Blue Button 2.0

Revenue Center Status Indicator Code


<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig">
  <id value="rev-cntr-stus-ind-cd"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Revenue Center Status Indicator Code</h2><div><p>This variable indicates how the service listed on the revenue center record was priced for payment purposes. The revenue center status indicator code is most useful with outpatient hospital claims, where multiple methods may be used to determine the payment amount for the various revenue center records on the claim (for example, some lines may be bundled into an APC and paid under the outpatient PPS, while other lines may be paid under other fee schedules). Source: https://bluebutton.cms.gov/resources/variables/rev<em>cntr</em>stus<em>ind</em>cd</p>
</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-stus-ind-cd defines the following codes:</p><table class="codes"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>A<a name="rev-cntr-stus-ind-cd-A"> </a></td><td>Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)</td><td>Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)</td></tr><tr><td>B<a name="rev-cntr-stus-ind-cd-B"> </a></td><td>Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)</td><td>Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)</td></tr><tr><td>C<a name="rev-cntr-stus-ind-cd-C"> </a></td><td>Inpatient procedure (not paid under OPPS)</td><td>Inpatient procedure (not paid under OPPS)</td></tr><tr><td>E<a name="rev-cntr-stus-ind-cd-E"> </a></td><td>Non-allowed item or service (not paid by OPPS or any other Medicare payment system)</td><td>Non-allowed item or service (not paid by OPPS or any other Medicare payment system)</td></tr><tr><td>F<a name="rev-cntr-stus-ind-cd-F"> </a></td><td>Corneal tissue acquisition, certain CRNA services and Hepatitis B vaccinations</td><td>Corneal tissue acquisition, certain CRNA services and Hepatitis B vaccinations</td></tr><tr><td>G<a name="rev-cntr-stus-ind-cd-G"> </a></td><td>Drug/biological pass-through (separate APC includes this pass-through amount)</td><td>Drug/biological pass-through (separate APC includes this pass-through amount)</td></tr><tr><td>H<a name="rev-cntr-stus-ind-cd-H"> </a></td><td>Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)</td><td>Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)</td></tr><tr><td>J<a name="rev-cntr-stus-ind-cd-J"> </a></td><td>New drug or new biological pass-through</td><td>New drug or new biological pass-through</td></tr><tr><td>J1<a name="rev-cntr-stus-ind-cd-J1"> </a></td><td>Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)</td><td>Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)</td></tr><tr><td>K<a name="rev-cntr-stus-ind-cd-K"> </a></td><td>Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)</td><td>Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)</td></tr><tr><td>L<a name="rev-cntr-stus-ind-cd-L"> </a></td><td>Flu/PPV vaccines</td><td>Flu/PPV vaccines</td></tr><tr><td>M<a name="rev-cntr-stus-ind-cd-M"> </a></td><td>Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)</td><td>Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)</td></tr><tr><td>N<a name="rev-cntr-stus-ind-cd-N"> </a></td><td>Packaged incidental service (no separate APC payment)</td><td>Packaged incidental service (no separate APC payment)</td></tr><tr><td>P<a name="rev-cntr-stus-ind-cd-P"> </a></td><td>Paid partial hospitalization per diem APC payment</td><td>Paid partial hospitalization per diem APC payment</td></tr><tr><td>Q1<a name="rev-cntr-stus-ind-cd-Q1"> </a></td><td>Separate payment made; OPPS - APC (effective 2009)</td><td>Separate payment made; OPPS - APC (effective 2009)</td></tr><tr><td>Q2<a name="rev-cntr-stus-ind-cd-Q2"> </a></td><td>No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)</td><td>No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)</td></tr><tr><td>Q3<a name="rev-cntr-stus-ind-cd-Q3"> </a></td><td>May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)</td><td>May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)</td></tr><tr><td>R<a name="rev-cntr-stus-ind-cd-R"> </a></td><td>Blood products</td><td>Blood products</td></tr><tr><td>S<a name="rev-cntr-stus-ind-cd-S"> </a></td><td>Significant procedure not subject to multiple procedure discounting</td><td>Significant procedure not subject to multiple procedure discounting</td></tr><tr><td>T<a name="rev-cntr-stus-ind-cd-T"> </a></td><td>Significant procedure subject to multiple procedure discounting</td><td>Significant procedure subject to multiple procedure discounting</td></tr><tr><td>U<a name="rev-cntr-stus-ind-cd-U"> </a></td><td>Brachytherapy</td><td>Brachytherapy</td></tr><tr><td>V<a name="rev-cntr-stus-ind-cd-V"> </a></td><td>Medical visit to clinic or emergency department</td><td>Medical visit to clinic or emergency department</td></tr><tr><td>W<a name="rev-cntr-stus-ind-cd-W"> </a></td><td>Invalid HCPCS or invalid revenue code with blank HCPCS</td><td>Invalid HCPCS or invalid revenue code with blank HCPCS</td></tr><tr><td>X<a name="rev-cntr-stus-ind-cd-X"> </a></td><td>Ancillary service</td><td>Ancillary service</td></tr><tr><td>Y<a name="rev-cntr-stus-ind-cd-Y"> </a></td><td>Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)</td><td>Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)</td></tr><tr><td>Z<a name="rev-cntr-stus-ind-cd-Z"> </a></td><td>Valid revenue with blank HCPCS and no other SI assigned</td><td>Valid revenue with blank HCPCS and no other SI assigned</td></tr></table></div>
  </text>
  <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-stus-ind-cd"/>
  <identifier>
    <value value="https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-stus-ind-cd.html"/>
  </identifier>
  <version value="1.1.1"/>
  <name value="Revenue Center Status Indicator Code"/>
  <title value="Revenue Center Status Indicator Code"/>
  <status value="active"/>
  <date value="2018-11-27T15:56:35+00:00"/>
  <publisher value="CMS Blue Button 2.0 Team"/>
  <description
               value="This variable indicates how the service listed on the revenue center record was priced for payment purposes. The revenue center status indicator code is most useful with outpatient hospital claims, where multiple methods may be used to determine the payment amount for the various revenue center records on the claim (for example, some lines may be bundled into an APC and paid under the outpatient PPS, while other lines may be paid under other fee schedules). Source: https://bluebutton.cms.gov/resources/variables/rev_cntr_stus_ind_cd"/>
  <caseSensitive value="true"/>
  <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-stus-ind-cd"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <concept>
    <code value="A"/>
    <display
             value="Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)"/>
    <definition
                value="Services not paid under OPPS; uses a different fee schedule (e.g., ambulance, PT, mammography)"/>
  </concept>
  <concept>
    <code value="B"/>
    <display
             value="Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)"/>
    <definition
                value="Non-allowed item or service for OPPS; may be paid under a different bill type (e.g., CORF)"/>
  </concept>
  <concept>
    <code value="C"/>
    <display value="Inpatient procedure (not paid under OPPS)"/>
    <definition value="Inpatient procedure (not paid under OPPS)"/>
  </concept>
  <concept>
    <code value="E"/>
    <display
             value="Non-allowed item or service (not paid by OPPS or any other Medicare payment system)"/>
    <definition
                value="Non-allowed item or service (not paid by OPPS or any other Medicare payment system)"/>
  </concept>
  <concept>
    <code value="F"/>
    <display
             value="Corneal tissue acquisition, certain CRNA services and Hepatitis B vaccinations"/>
    <definition
                value="Corneal tissue acquisition, certain CRNA services and Hepatitis B vaccinations"/>
  </concept>
  <concept>
    <code value="G"/>
    <display
             value="Drug/biological pass-through (separate APC includes this pass-through amount)"/>
    <definition
                value="Drug/biological pass-through (separate APC includes this pass-through amount)"/>
  </concept>
  <concept>
    <code value="H"/>
    <display
             value="Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)"/>
    <definition
                value="Device pass-through (separate cost-based pass-through payment, not subject to coinsurance)"/>
  </concept>
  <concept>
    <code value="J"/>
    <display value="New drug or new biological pass-through"/>
    <definition value="New drug or new biological pass-through"/>
  </concept>
  <concept>
    <code value="J1"/>
    <display
             value="Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)"/>
    <definition
                value="Primary service and all adjunctive services on the claim (comprehensive APC; effective 01/2015)"/>
  </concept>
  <concept>
    <code value="K"/>
    <display
             value="Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)"/>
    <definition
                value="Non pass-through drug/biological, radio-pharmaceutical agent, certain brachytherapy sources (paid under OPPS; separate APC payment)"/>
  </concept>
  <concept>
    <code value="L"/>
    <display value="Flu/PPV vaccines"/>
    <definition value="Flu/PPV vaccines"/>
  </concept>
  <concept>
    <code value="M"/>
    <display
             value="Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)"/>
    <definition
                value="Service not billable to fiscal intermediary [now a MAC] (not paid under OPPS)"/>
  </concept>
  <concept>
    <code value="N"/>
    <display value="Packaged incidental service (no separate APC payment)"/>
    <definition value="Packaged incidental service (no separate APC payment)"/>
  </concept>
  <concept>
    <code value="P"/>
    <display value="Paid partial hospitalization per diem APC payment"/>
    <definition value="Paid partial hospitalization per diem APC payment"/>
  </concept>
  <concept>
    <code value="Q1"/>
    <display value="Separate payment made; OPPS - APC (effective 2009)"/>
    <definition value="Separate payment made; OPPS - APC (effective 2009)"/>
  </concept>
  <concept>
    <code value="Q2"/>
    <display
             value="No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)"/>
    <definition
                value="No separate payment made; OPPS - APC were packaged into payment for other services (effective 2009)"/>
  </concept>
  <concept>
    <code value="Q3"/>
    <display
             value="May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)"/>
    <definition
                value="May be paid through a composite APC-based on composite-specific criteria or separately through single code APCs when the criteria are not met (effective 2009)"/>
  </concept>
  <concept>
    <code value="R"/>
    <display value="Blood products"/>
    <definition value="Blood products"/>
  </concept>
  <concept>
    <code value="S"/>
    <display
             value="Significant procedure not subject to multiple procedure discounting"/>
    <definition
                value="Significant procedure not subject to multiple procedure discounting"/>
  </concept>
  <concept>
    <code value="T"/>
    <display
             value="Significant procedure subject to multiple procedure discounting"/>
    <definition
                value="Significant procedure subject to multiple procedure discounting"/>
  </concept>
  <concept>
    <code value="U"/>
    <display value="Brachytherapy"/>
    <definition value="Brachytherapy"/>
  </concept>
  <concept>
    <code value="V"/>
    <display value="Medical visit to clinic or emergency department"/>
    <definition value="Medical visit to clinic or emergency department"/>
  </concept>
  <concept>
    <code value="W"/>
    <display value="Invalid HCPCS or invalid revenue code with blank HCPCS"/>
    <definition value="Invalid HCPCS or invalid revenue code with blank HCPCS"/>
  </concept>
  <concept>
    <code value="X"/>
    <display value="Ancillary service"/>
    <definition value="Ancillary service"/>
  </concept>
  <concept>
    <code value="Y"/>
    <display
             value="Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)"/>
    <definition
                value="Non-implantable DME(e.g., therapeutic shoes; not paid under OPPS -bill to DMERC)"/>
  </concept>
  <concept>
    <code value="Z"/>
    <display value="Valid revenue with blank HCPCS and no other SI assigned"/>
    <definition value="Valid revenue with blank HCPCS and no other SI assigned"/>
  </concept>
</CodeSystem>