHP. Required only for ESRD beneficiaries.','desc1' => '','desc2' => '','desc3' => ''),
740 array('id' => '738','code_group' => 'occurrence_code','code' => '34','desc' => 'Date of the election of extended care services (used by Religious Nonmedical Health Care Institutions ONLY)','desc1' => '','desc2' => '','desc3' => ''),
741 array('id' => '739','code_group' => 'occurrence_code','code' => '35','desc' => 'Date physical therapy treatment started','desc1' => '','desc2' => '','desc3' => ''),
742 array('id' => '740','code_group' => 'occurrence_code','code' => '36','desc' => 'Date of Inpatient hospital discharge for a covered transplant procedure(s). NOTE: When patient received a covered and non-covered transplant, the covered transplant predominates.','desc1' => '','desc2' => '','desc3' => ''),
743 array('id' => '741','code_group' => 'occurrence_code','code' => '37','desc' => 'Date of Inpatient hospital discharge - patient received a non-covered transplant','desc1' => '','desc2' => '','desc3' => ''),
744 array('id' => '742','code_group' => 'occurrence_code','code' => '38','desc' => 'Date treatment started for Home IV Therapy','desc1' => '','desc2' => '','desc3' => ''),
745 array('id' => '743','code_group' => 'occurrence_code','code' => '39','desc' => 'Date discharged on a continuous course of IV therapy','desc1' => '','desc2' => '','desc3' => ''),
746 array('id' => '744','code_group' => 'occurrence_code','code' => '40','desc' => 'Scheduled date of Admission (this code may only be used on an outpatient claim)','desc1' => '','desc2' => '','desc3' => ''),
747 array('id' => '745','code_group' => 'occurrence_code','code' => '41','desc' => 'Date of First Test for Pre-admission Testing (this code may be used only if date of admission was scheduled prior to administration of test(s))','desc1' => '','desc2' => '','desc3' => ''),
748 array('id' => '746','code_group' => 'occurrence_code','code' => '42','desc' => 'Hospice discharge due to patient revocation','desc1' => '','desc2' => '','desc3' => ''),
749 array('id' => '747','code_group' => 'occurrence_code','code' => '43','desc' => 'Scheduled date of Cancelled Surgery','desc1' => '','desc2' => '','desc3' => ''),
750 array('id' => '748','code_group' => 'occurrence_code','code' => '44','desc' => 'Date treatment started for occupational therapy','desc1' => '','desc2' => '','desc3' => ''),
751 array('id' => '749','code_group' => 'occurrence_code','code' => '45','desc' => 'Date treatment started for speech-language pathology','desc1' => '','desc2' => '','desc3' => ''),
752 array('id' => '750','code_group' => 'occurrence_code','code' => '46','desc' => 'Date treatment started for cardiac rehabilitation','desc1' => '','desc2' => '','desc3' => ''),
753 array('id' => '751','code_group' => 'occurrence_code','code' => '47','desc' => 'Date cost outlier status begins, beneficiary must have regular coinsurance and/or lifetime reserve days available beginning on this date to allow coverage of additional daily charges to receive cost outlier payments','desc1' => '','desc2' => '','desc3' => ''),
754 array('id' => '752','code_group' => 'occurrence_code','code' => '48','desc' => 'Payer Codes - for use by third party payers only. The CMS assigns for FI use. Providers do not report these codes.','desc1' => '','desc2' => '','desc3' => ''),
755 array('id' => '753','code_group' => 'occurrence_code','code' => '49','desc' => 'Payer Codes - for use by third party payers only. The CMS assigns for FI use. Providers do not report these codes.','desc1' => '','desc2' => '','desc3' => ''),
756 array('id' => '754','code_group' => 'occurrence_code','code' => '50','desc' => 'Assessment Date for IRF, SNF and SB PPS Note: Not required for SNF HIPPS code AAAxx','desc1' => '','desc2' => '','desc3' => ''),
757 array('id' => '755','code_group' => 'occurrence_code','code' => '51','desc' => 'Date of last Kt/V reading','desc1' => '','desc2' => '','desc3' => ''),
758 array('id' => '756','code_group' => 'occurrence_code','code' => '55','desc' => 'Date of Death','desc1' => '','desc2' => '','desc3' => ''),
759 array('id' => '757','code_group' => 'occurrence_code','code' => 'A1','desc' => 'Birth Date Insured A - birth date of insured in whose name the insurance is carried.','desc1' => '','desc2' => '','desc3' => ''),
760 array('id' => '758','code_group' => 'occurrence_code','code' => 'A2','desc' => 'Effective Date-Insured A Policy - first date insurance is in force.','desc1' => '','desc2' => '','desc3' => ''),
761 array('id' => '759','code_group' => 'occurrence_code','code' => 'A3','desc' => 'Benefits Exhausted - last date benefits are available and no payment can be made by Payer A.','desc1' => '','desc2' => '','desc3' => ''),
762 array('id' => '760','code_group' => 'occurrence_code','code' => 'A4','desc' => 'Split Bill Date (date patient became Medicaid eligible due to medically needy spend down)','desc1' => '','desc2' => '','desc3' => ''),
763 array('id' => '761','code_group' => 'occurrence_code','code' => 'B1','desc' => 'Birth Date - Insured B','desc1' => '','desc2' => '','desc3' => ''),
764 array('id' => '762','code_group' => 'occurrence_code','code' => 'B2','desc' => 'Effective Date-Insured B Policy','desc1' => '','desc2' => '','desc3' => ''),
765 array('id' => '763','code_group' => 'occurrence_code','code' => 'B3','desc' => 'Benefits Exhausted','desc1' => '','desc2' => '','desc3' => ''),
766 array('id' => '764','code_group' => 'occurrence_code','code' => 'C1','desc' => 'Birth Date-Insured C','desc1' => '','desc2' => '','desc3' => ''),
767 array('id' => '765','code_group' => 'occurrence_code','code' => 'C2','desc' => 'Effective Date-Insured C Policy','desc1' => '','desc2' => '','desc3' => ''),
768 array('id' => '766','code_group' => 'occurrence_code','code' => 'C3','desc' => 'Benefits Exhausted','desc1' => '','desc2' => '','desc3' => ''),
769 array('id' => '767','code_group' => 'occurrence_code','code' => 'E1','desc' => 'Birthdate-Insured D','desc1' => '','desc2' => '','desc3' => ''),
770 array('id' => '768','code_group' => 'occurrence_code','code' => 'E2','desc' => 'Effective Date-Insured D Policy','desc1' => '','desc2' => '','desc3' => ''),
771 array('id' => '769','code_group' => 'occurrence_code','code' => 'E3','desc' => 'Benefits Exhausted','desc1' => '','desc2' => '','desc3' => ''),
772 array('id' => '770','code_group' => 'occurrence_code','code' => 'F0','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
773 array('id' => '771','code_group' => 'occurrence_code','code' => 'F1','desc' => 'Birthdate-Insured E','desc1' => '','desc2' => '','desc3' => ''),
774 array('id' => '772','code_group' => 'occurrence_code','code' => 'F2','desc' => 'Effective Date-Insured E Policy','desc1' => '','desc2' => '','desc3' => ''),
775 array('id' => '773','code_group' => 'occurrence_code','code' => 'F3','desc' => 'Benefits Exhausted','desc1' => '','desc2' => '','desc3' => ''),
776 array('id' => '774','code_group' => 'occurrence_code','code' => 'G0','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
777 array('id' => '775','code_group' => 'occurrence_code','code' => 'G1','desc' => 'Birthdate-Insured F','desc1' => '','desc2' => '','desc3' => ''),
778 array('id' => '776','code_group' => 'occurrence_code','code' => 'G2','desc' => 'Effective Date-Insured F Policy','desc1' => '','desc2' => '','desc3' => ''),
779 array('id' => '777','code_group' => 'occurrence_code','code' => 'G3','desc' => 'Benefits Exhausted','desc1' => '','desc2' => '','desc3' => ''),
780 array('id' => '778','code_group' => 'occurrence_code','code' => 'M0','desc' => 'See Instructions in Form Locator 36-Occurrence Span Codes and Dates','desc1' => '','desc2' => '','desc3' => ''),
781 array('id' => '779','code_group' => 'occurrence_code','code' => 'ZZ','desc' => 'See Instructions in Form Locator 36-Occurrence Span Codes and Dates','desc1' => '','desc2' => '','desc3' => ''),
782 array('id' => '780','code_group' => 'value_codes','code' => '01','desc' => 'Most common Semi-Private Rate - to provide for recording hospital\'s most common semi- private rate.','desc1' => '','desc2' => '','desc3' => ''),
783 array('id' => '781','code_group' => 'value_codes','code' => '02','desc' => 'Hospital has no semi-private rooms - using this code requires $0.00 amount.','desc1' => '','desc2' => '','desc3' => ''),
784 array('id' => '782','code_group' => 'value_codes','code' => '04','desc' => 'Inpatient Professional Component Charges Which Are Combined Billed - (Used only by some all- inclusive rate hospitals)','desc1' => '','desc2' => '','desc3' => ''),
785 array('id' => '783','code_group' => 'value_codes','code' => '05','desc' => 'Professional component included in charges and billed separately to carrier - (Applies to Part B bills only)','desc1' => '','desc2' => '','desc3' => ''),
786 array('id' => '784','code_group' => 'value_codes','code' => '06','desc' => 'Medicare Part A and Part B Blood Deductible for un-replaced deductible pints of blood supplied times the charge per pint. If all deductible pints have been replaced this code is not used','desc1' => '','desc2' => '','desc3' => ''),
787 array('id' => '785','code_group' => 'value_codes','code' => '07','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
788 array('id' => '786','code_group' => 'value_codes','code' => '08','desc' => 'Medicare Lifetime Reserve Amount in the First Calendar Year in Billing Period','desc1' => '','desc2' => '','desc3' => ''),
789 array('id' => '787','code_group' => 'value_codes','code' => '09','desc' => 'Medicare Coinsurance Amount in the First Calendar Year in Billing Period','desc1' => '','desc2' => '','desc3' => ''),
790 array('id' => '788','code_group' => 'value_codes','code' => '10','desc' => 'Medicare Lifetime Reserve Amount in the Second Calendar Year in Billing Period','desc1' => '','desc2' => '','desc3' => ''),
791 array('id' => '789','code_group' => 'value_codes','code' => '11','desc' => 'Medicare Coinsurance Amount in the Second Calendar Year in Billing Period','desc1' => '','desc2' => '','desc3' => ''),
792 array('id' => '790','code_group' => 'value_codes','code' => '12','desc' => 'Working Aged Beneficiary Spouse With an EGHP (Payer Code A)','desc1' => '','desc2' => '','desc3' => ''),
793 array('id' => '791','code_group' => 'value_codes','code' => '13','desc' => 'ESRD Beneficiary in Medicare Coordination Period','desc1' => '','desc2' => '','desc3' => ''),
794 array('id' => '792','code_group' => 'value_codes','code' => '14','desc' => 'No-fault, including Auto/other liability insurance (Payer Code D). Enter 6 zeros (0000.00) in the amt field if claiming conditional pay because other insurer has denied coverage and there has been a substantial delay in payment','desc1' => '','desc2' => '','desc3' => ''),
795 array('id' => '793','code_group' => 'value_codes','code' => '15','desc' => 'Worker\'s compensation (WC) (Payer Code E). Enter 6 zeros (0000.00) in the amt field if claiming conditional pay because there has been a substantial delay in payment.','desc1' => '','desc2' => '','desc3' => ''),
796 array('id' => '794','code_group' => 'value_codes','code' => '16','desc' => 'PHS or other federal agency (Payer Code F). Enter 6 zeros (0000.00) in the amt field if claiming conditional pay because there has been a significant delay in payment','desc1' => '','desc2' => '','desc3' => ''),
797 array('id' => '795','code_group' => 'value_codes','code' => '17','desc' => 'Operating Outlier Amount (Not reported by providers)','desc1' => '','desc2' => '','desc3' => ''),
798 array('id' => '796','code_group' => 'value_codes','code' => '18','desc' => 'Operating Disproportionate Share Amount (Not reported by providers)','desc1' => '','desc2' => '','desc3' => ''),
799 array('id' => '797','code_group' => 'value_codes','code' => '19','desc' => 'Operating Indirect medical education on Unibill (IME) (Not reported by providers)','desc1' => '','desc2' => '','desc3' => ''),
800 array('id' => '798','code_group' => 'value_codes','code' => '20','desc' => 'Payer Code (For internal use by third party payers only)','desc1' => '','desc2' => '','desc3' => ''),
801 array('id' => '799','code_group' => 'value_codes','code' => '23','desc' => 'Recurring Monthly Income - Medicaid-eligibility requirements to be determined at state level.','desc1' => '','desc2' => '','desc3' => ''),
802 array('id' => '800','code_group' => 'value_codes','code' => '31','desc' => 'Patient liability amount for non-covered services - FI approved the provider charging the beneficiary the amount shown for non-covered accommodations, diagnostic procedures, or treatments.','desc1' => '','desc2' => '','desc3' => ''),
803 array('id' => '801','code_group' => 'value_codes','code' => '32','desc' => 'Multiple Patient Ambulance transport - If more than one patient is transported in a single ambulance trip, report the total number of patients transported.','desc1' => '','desc2' => '','desc3' => ''),
804 array('id' => '802','code_group' => 'value_codes','code' => '36','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
805 array('id' => '803','code_group' => 'value_codes','code' => '37','desc' => 'Pints of Blood Furnished - Total number of pints of whole blood or units of packed red cells furnished, whether or not they were replaced.','desc1' => '','desc2' => '','desc3' => ''),
806 array('id' => '804','code_group' => 'value_codes','code' => '38','desc' => 'Blood Deductible Pints - Number of unreplaced deductible pints of blood supplied. If all deductible pints furnished have been replaced, no entry is made.','desc1' => '','desc2' => '','desc3' => ''),
807 array('id' => '805','code_group' => 'value_codes','code' => '39','desc' => 'Pints of Blood Replaced Total number of pints of blood donated on patient\'s behalf','desc1' => '','desc2' => '','desc3' => ''),
808 array('id' => '806','code_group' => 'value_codes','code' => '40','desc' => 'New Coverage Not Implemented by HMO (For inpatient service only) Inpatient charges for newly covered services not paid by the HMO. Must also report condition codes 04 and 78','desc1' => '','desc2' => '','desc3' => ''),
809 array('id' => '807','code_group' => 'value_codes','code' => '41','desc' => 'Black Lung (Payer Code H) - Portion of a higher priority BL payment made on behalf of a Medicare beneficiary that the provider is applying to Medicare charges on the bill. It enters six zeros (0000.00) in the amount field if it\'s billing conditionally for substantially delayed payment.','desc1' => '','desc2' => '','desc3' => ''),
810 array('id' => '808','code_group' => 'value_codes','code' => '42','desc' => 'Veterans Affairs (VA) (Payer Code I) - Portion of a higher priority VA payment made on behalf of a Medicare beneficiary that the provider is applying to Medicare charges on the bill','desc1' => '','desc2' => '','desc3' => ''),
811 array('id' => '809','code_group' => 'value_codes','code' => '43','desc' => 'Disabled beneficiary under 65 with LGHP (Payer Code G) - Portion of a higher priority LGHP payment made on behalf of a Medicare beneficiary that the provider is applying to Medicare charges on the bill. It enters six zeros (0000.00) in the amount field if it\'s billing conditionally for substantially delayed payment.','desc1' => '','desc2' => '','desc3' => ''),
812 array('id' => '810','code_group' => 'value_codes','code' => '44','desc' => 'Amount provider agreed to accept from primary payer when amount is < charges but higher than payment received - A Medicare secondary payment is due.','desc1' => '','desc2' => '','desc3' => ''),
813 array('id' => '811','code_group' => 'value_codes','code' => '45','desc' => 'Accident hour','desc1' => '','desc2' => '','desc3' => ''),
814 array('id' => '812','code_group' => 'value_codes','code' => '46','desc' => 'Number of grace days following QIO/UR determination If C3 or C4 condition code is on the claim for QIO denial provider shows the number of days determined by the QIO to be covered while arrangements are made for the patient\'s post discharge. The field contains 1 numeric digit.','desc1' => '','desc2' => '','desc3' => ''),
815 array('id' => '813','code_group' => 'value_codes','code' => '47','desc' => 'Any liability insurance (Payer Code L) - Portion of a higher priority liability insurance payment made on behalf of a Medicare beneficiary that the provider is applying to Medicare charges on the bill. It enters six zeros (0000.00) in the amount field if it\'s billing conditionally for substantially delayed payment.','desc1' => '','desc2' => '','desc3' => ''),
816 array('id' => '814','code_group' => 'value_codes','code' => '48','desc' => 'Latest Hemoglobin reading taken during this billing cycle - Patients most recent hemoglobin reading taken before the start of the billing period effective 1/1/06. For patients just starting, use the most recent value prior to the onset of treatment. Whole numbers (i.e. two digits) are to be right justified to the left of the dollar/cents delimiter. Decimals (i.e. one digit) are to be reported to the right.','desc1' => '','desc2' => '','desc3' => ''),
817 array('id' => '815','code_group' => 'value_codes','code' => '49','desc' => 'Hematocrit reading taken prior to the last administration of EPO during the billing cycle - The most recent hematocrit reading taken before the start of this billing period. For patients just starting, use the most recent value prior to the onset of treatment. Whole numbers (i.e. two digits) are to be right justified to the left of the dollar/cents delimiter. Decimals (i.e. one digit) are to be reported to the right.','desc1' => '','desc2' => '','desc3' => ''),
818 array('id' => '816','code_group' => 'value_codes','code' => '54','desc' => 'Newborn birth weight in grams - Actual birth weight or weight at the time of admission for extramural birth','desc1' => '','desc2' => '','desc3' => ''),
819 array('id' => '817','code_group' => 'value_codes','code' => '55','desc' => 'Eligibility Threshold for Charity Care - Corresponding value amount the health care facility determines eligibility threshold for charity care','desc1' => '','desc2' => '','desc3' => ''),
820 array('id' => '818','code_group' => 'value_codes','code' => '56','desc' => 'Skilled Nurse--Home visit hours (HHA only) - Number of hours provided during billing period','desc1' => '','desc2' => '','desc3' => ''),
821 array('id' => '819','code_group' => 'value_codes','code' => '57','desc' => 'Home Health Aide--Home visit hours (HHA only) - Number of hours provided during the billing period','desc1' => '','desc2' => '','desc3' => ''),
822 array('id' => '820','code_group' => 'value_codes','code' => '58','desc' => 'Arterial Blood Gas (PO2/PA2) - Indicates arterial blood gas value at the beginning of each reporting period for oxygen therapy. This value or value 59 is required on the initial bill for oxygen therapy and on the fourth month\'s bill. The provider reports right justified in the cents area. Round to nearest whole percentage, i.e., report 56.5 as 57 to the right of the cents delimiter.','desc1' => '','desc2' => '','desc3' => ''),
823 array('id' => '821','code_group' => 'value_codes','code' => '59','desc' => 'Oxygen Saturation(02 Sat/Oximetry) - Indicates oxygen saturation at the beginning of each reporting period for oxygen therapy. This value or value 58 is required on the initial bill for oxygen therapy and on the fourth month\'s bill. The hospital reports right justified in the cents area. Round to nearest whole percentage, i.e., report 56.5 as 57 to the right of the cents delimiter.','desc1' => '','desc2' => '','desc3' => ''),
824 array('id' => '822','code_group' => 'value_codes','code' => '60','desc' => 'HHA Branch MSA - The MSA in which the HHA branch is located','desc1' => '','desc2' => '','desc3' => ''),
825 array('id' => '823','code_group' => 'value_codes','code' => '61','desc' => 'Location Where Service is Furnished (HHA and Hospice) - MSA number (or rural state code) of the location where the home health/hospice service is delivered','desc1' => '','desc2' => '','desc3' => ''),
826 array('id' => '824','code_group' => 'value_codes','code' => '62','desc' => 'HH Visits - Part A (Internal Payer Use Only)','desc1' => '','desc2' => '','desc3' => ''),
827 array('id' => '825','code_group' => 'value_codes','code' => '63','desc' => 'HH Visits - Part B (Internal Payer Use Only)','desc1' => '','desc2' => '','desc3' => ''),
828 array('id' => '826','code_group' => 'value_codes','code' => '64','desc' => 'HH Reimbursement - Part A (Internal Payer Only) Dollar amounts determined to be associated with HH visits in value code 62','desc1' => '','desc2' => '','desc3' => ''),
829 array('id' => '827','code_group' => 'value_codes','code' => '65','desc' => 'HH Reimbursement - Part B (Internal Payer Only) Dollar amounts determined to be associated with HH visits in value code 63','desc1' => '','desc2' => '','desc3' => ''),
830 array('id' => '828','code_group' => 'value_codes','code' => '66','desc' => 'Medicare spend down amount - Dollar amount used to meet recipient\'s spend down liability','desc1' => '','desc2' => '','desc3' => ''),
831 array('id' => '829','code_group' => 'value_codes','code' => '67','desc' => 'Peritoneal Dialysis Number of hours provided during billing period','desc1' => '','desc2' => '','desc3' => ''),
832 array('id' => '830','code_group' => 'value_codes','code' => '68','desc' => 'Number of units of EPO administered and or supplied during the billing period - Number of units of EPO administered and/or supplied relating or billing period','desc1' => '','desc2' => '','desc3' => ''),
833 array('id' => '831','code_group' => 'value_codes','code' => '69','desc' => 'State Charity Care Percent - Percentage of charity care eligibility for patient.','desc1' => '','desc2' => '','desc3' => ''),
834 array('id' => '832','code_group' => 'value_codes','code' => '70','desc' => 'Interest Amount (For use by third party payers only)','desc1' => '','desc2' => '','desc3' => ''),
835 array('id' => '833','code_group' => 'value_codes','code' => '71','desc' => 'Funding of ESRD Networks - (For use by third party payers only)','desc1' => '','desc2' => '','desc3' => ''),
836 array('id' => '834','code_group' => 'value_codes','code' => '72','desc' => 'Flat Rate Surgery Charge - (For use by third party payers only) Standard charge for outpatient surgery','desc1' => '','desc2' => '','desc3' => ''),
837 array('id' => '835','code_group' => 'value_codes','code' => '76','desc' => 'Provider\'s interim rate (set internally) - (For use by third party payers only)','desc1' => '','desc2' => '','desc3' => ''),
838 array('id' => '836','code_group' => 'value_codes','code' => '77','desc' => 'Medicare new technology add-on payment - Code indicates the amount of Medicare additional payment for new technology.','desc1' => '','desc2' => '','desc3' => ''),
839 array('id' => '837','code_group' => 'value_codes','code' => '80','desc' => 'Covered Days - Effective 03/01/07 Hardcopy UB04 Claims','desc1' => '','desc2' => '','desc3' => ''),
840 array('id' => '838','code_group' => 'value_codes','code' => '81','desc' => 'Non-Covered Days - Effective 03/01/07 Hardcopy UB04 Claims','desc1' => '','desc2' => '','desc3' => ''),
841 array('id' => '839','code_group' => 'value_codes','code' => '82','desc' => 'Coinsurance Days - Effective 03/01/07 Hardcopy UB04 Claims','desc1' => '','desc2' => '','desc3' => ''),
842 array('id' => '840','code_group' => 'value_codes','code' => '83','desc' => 'Lifetime Reserve Days - Effective 03/01/07 Hardcopy UB04 Claims','desc1' => '','desc2' => '','desc3' => ''),
843 array('id' => '841','code_group' => 'value_codes','code' => 'A0','desc' => 'Special Zip Code Reporting - 5 digit zip code of location the beneficiary is initially placed on board the ambulance','desc1' => '','desc2' => '','desc3' => ''),
844 array('id' => '842','code_group' => 'value_codes','code' => 'A1','desc' => 'Deductible Payer A','desc1' => '','desc2' => '','desc3' => ''),
845 array('id' => '843','code_group' => 'value_codes','code' => 'A2','desc' => 'Coinsurance Payer A','desc1' => '','desc2' => '','desc3' => ''),
846 array('id' => '844','code_group' => 'value_codes','code' => 'A3','desc' => 'Estimated Responsibility Payer A','desc1' => '','desc2' => '','desc3' => ''),
847 array('id' => '845','code_group' => 'value_codes','code' => 'A4','desc' => 'Covered Self-Administrable Drugs-Emergency - The amount included in covered charges for SAD administered to the patient in an emergency situation e.g. insulin for diabetic coma. Must be used with Rev Code 0637','desc1' => '','desc2' => '','desc3' => ''),
848 array('id' => '846','code_group' => 'value_codes','code' => 'A5','desc' => 'Covered Self-Administrable Drugs-Not Self- Administrable in Form and Situation Furnished to Patient The amount included in covered charges for SAD administered to the patient because the drug wasn\'t self-administrable in the form and situation in which it was furnished to the patient. Must be used with Rev Code 0637','desc1' => '','desc2' => '','desc3' => ''),
849 array('id' => '847','code_group' => 'value_codes','code' => 'A6','desc' => 'Covered-Self-Administrable Drugs-Diagnostic Study and Other The amount included in covered charges for SAD administered to the patient because the drug was necessary for diagnostic study or other reason. Must be used with Rev Code 0637','desc1' => '','desc2' => '','desc3' => ''),
850 array('id' => '848','code_group' => 'value_codes','code' => 'A7','desc' => 'Co-payment Payer A','desc1' => '','desc2' => '','desc3' => ''),
851 array('id' => '849','code_group' => 'value_codes','code' => 'A8','desc' => 'Patient Weight - Code indicates weight of patient in kilograms. The weight of the patient should be measured after dialysis during the last dialysis session of the month. For newborns, use value code 54.','desc1' => '','desc2' => '','desc3' => ''),
852 array('id' => '850','code_group' => 'value_codes','code' => 'A9','desc' => 'Patient Height - Code indicates the height of the patient in centimeters. The height should be measured during the last dialysis session of the month.','desc1' => '','desc2' => '','desc3' => ''),
853 array('id' => '851','code_group' => 'value_codes','code' => 'AA','desc' => 'Regulatory Surcharges, Assessments, Allowances or Health Care Related Taxes Payer A','desc1' => '','desc2' => '','desc3' => ''),
854 array('id' => '852','code_group' => 'value_codes','code' => 'AB','desc' => 'Other Assessments or Allowances (e.g., Medical Education) Payer A','desc1' => '','desc2' => '','desc3' => ''),
855 array('id' => '853','code_group' => 'value_codes','code' => 'B1','desc' => 'Deductible Payer B','desc1' => '','desc2' => '','desc3' => ''),
856 array('id' => '854','code_group' => 'value_codes','code' => 'B2','desc' => 'Coinsurance Payer B','desc1' => '','desc2' => '','desc3' => ''),
857 array('id' => '855','code_group' => 'value_codes','code' => 'B3','desc' => 'Estimated Responsibility Payer B','desc1' => '','desc2' => '','desc3' => ''),
858 array('id' => '856','code_group' => 'value_codes','code' => 'B7','desc' => 'Co-payment Payer B','desc1' => '','desc2' => '','desc3' => ''),
859 array('id' => '857','code_group' => 'value_codes','code' => 'BA','desc' => 'Regulatory Surcharges, Assessments, Allowances or Health Care Related Taxes Payer B','desc1' => '','desc2' => '','desc3' => ''),
860 array('id' => '858','code_group' => 'value_codes','code' => 'BB','desc' => 'Other Assessments or Allowances (e.g., Medical Education) Payer B','desc1' => '','desc2' => '','desc3' => ''),
861 array('id' => '859','code_group' => 'value_codes','code' => 'C1','desc' => 'Deductible Payer C','desc1' => '','desc2' => '','desc3' => ''),
862 array('id' => '860','code_group' => 'value_codes','code' => 'C2','desc' => 'Coinsurance Payer C','desc1' => '','desc2' => '','desc3' => ''),
863 array('id' => '861','code_group' => 'value_codes','code' => 'C3','desc' => 'Estimated Responsibility Payer C','desc1' => '','desc2' => '','desc3' => ''),
864 array('id' => '862','code_group' => 'value_codes','code' => 'C7','desc' => 'Co-payment Payer C','desc1' => '','desc2' => '','desc3' => ''),
865 array('id' => '863','code_group' => 'value_codes','code' => 'CA','desc' => 'Regulatory Surcharges, Assessments, Allowances or Health Care Related Taxes Payer C','desc1' => '','desc2' => '','desc3' => ''),
866 array('id' => '864','code_group' => 'value_codes','code' => 'CB','desc' => 'Other Assessments or Allowances (e.g., Medical Education Payer C','desc1' => '','desc2' => '','desc3' => ''),
867 array('id' => '865','code_group' => 'value_codes','code' => 'D3','desc' => 'Estimated Responsibility Patient','desc1' => '','desc2' => '','desc3' => ''),
868 array('id' => '866','code_group' => 'value_codes','code' => 'D4','desc' => 'Clinical Trial Number - 8-digit numeric','desc1' => '','desc2' => '','desc3' => ''),
869 array('id' => '867','code_group' => 'value_codes','code' => 'D5','desc' => 'Result of last Kt/V In-center hemodialysis - last reading during billing period; peritoneal/home dialysis - within 4 months of claim date of service. IF not Kt/V test performed use value of 9.99 with D5','desc1' => '','desc2' => '','desc3' => ''),
870 array('id' => '868','code_group' => 'value_codes','code' => 'DR','desc' => 'Reserved by Disaster Related code','desc1' => '','desc2' => '','desc3' => ''),
871 array('id' => '869','code_group' => 'value_codes','code' => 'E0','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
872 array('id' => '870','code_group' => 'value_codes','code' => 'E1','desc' => 'Deductible Payer D','desc1' => '','desc2' => '','desc3' => ''),
873 array('id' => '871','code_group' => 'value_codes','code' => 'E2','desc' => 'Coinsurance Payer D','desc1' => '','desc2' => '','desc3' => ''),
874 array('id' => '872','code_group' => 'value_codes','code' => 'E3','desc' => 'Estimated Responsibility Payer D','desc1' => '','desc2' => '','desc3' => ''),
875 array('id' => '873','code_group' => 'value_codes','code' => 'E7','desc' => 'Co-payment Payer D','desc1' => '','desc2' => '','desc3' => ''),
876 array('id' => '874','code_group' => 'value_codes','code' => 'EA','desc' => 'Regulatory Surcharges, Assessments, Allowances or HealthCare Related Taxes Payer D','desc1' => '','desc2' => '','desc3' => ''),
877 array('id' => '875','code_group' => 'value_codes','code' => 'EB','desc' => 'Other Assessments or Allowances (e.g., Medical Education) Payer D','desc1' => '','desc2' => '','desc3' => ''),
878 array('id' => '876','code_group' => 'value_codes','code' => 'F1','desc' => 'Deductible Payer E','desc1' => '','desc2' => '','desc3' => ''),
879 array('id' => '877','code_group' => 'value_codes','code' => 'F2','desc' => 'Coinsurance Payer E','desc1' => '','desc2' => '','desc3' => ''),
880 array('id' => '878','code_group' => 'value_codes','code' => 'F3','desc' => 'Estimated Responsibility Payer E','desc1' => '','desc2' => '','desc3' => ''),
881 array('id' => '879','code_group' => 'value_codes','code' => 'F7','desc' => 'Co-payment Payer E','desc1' => '','desc2' => '','desc3' => ''),
882 array('id' => '880','code_group' => 'value_codes','code' => 'FA','desc' => 'Regulatory Surcharges, Assessments, Allowances or HealthCare Related Taxes Payer E','desc1' => '','desc2' => '','desc3' => ''),
883 array('id' => '881','code_group' => 'value_codes','code' => 'FB','desc' => 'Other Assessments or Allowances (e.g., Medical Education) Payer E','desc1' => '','desc2' => '','desc3' => ''),
884 array('id' => '882','code_group' => 'value_codes','code' => 'FC','desc' => 'Patient Prior Payments','desc1' => '','desc2' => '','desc3' => ''),
885 array('id' => '883','code_group' => 'value_codes','code' => 'G0','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
886 array('id' => '884','code_group' => 'value_codes','code' => 'G1','desc' => 'Deductible Payer F','desc1' => '','desc2' => '','desc3' => ''),
887 array('id' => '885','code_group' => 'value_codes','code' => 'G2','desc' => 'Coinsurance Payer F','desc1' => '','desc2' => '','desc3' => ''),
888 array('id' => '886','code_group' => 'value_codes','code' => 'G3','desc' => 'Estimated Responsibility Payer F','desc1' => '','desc2' => '','desc3' => ''),
889 array('id' => '887','code_group' => 'value_codes','code' => 'G4','desc' => ' G6 Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
890 array('id' => '888','code_group' => 'value_codes','code' => 'G7','desc' => 'Co-payment Payer F','desc1' => '','desc2' => '','desc3' => ''),
891 array('id' => '889','code_group' => 'value_codes','code' => 'G8','desc' => 'Facility where inpatient hospice service is delivered','desc1' => '','desc2' => '','desc3' => ''),
892 array('id' => '890','code_group' => 'value_codes','code' => 'G9','desc' => 'Reserved for National Assignment','desc1' => '','desc2' => '','desc3' => ''),
893 array('id' => '891','code_group' => 'value_codes','code' => 'GA','desc' => 'Regulatory Surcharges, Assessments, Allowances or HealthCare Related Taxes Payer F','desc1' => '','desc2' => '','desc3' => ''),
894 array('id' => '892','code_group' => 'value_codes','code' => 'GB','desc' => 'Other Assessments or Allowances (e.g., Medical Education) Payer F','desc1' => '','desc2' => '','desc3' => ''),
895 array('id' => '893','code_group' => 'value_codes','code' => 'Y1','desc' => 'Part A Demonstration Payment - Part A payment under demonstration instead of DRG payment','desc1' => '','desc2' => '','desc3' => ''),
896 array('id' => '894','code_group' => 'value_codes','code' => 'Y2','desc' => 'Part B Demonstration Payment - Part B payment under demonstration','desc1' => '','desc2' => '','desc3' => ''),
897 array('id' => '895','code_group' => 'value_codes','code' => 'Y3','desc' => 'Part B Coinsurance (Demonstration Claims) - Part B coinsurance payment under demonstration','desc1' => '','desc2' => '','desc3' => ''),
898 array('id' => '896','code_group' => 'value_codes','code' => 'Y4','desc' => 'Conventional Provider Payment Amount for Non-Demonstration Claims - Amount Medicare would have reimbursed the provider if there had been no demonstration','desc1' => '','desc2' => '','desc3' => '')