CODE	SUB_TYPE	DESCRIPTION	SHORT_DESCRIPTION	ADD_DATE	TERM_DATE	CHANGE_DATE
0001	Billing Data/Calculation	Total Charges (reportable on paper claims only)	TOTAL CHARGES	01-APR-85		01-APR-85
001X	Billing Data/Calculation	Category Reserved for internal payer use		09-MAY-02		09-MAY-02
0020	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0021	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0022	Billing Data/Calculation	Skilled nursing facility prospective payment system (HIPPS)	SNF PPS	09-MAY-02		01-APR-20
0023	Billing Data/Calculation	Home health prospective payment system (HIPPS)	HH PPS	09-MAY-02		01-APR-20
0024	Billing Data/Calculation	Inpatient rehab facility prospective payment system (PPS)	REHAB PPS (CMG)	01-JUL-19		01-JUL-19
0025	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0026	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0027	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0028	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
0029	Billing Data/Calculation	Reserved		09-MAY-02		09-MAY-02
002X	Billing Data/Calculation	Category: Health Insurance Prospective Payment System	HIPPS RATE CODE	01-JAN-02		01-JAN-02
003X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
004X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
005X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
006X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
007X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
008X	Billing Data/Calculation	Category Reserved		09-MAY-02		09-MAY-02
009X	Billing Data/Calculation	Category Reserved		16-OCT-03		16-OCT-03
0100	Accommodation Codes	All-inclusive room and board plus ancillary	ALL INCL R&B/ANC	12-DEC-83		12-DEC-83
0101	Accommodation Codes	All-inclusive room and board	ALL INCL R&B	12-DEC-83		12-DEC-83
0102	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0103	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0104	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0105	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0106	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0107	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0108	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0109	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
010X	Accommodation Codes	Category title: All-inclusive Rate		12-DEC-83		12-DEC-83
0110	Accommodation Codes	Room & Board-Private (One Bed)-General	ROOM-BOARD/PVT	01-OCT-89		01-MAR-07
0111	Accommodation Codes	Room & Board-Private (One Bed)-Medical/Surgical/GYN	MED-SUR-GY/PVT	01-OCT-89		01-MAR-07
0112	Accommodation Codes	Room & Board-Private (One Bed)-OB	OB/PVT	01-OCT-89		01-MAR-07
0113	Accommodation Codes	Room & Board-Private (One Bed)-Pediatric	PEDS/PVT	01-OCT-89		01-MAR-07
0114	Accommodation Codes	Room & Board-Private (One Bed)-Psychiatric	PSYCH/PVT	01-OCT-89		01-MAR-07
0115	Accommodation Codes	Room & Board-Private (One Bed)-Hospice	HOSPICE/PVT	01-OCT-89		01-MAR-07
0116	Accommodation Codes	Room & Board-Private (One Bed)-Detoxification	DETOX/PVT	01-OCT-89		01-MAR-07
0117	Accommodation Codes	Room & Board-Private (One Bed)-Oncology	ONCOLOGY/PVT	01-OCT-89		01-MAR-07
0118	Accommodation Codes	Room & Board-Private (One Bed)-Rehabilitation	REHAB/PVT	01-OCT-89		01-MAR-07
0119	Accommodation Codes	Room & Board-Private (One Bed)-Other	OTHER/PVT	01-OCT-89		01-MAR-07
011X	Accommodation Codes	Category title: Room & Board-Private (One Bed)		01-OCT-89		01-MAR-07
0120	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-General	ROOM-BOARD/SEMI	01-OCT-89		01-MAR-07
0121	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Medical/Surgical/GYN	MED-SUR-GY/SEMI	01-OCT-89		01-MAR-07
0122	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-OB	OB/SEMI-PVT	01-OCT-89		01-MAR-07
0123	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Pediatric	PEDS/SEMI-PVT	01-OCT-89		01-MAR-07
0124	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Psychiatric	PSYCH/SEMI-PVT	01-OCT-89		01-MAR-07
0125	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Hospice	HOSPICE/SEMI-PVT	01-OCT-89		01-MAR-07
0126	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Detoxification	DETOX/SEMI-PVT	01-OCT-89		01-MAR-07
0127	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Oncology	ONCOLOGY/SEMI	01-OCT-89		01-MAR-07
0128	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Rehabilitation	REHAB/SEMI-PVT	01-OCT-89		01-MAR-07
0129	Accommodation Codes	Room & Board-Semiprivate (Two-Beds)-Other	OTHER/SEMI-PVT	01-OCT-89		01-MAR-07
012X	Accommodation Codes	Category title: Room & Board-Semiprivate (Two-Beds)		01-OCT-89		01-MAR-07
0130	Accommodation Codes	Room & Board-Three and Four Beds-General	ROOM-BOARD/3&4BED	01-OCT-89		01-MAR-07
0131	Accommodation Codes	Room & Board-Three and Four Beds-Medical/Surgical/GYN	MED-SUR-GY/3&4BED	01-OCT-89		01-MAR-07
0132	Accommodation Codes	Room & Board-Three and Four Beds-OB	OB/3&4BED	01-OCT-89		01-MAR-07
0133	Accommodation Codes	Room & Board-Three and Four Beds-Pediatric	PEDS/3&4BED	01-OCT-89		01-MAR-07
0134	Accommodation Codes	Room & Board-Three and Four Beds-Psychiatric	PSYCH/3&4BED	01-OCT-89		01-MAR-07
0135	Accommodation Codes	Room & Board-Three and Four Beds-Hospice	HOSPICE/3&4BED	01-OCT-89		01-MAR-07
0136	Accommodation Codes	Room & Board-Three and Four Beds-Detoxification	DETOX/3&4BED	01-OCT-89		01-MAR-07
0137	Accommodation Codes	Room & Board-Three and Four Beds-Oncology	ONCOLOGY/3&4BED	01-OCT-89		01-MAR-07
0138	Accommodation Codes	Room & Board-Three and Four Beds-Rehabilitation	REHAB/3&4BED	01-OCT-89		01-MAR-07
0139	Accommodation Codes	Room & Board-Three and Four Beds-Other	OTHER/3&4BED	01-OCT-89		01-MAR-07
013X	Accommodation Codes	Category title:Room & Board-Three and Four Beds		01-OCT-89		01-MAR-07
0140	Accommodation Codes	Room & Board-Deluxe Private-General	ROOM-BOARD/DLX PVT	01-OCT-89		01-MAR-07
0141	Accommodation Codes	Room & Board-Deluxe Private-Medical/Surgical/GYN	MED-SUR-GY/DLXPVT	01-OCT-89		01-MAR-07
0142	Accommodation Codes	Room & Board-Deluxe Private-OB	OB/DLXPVT	01-OCT-89		01-MAR-07
0143	Accommodation Codes	Room & Board-Deluxe Private-Pediatric	PEDS/DLX PVT	01-OCT-89		01-MAR-07
0144	Accommodation Codes	Room & Board-Deluxe-Psychiatric	PSYCH/DLXPVT	01-OCT-89		01-MAR-07
0145	Accommodation Codes	Room & Board-Deluxe Private-Hospice	HOSPICE/DLXPVT	01-OCT-89		01-MAR-07
0146	Accommodation Codes	Room & Board-Deluxe Private-Detoxification	DETOX/DLXPVT	01-OCT-89		01-MAR-07
0147	Accommodation Codes	Room & Board-Deluxe Private-Oncology	ONCOLOGY/DLXPVT	01-OCT-89		01-MAR-07
0148	Accommodation Codes	Room & Board-Deluxe Private-Rehabilitation	REHAB/DLXPVT	01-OCT-89		01-MAR-07
0149	Accommodation Codes	Room & Board-Deluxe Private-Other	OTHER/DLXPVT	01-OCT-89		01-MAR-07
014X	Accommodation Codes	Category title: Room & Board-Deluxe Private		01-OCT-89		01-MAR-07
0150	Accommodation Codes	Room & Board-Ward-General	ROOM-BOARD/WARD	01-OCT-89		01-MAR-07
0151	Accommodation Codes	Room & Board-Ward-Medical/Surgical/GYN	MED-SUR-GY/WARD	01-OCT-89		01-MAR-07
0152	Accommodation Codes	Room & Board-Ward-OB	OB/WARD	01-OCT-89		01-MAR-07
0153	Accommodation Codes	Room & Board-Ward-Pediatric	PEDS/WARD	01-OCT-89		01-MAR-07
0154	Accommodation Codes	Room & Board-Ward-Psychiatric	PSYCH/WARD	01-OCT-89		01-MAR-07
0155	Accommodation Codes	Room & Board-Ward-Hospice	HOSPICE/WARD	01-OCT-89		01-MAR-07
0156	Accommodation Codes	Room & Board-Ward-Detoxification	DETOX/WARD	01-OCT-89		01-MAR-07
0157	Accommodation Codes	Room & Board-Ward-Oncology	ONCOLOGY/WARD	01-OCT-89		01-MAR-07
0158	Accommodation Codes	Room & Board-Ward-Rehabilitation	REHAB/WARD	01-OCT-89		01-MAR-07
0159	Accommodation Codes	Room & Board-Ward-Other	OTHER/WARD	01-OCT-89		01-MAR-07
015X	Accommodation Codes	Category title: Room & Board-Ward		01-OCT-89		01-MAR-07
0160	Accommodation Codes	Room & Board-Other-General	R&B	01-OCT-89		01-MAR-07
0161	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0162	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0163	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0164	Accommodation Codes	Room & Board-Other-Sterile Environment	R&B/STERILE	01-OCT-89		01-MAR-07
0165	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0166	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0167	Accommodation Codes	Room & Board-Other-Self-Care	R&B/SELF	01-OCT-89		01-MAR-07
0168	Accommodation Codes	Reserved		01-MAR-07		01-MAR-07
0169	Accommodation Codes	Room & Board-Other-Other	R&B/OTHER	01-OCT-89		01-MAR-07
016X	Accommodation Codes	Category title: Room & Board-Other		01-OCT-89		01-OCT-89
0170	Accommodation Codes	Nursery-General	NURSERY	01-OCT-89		01-OCT-95
0171	Accommodation Codes	Nursery-Newborn-Level I	NURSERY/LEVEL I	01-OCT-89		01-OCT-95
0172	Accommodation Codes	Nursery-Newborn-Level II	NURSERY/LEVEL II	01-OCT-89		01-OCT-95
0173	Accommodation Codes	Nursery-Newborn-Level III	NURSERY/LEVEL III	01-OCT-89		01-OCT-95
0174	Accommodation Codes	Nursery-Newborn-Level IV	NURSERY/LEVEL IV	01-OCT-89		01-OCT-95
0175	Accommodation Codes	Reserved		04-APR-04		04-APR-04
0176	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0177	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0178	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0179	Accommodation Codes	Nursery-Other	NURSERY-OTHER	01-OCT-89		01-OCT-95
017X	Accommodation Codes	Category Title: Nursery	NURSERY	01-OCT-89		01-OCT-95
0180	Accommodation Codes	Leave of Absence-General	LEAVE OF ABSENCE OR LOA	01-OCT-95		01-OCT-95
0181	Accommodation Codes	Reserved		01-MAR-07		01-MAR-07
0182	Accommodation Codes	Leave of Absence-Patient Convenience	LOA/PT CONV	01-OCT-95		01-OCT-95
0183	Accommodation Codes	Leave of Absence-Therapeutic Leave	LOA/THERAPEUTIC	01-OCT-95		01-OCT-95
0184	Accommodation Codes	Reserved		01-OCT-95		01-APR-04
0185	Accommodation Codes	Leave of Absence-Nursing Home (for Hospitalization)	LOA/NURS HOME	01-OCT-95		01-MAR-07
0186	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0187	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0188	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0189	Accommodation Codes	Leave of Absence-Other Leave of Absence	LOA/OTHER	01-OCT-95		01-OCT-95
018X	Accommodation Codes	Category title: Leave of Absence		01-JAN-80		01-OCT-95
0190	Accommodation Codes	Subacute Care-General	SUBACUTE	01-JAN-97		01-JAN-97
0191	Accommodation Codes	Subacute Care-Level I	SUBACUTE/LEVEL I	01-JAN-97		01-JAN-97
0192	Accommodation Codes	Subacute Care-Level II	SUBACUTE/LEVEL II	01-JAN-97		01-JAN-97
0193	Accommodation Codes	Subacute Care-Level III	SUBACUTE/LEVEL III	01-JAN-97		01-JAN-97
0194	Accommodation Codes	Subacute Care-Level IV	SUBACUTE/LEVEL IV	01-JAN-97		01-JAN-97
0195	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0196	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0197	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0198	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0199	Accommodation Codes	Subacute Care-Other Subacute Care	SUBACUTE/OTHER	01-JAN-97		01-JAN-97
019X	Accommodation Codes	Category title: Subacute Care		01-JAN-97		01-JAN-97
0200	Accommodation Codes	Intensive Care-General	INTENSIVE CARE (ICU)	01-APR-96		01-MAR-07
0201	Accommodation Codes	Intensive Care-Surgical	ICU/SURGICAL	01-APR-96		01-APR-96
0202	Accommodation Codes	Intensive Care-Medical	ICU/MEDICAL	01-APR-96		01-APR-96
0203	Accommodation Codes	Intensive Care-Pediatric	ICU/ PEDS	01-APR-96		01-APR-96
0204	Accommodation Codes	Intensive Care-Psychiatric	ICU/PSYCH	01-APR-96		01-MAR-07
0205	Accommodation Codes	Reserved		01-MAR-07		01-MAR-07
0206	Accommodation Codes	Intensive Care-Intermediate ICU	ICU/INTERMEDIATE	01-APR-96		01-APR-96
0207	Accommodation Codes	Intensive Care-Burn Care	ICU/BURN CARE	01-APR-96		01-APR-96
0208	Accommodation Codes	Intensive Care-Trauma	ICU/TRAUMA	01-APR-96		01-APR-96
0209	Accommodation Codes	Intensive Care-Other Intensive Care	ICU/OTHER	01-APR-96		01-APR-96
020X	Accommodation Codes	Category title: Intensive Care		01-APR-96		01-APR-96
0210	Accommodation Codes	Coronary Care-General	CORONARY CARE (CCU)	01-APR-96		01-APR-96
0211	Accommodation Codes	Coronary Care-Myocardial Infarction	CCU/MYO INFARC	01-APR-96		01-APR-96
0212	Accommodation Codes	Coronary Care-Pulmonary Care	CCU/PULMONARY	01-APR-96		01-APR-96
0213	Accommodation Codes	Coronary Care-Heart Transplant	CCU/TRANSPLANT	01-APR-96		01-APR-96
0214	Accommodation Codes	Coronary Care-Intermediate CCU	CCU/INTERMEDIATE	01-APR-96		01-APR-96
0215	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0216	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0217	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0218	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
0219	Accommodation Codes	Coronary Care-Other Coronary Care	CCU/OTHER	01-APR-96		01-APR-96
021X	Accommodation Codes	Category title: Coronary Care		01-JAN-80		01-APR-96
0220	Ancillary Services	Special Charges-General	SPECIAL CHARGES	12-DEC-83		12-DEC-83
0221	Ancillary Services	Admission charge	ADMIT CHARGE	12-DEC-83		12-DEC-83
0222	Ancillary Services	Special Charges-Technical Support Charge	TECH SUPPORT CHG	12-DEC-83		12-DEC-83
0223	Ancillary Services	Special Charges-UR Service Charge	UR CHARGE	12-DEC-83		12-DEC-83
0224	Ancillary Services	Special Charges-Late Discharge, Medically Necessary	LATE DISCH/MED NEC	12-DEC-83		12-DEC-83
0225	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0226	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0227	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0228	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0229	Ancillary Services	Special Charges-Other Special Charges	OTHER SPEC CHG	12-DEC-83		12-DEC-83
022X	Ancillary Services	Category title: Special Charges		12-DEC-83		12-DEC-83
0230	Ancillary Services	Incremental Nursing Charge-General	NURSING INCREM	12-DEC-83		01-MAR-07
0231	Ancillary Services	Incremental Nursing Charge-Nursery	NUR INCR/NURSERY	12-DEC-83		01-MAR-07
0232	Ancillary Services	Incremental Nursing Charge-OB	NUR INCR/OB	12-DEC-83		01-MAR-07
0233	Ancillary Services	Incremental Nursing Charge-ICU	NUR INCR/ICU	12-DEC-83		01-MAR-07
0234	Ancillary Services	Incremental Nursing Charge-CCU	NUR INCR/CCU	12-DEC-83		01-MAR-07
0235	Ancillary Services	Incremental Nursing Charge-Hospice	NUR INCR/HOSPICE	12-DEC-83		01-MAR-07
0236	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0237	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0238	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0239	Ancillary Services	Incremental Nursing Charge-Other	NUR INCR/OTHER	12-DEC-83		01-MAR-07
023X	Ancillary Services	Category title: Incremental Nursing Charge		12-DEC-83		01-MAR-07
0240	Ancillary Services	All-Inclusive Ancillary-General	ALL INCL ANCIL	01-OCT-99		01-OCT-99
0241	Ancillary Services	All-Inclusive Ancillary-Basic	ALL INCL BASIC	01-OCT-99		01-OCT-99
0242	Ancillary Services	All-Inclusive Ancillary-Comprehensive	ALL INCL COMP	01-OCT-99		01-OCT-99
0243	Ancillary Services	All-Inclusive Ancillary-Specialty	ALL INCL SPECIAL	01-OCT-99		01-OCT-99
0244	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0245	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0246	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0247	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0248	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0249	Ancillary Services	All-Inclusive Ancillary-Other Inclusive Ancillary	ALL INCL ANCIL/OTHER	01-OCT-99		01-OCT-99
024X	Ancillary Services	Category title: All-Inclusive Ancillary		01-OCT-99		01-OCT-99
0250	Ancillary Services	Pharmacy-General	PHARMACY	01-OCT-99		01-OCT-99
0251	Ancillary Services	Pharmacy-Generic Drugs	DRUGS/GENERIC	01-OCT-99		01-OCT-99
0252	Ancillary Services	Pharmacy-Nongeneric Drugs	DRUGS/NONGENERIC	01-OCT-99		01-OCT-99
0253	Ancillary Services	Pharmacy-Take-Home Drugs	DRUGS/TAKEHOME	01-OCT-99		01-OCT-99
0254	Ancillary Services	Pharmacy-Drugs Incident to Other Diagnostic Services	DRUGS/INCIDENT ODX	01-OCT-99		01-OCT-99
0255	Ancillary Services	Pharmacy-Drugs Incident to Radiology	DRUGS/INCIDENT RAD	01-OCT-99		01-OCT-99
0256	Ancillary Services	Pharmacy-Experimental Drugs	DRUGS/EXPERIMT	01-OCT-99		01-OCT-99
0257	Ancillary Services	Pharmacy-Nonprescription	DRGS/NONPSCRPT	01-OCT-99		01-OCT-99
0258	Ancillary Services	Pharmacy-IV Solutions	IV SOLUTIONS	01-OCT-99		01-OCT-99
0259	Ancillary Services	Pharmacy-Other Pharmacy	DRGS/OTHER	01-OCT-99		01-OCT-99
025X	Ancillary Services	Category title: Pharmacy (see also 063X, an extension of 025X)		01-OCT-99		01-OCT-99
0260	Ancillary Services	IV Therapy-General	IV THERAPY	01-APR-90		01-OCT-99
0261	Ancillary Services	IV Therapy-Infusion Pump	IV THER/INFSN PUMP	01-APR-90		01-OCT-99
0262	Ancillary Services	IV Therapy-IV Therapy/Pharmacy Services	IV THER/PHARM SVC	01-APR-90		01-OCT-99
0263	Ancillary Services	IV Therapy-IV Therapy/Drug/Supply Delivery	IV THER/DRUG/SUPPLY DELV	01-APR-90		01-OCT-99
0264	Ancillary Services	IV Therapy-IV Therapy/Supplies	IV THER/SUPPLIES	01-APR-90		01-OCT-99
0265	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0266	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0267	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0268	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0269	Ancillary Services	IV Therapy-Other IV Therapy	IV THERAPY/OTHER	01-APR-90		01-OCT-99
026X	Ancillary Services	Category title: IV Therapy		01-APR-90		01-OCT-99
0270	Ancillary Services	Medical/Surgical Supplies and Devices-General	MED-SUR SUPPLIES	01-JUL-91		01-JUL-91
0271	Ancillary Services	Medical/Surgical Supplies and Devices-Nonsterile Supply	NON-STER SUPPLY	01-JUL-91		01-JUL-91
0272	Ancillary Services	Medical/Surgical Supplies and Devices-Sterile Supply	STERILE SUPPLY	01-JUL-91		01-JUL-91
0273	Ancillary Services	Medical/Surgical Supplies and Devices-Take-Home Supplies	TAKEHOME SUPPLY	01-JUL-91		01-JUL-91
0274	Ancillary Services	Medical/Surgical Supplies and Devices-Prosthetic/Orthotic Devices	PROSTH/ORTH DEV	01-JUL-91		01-JUL-91
0275	Ancillary Services	Medical/Surgical Supplies and Devices-Pacemaker	PACEMAKER	01-JUL-91		01-JUL-91
0276	Ancillary Services	Medical/Surgical Supplies and Devices-Intraocular Lens	INTRA OC LENS	01-JUL-91		01-JUL-91
0277	Ancillary Services	Medical/Surgical Supplies and Devices-Oxygen-Take-Home	O2/TAKEHOME	01-JUL-91		01-JUL-91
0278	Ancillary Services	Medical/Surgical Supplies and Devices-Other Implants	SUPPLY/IMPLANTS	01-JUL-91		01-JUL-91
0279	Ancillary Services	Medical/Surgical Supplies and Devices-Other Supplies/Devices	SUPPLY/OTHER	01-JUL-91		01-JUL-91
027X	Ancillary Services	Category title:Medical/Surgical Supplies and Devices		01-JUL-91		01-JUL-91
0280	Ancillary Services	Oncology-General	ONCOLOGY	01-JUL-91		01-JUL-91
0281	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0282	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0283	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0284	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0285	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0286	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0287	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0288	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0289	Ancillary Services	Oncology-Other	ONCOLOGY OTHER	01-JUL-91		01-JUL-91
028X	Ancillary Services	Category title: Oncology		01-JUL-91		01-JUL-91
0290	Ancillary Services	Durable Medical Equipment (Other than renal)-General	DME	01-JUL-91		01-MAR-07
0291	Ancillary Services	Durable Medical Equipment (Other than renal)-Rental	DME-RENTAL	01-JUL-91		01-MAR-07
0292	Ancillary Services	Durable Medical Equipment (Other than renal)-Purchase of New DME	DME-NEW	01-JUL-91		01-MAR-07
0293	Ancillary Services	Durable Medical Equipment (Other than renal)-Purchase of Used DME	DME-USED	01-JUL-91		01-MAR-07
0294	Ancillary Services	Durable Medical Equipment (Other than renal)-Supplies/Drugs for DME	DME-SUPPLIES/DRUGS	01-JUL-91		01-MAR-07
0295	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0296	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0297	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0298	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0299	Ancillary Services	Durable Medical Equipment (Other than renal)-Other Equipment	DME-OTHER	01-JUL-91		01-MAR-07
029X	Ancillary Services	Category title: Durable Medical Equipment (Other than renal)		01-JUL-91		01-JUL-91
0300	Ancillary Services	Laboratory-General	LAB	01-JUL-91		01-MAR-07
0301	Ancillary Services	Laboratory-Chemistry	CHEMISTRY TESTS	01-JUL-91		01-MAR-07
0302	Ancillary Services	Laboratory-Immunology	IMMUNOLOGY TESTS	01-JUL-91		01-MAR-07
0303	Ancillary Services	Laboratory-Renal Patient (Home)	RENAL-HOME	01-JUL-91		01-MAR-07
0304	Ancillary Services	Laboratory-Nonroutine Dialysis	NON-RTNE DIALYSIS	01-JUL-91		01-MAR-07
0305	Ancillary Services	Laboratory-Hematology	HEMATOLOGY TESTS	01-JUL-91		01-MAR-07
0306	Ancillary Services	Laboratory-Bacteriology and Microbiology	BACT & MICRO TESTS	01-JUL-91		01-MAR-07
0307	Ancillary Services	Laboratory-Urology	UROLOGY TESTS	01-JUL-91		01-MAR-07
0308	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0309	Ancillary Services	Laboratory-Other Laboratory	OTHER LAB TESTS	01-JUL-91		01-MAR-07
030X	Ancillary Services	Category title: Laboratory		01-JUL-91		01-JUL-91
0310	Ancillary Services	Laboratory Pathology-General	PATHOLOGY LAB	01-MAY-82		01-MAR-07
0311	Ancillary Services	Laboratory Pathology-Cytology	CYTOLOGY TESTS	01-MAY-82		01-MAR-07
0312	Ancillary Services	Laboratory Pathology-Histology	HISTOLOGY TESTS	01-MAY-82		01-MAR-07
0313	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0314	Ancillary Services	Laboratory Pathology-Biopsy	BIOPSY TESTS	01-MAY-82		01-MAR-07
0315	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0316	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0317	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0318	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0319	Ancillary Services	Laboratory Pathology-Other	PATH LAB OTHER	01-MAY-82		01-MAR-07
031X	Ancillary Services	Category title:Laboratory Pathology		01-MAY-82		01-MAR-07
0320	Ancillary Services	Radiology-Diagnostic-General	DX  X-RAY	01-OCT-87		01-OCT-87
0321	Ancillary Services	Radiology-Diagnostic-Angiocardiography	DX  X-RAY/ANGIO	01-OCT-87		01-OCT-87
0322	Ancillary Services	Radiology-Diagnostic-Arthrography	DX  X-RAY/ARTHO	01-OCT-87		01-OCT-87
0323	Ancillary Services	Radiology-Diagnostic-Arteriography	DX  X-RAY/ARTER	01-OCT-87		01-OCT-87
0324	Ancillary Services	Radiology-Diagnostic-Chest X-ray	DX  X-RAY/CHEST	01-OCT-87		01-OCT-87
0325	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0326	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0327	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0328	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0329	Ancillary Services	Other Radiology-Diagnostic	DX  X-RAY/OTHER	01-OCT-87		01-OCT-87
032X	Ancillary Services	Category title:Radiology-Diagnostic		01-OCT-87		01-OCT-87
0330	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-General	RADIOLOGY THERAPY	01-OCT-87		01-MAR-07
0331	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-Chemotherapy Administration-Injected	RAD-CHEMO-INJECT	01-OCT-87		01-MAR-07
0332	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-Chemotherapy-Oral	RAD-CHEMO-ORAL	01-OCT-87		01-MAR-07
0333	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-Radiation Therapy	RAD-RADIATION	01-OCT-87		01-MAR-07
0334	Ancillary Services	Reserved		01-OCT-87		01-OCT-87
0335	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-Chemotherapy Administration-IV	RAD-CHEMO-IV	01-OCT-87		01-MAR-07
0336	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0337	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0338	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0339	Ancillary Services	Radiology-Therapeutic and/or Chemotherapy Administration-Other Radiology-Therapeutic	RADIOLOGY OTHER	01-OCT-87		01-MAR-07
033X	Ancillary Services	Category title: Radiology-Therapeutic and/or Chemotherapy Administration		01-OCT-87		01-MAR-07
0340	Ancillary Services	Nuclear Medicine-General	NUCLEAR MEDICINE	21-MAY-82		01-OCT-04
0341	Ancillary Services	Nuclear Medicine-Diagnostic	NUC MED/DX	21-MAY-82		01-MAR-07
0342	Ancillary Services	Nuclear Medicine-Therapeutic	NUC MED/RX	21-MAY-82		01-MAR-07
0343	Ancillary Services	Nuclear Medicine-Diagnostic Radiopharmaceuticals	NUC MED/DX RADIOPHARM	01-OCT-04		01-OCT-04
0344	Ancillary Services	Nuclear Medicine-Therapeutic Radiopharmaceuticals	NUC MED/RX RADIOPHARM	01-OCT-04		01-OCT-04
0345	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0346	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0347	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0348	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0349	Ancillary Services	Nuclear Medicine-Other	NUC MED/OTHER	21-MAY-82		01-OCT-04
034X	Ancillary Services	Category title: Nuclear medicine		21-MAY-82		01-OCT-04
0350	Ancillary Services	CT Scan-General	CT SCAN	21-MAY-82		01-OCT-04
0351	Ancillary Services	CT Scan-Head Scan	CT SCAN/HEAD	21-MAY-82		01-OCT-04
0352	Ancillary Services	CT Scan-Body Scan	CT SCAN/BODY	21-MAY-82		01-OCT-04
0353	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0354	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0355	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0356	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0357	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0358	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0359	Ancillary Services	CT Scan-Other CT Scans	CT SCAN/OTHER	21-MAY-82		01-OCT-04
035X	Ancillary Services	Category title:CT Scan		21-MAY-82		01-OCT-04
0360	Ancillary Services	Operating Room Services-General	OR SERVICES	01-OCT-89		01-OCT-89
0361	Ancillary Services	Operating Room Services-Minor Surgery	OR/MINOR	01-OCT-89		01-OCT-89
0362	Ancillary Services	Operating Room Services-Organ Transplant-Other than Kidney	OR/ORGAN TRANS	01-OCT-89		01-OCT-89
0363	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0364	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0365	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0366	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0367	Ancillary Services	Operating Room Services-Kidney Transplant	OR/KIDNEY TRANS	01-OCT-89		01-OCT-89
0368	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0369	Ancillary Services	Operating Room Services-Other OR services	OR/OTHER	01-OCT-89		01-OCT-89
036X	Ancillary Services	Category title: Operating Room Services		01-OCT-89		01-OCT-89
0370	Ancillary Services	Anesthesia-General	ANESTHESIA	01-OCT-89		01-OCT-89
0371	Ancillary Services	Anesthesia-Anesthesia Incident to Radiology	ANESTHE/INCIDENT RAD	01-OCT-89		01-OCT-89
0372	Ancillary Services	Anesthesia-Anesthesia Incident to Other Diagnostic Services	ANESTHE/INCDNT OTHER DX	01-OCT-89		01-OCT-89
0373	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0374	Ancillary Services	Anesthesia-Acupuncture	ANESTHE/ACUPUNC	01-OCT-89		01-OCT-89
0375	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0376	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0377	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0378	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0379	Ancillary Services	Anesthesia-Other Anesthesia	ANESTHE/OTHER	01-OCT-89		01-OCT-89
037X	Ancillary Services	Category title: Anesthesia		01-OCT-89		01-OCT-89
0380	Ancillary Services	Blood and Blood Components-General	BLOOD & BLOOD COMP	09-MAY-02		01-MAR-07
0381	Ancillary Services	Blood and Blood Components-Packed red cells	BLOOD/PKD RED	09-MAY-02		01-MAR-07
0382	Ancillary Services	Blood and Blood Components-Whole Blood	BLOOD/WHOLE	09-MAY-02		01-MAR-07
0383	Ancillary Services	Blood and Blood Components-Plasma	BLOOD/PLASMA	09-MAY-02		01-MAR-07
0384	Ancillary Services	Blood and Blood Components-Platelets	BLOOD/PLATELETS	09-MAY-02		01-MAR-07
0385	Ancillary Services	Blood and Blood Components-Leukocytes	BLOOD/LEUCOCYTES	09-MAY-02		01-MAR-07
0386	Ancillary Services	Blood and Blood Components-Other Components	BLOOD/COMPONENTS	09-MAY-02		01-MAR-07
0387	Ancillary Services	Blood and Blood Components-Other Derivatives (Cryoprecipitates))	BLOOD/DERIVATIVES	09-MAY-02		01-MAR-07
0388	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0389	Ancillary Services	Blood and Blood Components-Other Blood and Blood Components	BLOOD/OTHER	09-MAY-02		01-MAR-07
038X	Ancillary Services	Category title:Blood and Blood Components		09-MAY-02		01-MAR-07
0390	Ancillary Services	Administration, Processing and Storage for Blood and Blood Components-General	BLOOD/ADMIN/STOR	09-MAY-02		01-MAR-07
0391	Ancillary Services	Administration, Processing and Storage for Blood and Blood Components-Administration (e.g., transfusions)	BLOOD/ADMIN	09-MAY-02		01-MAR-07
0392	Ancillary Services	Administration, Processing and Storage for Blood and Blood Components-Processing and Storage	BLOOD/STORAGE	01-MAR-07		01-MAR-07
0393	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0394	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0395	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0396	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0397	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0398	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0399	Ancillary Services	Administration, Processing and Storage for Blood and Blood Components-Other Processing and Storage	BLOOD/ADMIN/STOR/OTHER	09-MAY-02		09-MAY-02
039X	Ancillary Services	Category title: Administration, Processing and Storage for Blood and Blood Components		09-MAY-02		09-MAY-02
0400	Ancillary Services	Other Imaging Services-General	IMAGING SERVICE	01-APR-91		01-APR-91
0401	Ancillary Services	Other Imaging Services-Diagnostic Mammography	DIAG MAMMOGRAPHY	01-APR-91		01-APR-91
0402	Ancillary Services	Other Imaging Services-Ultrasound	ULTRASOUND	01-APR-91		01-APR-91
0403	Ancillary Services	Other Imaging Services-Screening Mammography	SCRN MAMMOGRAPHY	01-APR-91		01-APR-91
0404	Ancillary Services	Other Imaging Services-Positron Emission Tomography	PET SCAN	01-APR-91		01-APR-91
0405	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0406	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0407	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0408	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0409	Ancillary Services	Other Imaging Services-Other Imaging Services	OTHER IMAGE SVCS	01-APR-91		01-APR-91
040X	Ancillary Services	Category title:Other Imaging Services		01-APR-91		01-APR-91
0410	Ancillary Services	Respiratory Services-General	RESPIRATORY SVC	01-APR-87		01-APR-87
0411	Ancillary Services	Reserved		01-APR-87		01-APR-87
0412	Ancillary Services	Respiratory Services-Inhalation Services	INHALATION SVC	01-APR-87		01-APR-87
0413	Ancillary Services	Respiratory Services-Hyperbaric Oxygen Therapy	HYPERBARIC O2	01-APR-87		01-APR-87
0414	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0415	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0416	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0417	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0418	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0419	Ancillary Services	Respiratory Services-Other Respiratory Services	OTHER RESPIR SVS	01-APR-87		01-APR-87
041X	Ancillary Services	Category title: Respiratory Services		01-APR-87		01-APR-87
0420	Ancillary Services	Physical Therapy-General	PHYSICAL THERP	01-APR-87		01-APR-87
0421	Ancillary Services	Physical Therapy-Visit Charge	PHYS THERP/VISIT	01-APR-87		01-APR-87
0422	Ancillary Services	Physical Therapy-Hourly Charge	PHYS THERP/HOUR	01-APR-87		01-APR-87
0423	Ancillary Services	Physical Therapy-Group Rate	PHYS THERP/GROUP	01-APR-87		01-APR-87
0424	Ancillary Services	Physical Therapy-Evaluation or Reevaluation	PHYS THERP/EVAL	01-APR-87		01-APR-87
0425	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0426	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0427	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0428	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0429	Ancillary Services	Physical Therapy-Other Physical Therapy	OTHER PHYS THERP	01-APR-87		01-APR-87
042X	Ancillary Services	Category title: Physical Therapy		01-APR-87		01-APR-87
0430	Ancillary Services	Occupational Therapy-General	OCCUPATIONAL THER	01-APR-98		01-APR-98
0431	Ancillary Services	Occupational Therapy-Visit Charge	OCCUP THERP/VISIT	01-APR-98		01-APR-98
0432	Ancillary Services	Occupational Therapy-Hourly Charge	OCCUP THERP/HOUR	01-APR-98		01-APR-98
0433	Ancillary Services	Occupational Therapy-Group Rate	OCCUP THERP/GROUP	01-APR-98		01-APR-98
0434	Ancillary Services	Occupational Therapy-Evaluation or Reevaluation	OCCUP THERP/EVAL	01-APR-98		01-APR-98
0435	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0436	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0437	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0438	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0439	Ancillary Services	Occupational Therapy-Other Occupational Therapy	OCCUP THERP/OTHER	01-APR-98		01-APR-98
043X	Ancillary Services	Category title: Occupational Therapy		01-APR-98		01-APR-98
0440	Ancillary Services	Speech Therapy-Language Pathology-General	SPEECH THERAPY	01-APR-98		01-MAR-07
0441	Ancillary Services	Speech Therapy-Language Pathology-Visit Charge	SPEECH THERP/VISIT	01-APR-98		01-MAR-07
0442	Ancillary Services	Speech Therapy-Language Pathology-Hourly Charge	SPEECH THERP/HOUR	01-APR-98		01-MAR-07
0443	Ancillary Services	Speech Therapy-Language Pathology-Group Rate	SPEECH THERP/GROUP	01-APR-98		01-MAR-07
0444	Ancillary Services	Speech Therapy-Language Pathology-Evaluation or Reevaluation	SPEECH THERP/EVAL	01-APR-98		01-MAR-07
0445	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0446	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0447	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0448	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0449	Ancillary Services	Speech Therapy-Language Pathology-Other Speech-Language Pathology	OTHER SPEECH THERAPY	01-APR-98		01-MAR-07
044X	Ancillary Services	Category title: Speech Therapy-Language Pathology		01-JAN-80		01-APR-98
0450	Ancillary Services	Emergency Room-General	EMERG ROOM	01-APR-00		01-APR-00
0451	Ancillary Services	Emergency Room-EMTALA Emergency Medical Screening Services	ER/EMTALA	01-APR-00		01-APR-00
0452	Ancillary Services	Emergency Room-ER Beyond EMTALA	ER/BEYOND EMTALA	01-APR-00		01-APR-00
0453	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0454	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0455	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0456	Ancillary Services	Emergency Room-Urgent Care	ER/URGENT CARE	01-APR-00		01-APR-00
0457	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0458	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0459	Ancillary Services	Emergency Room-Other Emergency Room	OTHER EMER ROOM	01-APR-00		01-APR-00
045X	Ancillary Services	Category title: Emergency Room		01-APR-00		01-APR-00
0460	Ancillary Services	Pulmonary Function-General	PULMONARY FUNC	01-APR-96		01-APR-96
0461	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0462	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0463	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0464	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0465	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0466	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0467	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0468	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0469	Ancillary Services	Pulmonary Function-Other Pulmonary Function	OTHER PULMONARY FUNC	01-APR-96		01-APR-96
046X	Ancillary Services	Category title: Pulmonary Function		01-APR-96		01-APR-96
0470	Ancillary Services	Audiology-General	AUDIOLOGY	01-OCT-94		01-OCT-94
0471	Ancillary Services	Audiology-Diagnostic	AUDIOLOGY/DX	01-OCT-94		01-OCT-94
0472	Ancillary Services	Audiology-Treatment	AUDIOLOGY/RX	01-OCT-94		01-OCT-94
0473	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0474	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0475	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0476	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0477	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0478	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0479	Ancillary Services	Audiology-Other Audiology	OTHER AUDIOL	01-OCT-94		01-OCT-94
047X	Ancillary Services	Category title: Audiology		01-OCT-94		01-OCT-94
0480	Ancillary Services	Cardiology-General	CARDIOLOGY	01-OCT-94		01-OCT-94
0481	Ancillary Services	Cardiology-Cardiac Cath Lab	CARDIAC CATH LAB	01-OCT-94		01-OCT-94
0482	Ancillary Services	Cardiology-Stress Test	STRESS TEST	01-OCT-94		01-OCT-94
0483	Ancillary Services	Cardiology-Echocardiology	ECHOCARDIOLOGY	01-OCT-94		01-OCT-94
0484	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0485	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0486	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0487	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0488	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0489	Ancillary Services	Cardiology-Other Cardiology	OTHER CARDIOL	01-OCT-94		01-OCT-94
048X	Ancillary Services	Category title: Cardiology		01-OCT-94		01-OCT-94
0490	Ancillary Services	Ambulatory Surgical Care-General	AMBULTRY SURG	23-AUG-93		01-MAR-07
0491	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0492	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0493	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0494	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0495	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0496	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0497	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0498	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0499	Ancillary Services	Ambulatory Surgical Care-Other Ambulatory Surgical Care	OTHER AMBL SURG	23-AUG-93		23-AUG-93
049X	Ancillary Services	Category title: Ambulatory Surgical Care		23-AUG-93		23-AUG-93
0500	Ancillary Services	Outpatient Services-General	OUTPATIENT SVS	23-AUG-93		23-AUG-93
0501	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0502	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0503	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0504	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0505	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0506	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0507	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0508	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0509	Ancillary Services	Outpatient Services-Other Outpatient Services	OTHER-O/P SVS	23-AUG-93		23-AUG-93
050X	Ancillary Services	Category title: Outpatient Services		23-AUG-93		23-AUG-93
0510	Ancillary Services	Clinic-General classification	CLINIC	01-OCT-89		01-APR-00
0511	Ancillary Services	Clinic-Chronic Pain Center	CHRONIC PAIN CLINIC	01-OCT-89		01-MAR-07
0512	Ancillary Services	Clinic-Dental Clinic	DENTAL CLINIC	01-OCT-89		01-APR-00
0513	Ancillary Services	Clinic-Psychiatric Clinic	PSYCHIATRIC CLINIC	01-OCT-89		01-MAR-07
0514	Ancillary Services	Clinic-OB/GYN Clinic	OB-GYN CLINIC	01-OCT-89		01-APR-00
0515	Ancillary Services	Clinic-Pediatric Clinic	PEDIATRIC CLINIC	01-OCT-89		01-MAR-07
0516	Ancillary Services	Clinic-Urgent Care Clinic	URGENT CARE CLINIC	01-OCT-89		01-MAR-07
0517	Ancillary Services	Clinic-Family Practice Clinic	FAMILY CLINIC	01-OCT-89		01-APR-00
0518	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0519	Ancillary Services	Clinic-Other Clinic	OTHER CLINIC	01-OCT-89		01-APR-00
051X	Ancillary Services	Category title: Clinic		01-OCT-89		01-APR-00
0520	Ancillary Services	Freestanding Clinic-General	FREESTAND CLINIC	01-OCT-89		01-APR-00
0521	Ancillary Services	Freestanding Clinic-Clinic visit by member to RHC/FQHC	FS-RURAL/CLINIC	01-OCT-89		01-MAR-07
0522	Ancillary Services	Freestanding Clinic-Home visit by RHC/FQHC Practitioner	FS-RURAL/HOME	01-OCT-89		01-MAR-07
0523	Ancillary Services	Freestanding Clinic-Family Practice Clinic	FS-FAMILY PRACT	01-OCT-89		01-MAR-07
0524	Ancillary Services	Freestanding Clinic-Visit by RHC/FQHC Practitioner to a Member in a SNF or Skilled Swing Bed in a Covered Part A Stay	FR/STD FAMILY CLINIC	01-OCT-89		01-JUL-06
0525	Ancillary Services	Freestanding Clinic-Visit by RHC/FQHC Practitioner to a Member in a SNF (Not in a Covered Part A Stay) or NF or ICF MR or Other Residential Facility	RHC/FQHC/SNF/NONCOVERED	01-OCT-89		01-JUL-06
0526	Ancillary Services	Freestanding Clinic-Urgent Care Clinic	FR/STD URGENT CLINIC	01-OCT-96		01-APR-00
0527	Ancillary Services	Freestanding Clinic-Visiting Nurse Service (s) to a Member's Home When in a Home Health Shortage Area	RHC/FQHC/HOME/VIS NURSE	01-OCT-89		01-JUL-06
0528	Ancillary Services	Freestanding Clinic-Visit by RHC/FQHC Practitioner to Other Non-RHC/FQHC Site (e.g. Scene of Accident)	RHC/FQHC/OTHER SITE	01-OCT-89		01-JUL-06
0529	Ancillary Services	Freestanding Clinic-Other Freestanding Clinic	OTHER FS-CLINIC	01-OCT-89		01-MAR-07
052X	Ancillary Services	Category title: Freestanding Clinic		01-OCT-89		01-APR-00
0530	Ancillary Services	Osteopathic Services-General classification	OSTEOPATH SVS	01-APR-90		01-APR-90
0531	Ancillary Services	Osteopathic Services-Osteopathic Therapy	OSTEOPATH RX	01-APR-90		01-APR-90
0532	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0533	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0534	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0535	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0536	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0537	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0538	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0539	Ancillary Services	Osteopathic Services-Other Osteopathic Services	OTHER OSTEOPATH	01-APR-90		01-APR-90
053X	Ancillary Services	Category title: Osteopathic Services		01-APR-90		01-APR-90
0540	Ancillary Services	Ambulance-General Classification	AMBULANCE	01-OCT-91		01-OCT-91
0541	Ancillary Services	Ambulance-Supplies	AMBUL/SUPPLY	01-OCT-91		01-OCT-91
0542	Ancillary Services	Ambulance-Medical Transport	AMBUL/MED TRANS	01-OCT-91		01-OCT-91
0543	Ancillary Services	Ambulance-Heart Mobile	AMBUL/HEART MOB	01-OCT-91		01-OCT-91
0544	Ancillary Services	Ambulance-Oxygen	AMBUL/OXYGEN	01-OCT-91		01-MAR-07
0545	Ancillary Services	Ambulance-Air Ambulance	AIR AMBULANCE	01-OCT-91		01-OCT-91
0546	Ancillary Services	Ambulance-Neonatal Ambulance Services	AMBUL/NEONAT	01-OCT-91		01-OCT-91
0547	Ancillary Services	Ambulance-Pharmacy	AMBUL/PHARMAS	01-OCT-91		01-MAR-07
0548	Ancillary Services	Ambulance-EKG Transmission	AMBUL/EKG TRANS	01-OCT-91		01-MAR-07
0549	Ancillary Services	Ambulance-Other Ambulance	AMBUL/OTHER	01-OCT-91		01-MAR-07
054X	Ancillary Services	Category title: Ambulance		01-OCT-91		01-OCT-91
0550	Ancillary Services	Skilled Nursing-General	SKILLED NURSING-HH	01-OCT-91		01-MAR-07
0551	Ancillary Services	Skilled Nursing-Visit Charge	SKILLED NURS-VISIT	01-OCT-91		01-MAR-07
0552	Ancillary Services	Skilled Nursing-Hourly Charge	SKILLED NURS-HOUR	01-OCT-91		01-MAR-07
0553	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0554	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0555	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0556	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0557	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0558	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0559	Ancillary Services	Skilled Nursing-Other Skilled Nursing	SKILLED NURS/OTHER	01-OCT-91		01-OCT-91
055X	Ancillary Services	Category title:Skilled Nursing		01-OCT-91		01-OCT-91
0560	Ancillary Services	Home Health (HH)-Medical Social Services-General	MED SOCIAL-HH	01-OCT-91		01-MAR-07
0561	Ancillary Services	Home Health (HH)-Medical Social Services-Visit Charge	MED SOC SERVS-VISIT	01-OCT-91		01-MAR-07
0562	Ancillary Services	Home Health (HH)-Medical Social Services-Hourly Charge	MED SOC SERVS-HOUR	01-OCT-91		01-MAR-07
0563	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0564	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0565	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0566	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0567	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0568	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0569	Ancillary Services	Home Health (HH)-Medical Social Services-Other Medical Social Services	MED SOC SERVS-OTHER	01-OCT-91		01-MAR-07
056X	Ancillary Services	Category title: Home Health (HH)-Medical Social Services		01-OCT-91		01-MAR-07
0570	Ancillary Services	Home Health (HH) Aide-General	HH AIDE	01-OCT-91		01-MAR-07
0571	Ancillary Services	Home Health (HH) Aide-Visit Charge	HH AIDE-VISIT	01-OCT-91		01-MAR-07
0572	Ancillary Services	Home Health (HH) Aide-Hourly Charge	HH AIDE-HOUR	01-OCT-91		01-MAR-07
0573	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0574	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0575	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0576	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0577	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0578	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0579	Ancillary Services	Home Health (HH) Aide-Other Home Health Aide	HH AIDE-OTHER	01-OCT-91		01-MAR-07
057X	Ancillary Services	Category title: Home Health (HH) Aide		01-OCT-91		01-MAR-07
0580	Ancillary Services	Home Health (HH)-Other Visits-General	HH-OTH VIS	01-APR-03		01-MAR-07
0581	Ancillary Services	Home Health (HH)-Other Visits-Visit Charge	HH-OTH VIS/VISIT	01-APR-03		01-MAR-07
0582	Ancillary Services	Home Health (HH)-Other Visits-Hourly Charge	HH-OTH VIS/HOUR	01-APR-03		01-MAR-07
0583	Ancillary Services	Home Health (HH)-Other Visits-Assessment	HH-OTH VIS/ASSESS	01-APR-03		01-MAR-07
0584	Ancillary Services	Reserved		01-APR-03		01-APR-03
0585	Ancillary Services	Reserved		01-APR-03		01-APR-03
0586	Ancillary Services	Reserved		01-APR-03		01-APR-03
0587	Ancillary Services	Reserved		01-APR-03		01-APR-03
0588	Ancillary Services	Reserved		01-APR-03		01-APR-03
0589	Ancillary Services	Home Health (HH)-Other Visits-Other Home Health Visits	HH-OTH VIS/OTHER	01-APR-03		01-MAR-07
058X	Ancillary Services	Category title: Home Health (HH)-Other Visits		01-APR-03		01-APR-03
0590	Ancillary Services	Home Health (HH) Units of Service-General	HH-SVCS/UNIT	01-APR-03		01-MAR-07
0591	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0592	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0593	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0594	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0595	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0596	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0597	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0598	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0599	Ancillary Services	Reserved		01-APR-03		01-OCT-07
059X	Ancillary Services	Category title:Home Health (HH) Units of Service		01-APR-03		01-MAR-07
0600	Ancillary Services	Home Health (HH)-Oxygen-General	O2/HOME HEALTH	01-OCT-98		01-MAR-07
0601	Ancillary Services	Home Health (HH)-Oxygen-Stat Equip/Supply/Contents	O2/STAT EQUIP/SUPPL/CONT	01-OCT-98		01-MAR-07
0602	Ancillary Services	Home Health (HH)-Oxygen-Stat Equip/Supply<1 LPM	O2/STAT EQP/SUPPL<1 LPM	01-OCT-98		01-MAR-07
0603	Ancillary Services	Home Health (HH)-Oxygen-Stat Equip/Supply>4 LPM	O2/STAT EQP/SUPPL>4 LPM	01-OCT-98		01-MAR-07
0604	Ancillary Services	Home Health (HH)-Oxygen-Oxygen Port Add-On	O2/PORTABLE ADD-ON	01-OCT-98		01-MAR-07
0605	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0606	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0607	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0608	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0609	Ancillary Services	Home Health (HH)-Oxygen-Oxygen-Other	O2/OTHER	01-OCT-98		01-MAR-07
060X	Ancillary Services	Category title:Home Health (HH)-Oxygen		01-OCT-98		01-MAR-07
0610	Ancillary Services	Magnetic Resonance Technology-General	MRT	01-OCT-98		01-MAR-07
0611	Ancillary Services	Magnetic Resonance Technology-MRI-Brain/Brain Stem	MRI/BRAIN	01-OCT-98		01-MAR-07
0612	Ancillary Services	Magnetic Resonance Technology-MRI-Spinal Cord/Spine	MRI/SPINE	01-OCT-98		01-MAR-07
0613	Ancillary Services	Reserved		01-OCT-98		01-OCT-98
0614	Ancillary Services	Magnetic Resonance Technology-MRI-Other	MRI/OTHER	01-OCT-98		01-MAR-07
0615	Ancillary Services	Magnetic Resonance Technology-MRA-Head and Neck	MRA/HEAD AND NECK	01-OCT-98		01-MAR-07
0616	Ancillary Services	Magnetic Resonance Technology-MRA-Lower Extremities	MRA/LOWER EXTRM	01-OCT-98		01-MAR-07
0617	Ancillary Services	Reserved		01-OCT-98		01-OCT-98
0618	Ancillary Services	Magnetic Resonance Technology-MRA-Other	MRA/OTHER	01-OCT-98		01-MAR-07
0619	Ancillary Services	Magnetic Resonance Technology-Other MRT	MRT/OTHER	01-OCT-98		01-MAR-07
061X	Ancillary Services	Category title: Magnetic Resonance Technology		01-OCT-98		01-OCT-98
0620	Ancillary Services	Reserved		01-OCT-97		01-OCT-97
0621	Ancillary Services	Medical/Surgical Supplies-Extension of 027X-Supplies Incident to Radiology	MED-SUR SUPL-INCDNT RAD	01-OCT-97		01-MAR-07
0622	Ancillary Services	Medical/Surgical Supplies-Extension of 027X-Supplies Incident to Other DX Services	MED-SUR SUPL-INCDNT ODX	01-OCT-97		01-MAR-07
0623	Ancillary Services	Medical/Surgical Supplies-Extension of 027X-Surgical Dressings	SURG DRESSING	01-OCT-97		01-OCT-04
0624	Ancillary Services	Medical/Surgical Supplies-Extension of 027X-FDA Investigational Devices	FDA INVEST DEVICE	01-OCT-97		01-OCT-04
0625	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0626	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0627	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0628	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0629	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
062X	Ancillary Services	Category title: Medical/Surgical Supplies-Extension of 027X		01-OCT-97		01-OCT-97
0630	Ancillary Services	Reserved		01-OCT-97		01-JAN-98
0631	Ancillary Services	Pharmacy-Extension of 025X-Single Source Drug	DRUG/SNGLE	01-OCT-04		01-OCT-04
0632	Ancillary Services	Pharmacy-Extension of 025X-Multiple Source Drug	DRUG/MULTIPLE	01-OCT-04		01-MAR-07
0633	Ancillary Services	Pharmacy-Extension of 025X-Restrictive Prescription	DRUG/RESTRICT	01-OCT-04		01-MAR-07
0634	Ancillary Services	Pharmacy-Extension of 025X-Erythropoietin (EPO) <10,000 Units	DRUG/EPO<10,000 UNITS	01-OCT-04		01-MAR-07
0635	Ancillary Services	Pharmacy-Extension of 025X-Erythropoietin (EPO) >=10,000 Units	DRUG/EPO >=10,000 UNITS	01-OCT-04		01-MAR-07
0636	Ancillary Services	Pharmacy-Extension of 025X-Drugs Requiring Detailed Coding	DRUGS/DETAIL CODE	01-OCT-04		01-OCT-04
0637	Ancillary Services	Pharmacy-Extension of 025X-Self-Administrable Drugs	DRUGS/SELF ADMIN	01-OCT-04		01-MAR-07
0638	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0639	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
063X	Ancillary Services	Category title: Pharmacy-Extension of 025X		01-JAN-98		01-JAN-98
0640	Ancillary Services	Home IV Therapy Services-General	IV THERAPY SVC	01-OCT-97		01-OCT-97
0641	Ancillary Services	Home IV Therapy Services-Nonroutine Nursing, Central Line	NON RT NURSING/CENTRAL	01-OCT-97		01-OCT-97
0642	Ancillary Services	Home IV Therapy Services-IV Site Care, Central Line	IV SITE CARE/CENTRAL	01-OCT-97		01-OCT-97
0643	Ancillary Services	Home IV Therapy Services-IV Start/Change, Peripheral Line	IV STRT/CHNG/PERIPHAL	01-OCT-97		01-OCT-97
0644	Ancillary Services	Home IV Therapy Services-Nonroutine Nursing, Peripheral Line	NONRT NURSING/PERIPHRL	01-OCT-97		01-OCT-97
0645	Ancillary Services	Home IV Therapy Services-Training Patient/Caregiver, Central Line	TRNG PT/CAREGVR/CENTRAL	01-OCT-97		01-MAR-07
0646	Ancillary Services	Home IV Therapy Services-Training, Disabled Patient, Central Line	TRNG DSBLPT/CENTRAL	01-OCT-97		01-OCT-97
0647	Ancillary Services	Home IV Therapy Services-Training, Patient/Caregiver, Peripheral Line	TRNG/PT/CARGVR/PERIPHRL	01-OCT-97		01-OCT-97
0648	Ancillary Services	Home IV Therapy Services-Training, Disabled Patient, Peripheral Line	TRNG/DSBLPAT/PERIPHRL	01-OCT-97		01-OCT-97
0649	Ancillary Services	Home IV Therapy Services-Other IV Therapy Services	OTHER IV THERAPY SVC	01-OCT-97		01-OCT-97
064X	Ancillary Services	Category title: Home IV Therapy Services		01-OCT-97		01-OCT-97
0650	Ancillary Services	Hospice Service-General	HOSPICE	01-APR-03		01-APR-03
0651	Ancillary Services	Hospice Service-Routine Home Care	HOSPICE/RTN HOME	01-APR-03		01-APR-03
0652	Ancillary Services	Hospice Service-Continuous Home Care	HOSPICE/CTNS HOME	01-APR-03		01-APR-03
0653	Ancillary Services	Reserved		01-APR-03		01-APR-03
0654	Ancillary Services	Reserved		01-APR-03		01-APR-03
0655	Ancillary Services	Hospice Service-Inpatient Respite Care	HOSPICE/IP RESPITE	01-APR-03		01-APR-03
0656	Ancillary Services	Hospice Service-General Inpatient Care Nonrespite	HOSPICE/IP NON-RESPITE	01-APR-03		01-MAR-07
0657	Ancillary Services	Hospice Service-Physician Services	HOSPICE/PHYSICIAN	01-APR-03		01-APR-03
0658	Ancillary Services	Hospice Service-Hospice Room & Board-Nursing Facility	HOSPICE/R&B NURS FAC	01-APR-03		01-MAR-07
0659	Ancillary Services	Hospice Service-Other Hospice Service	HOSPICE/OTHER	01-APR-03		01-MAR-07
065X	Ancillary Services	Category title: Hospice Service		01-APR-03		01-APR-03
0660	Ancillary Services	Respite Care-General	RESPITE CARE	01-APR-03		01-APR-03
0661	Ancillary Services	Respite Care-Hourly Charge-Nursing	RESPITE/NURSING	01-APR-03		01-MAR-07
0662	Ancillary Services	Respite Care-Hourly Charge/Aide/Homemaker/Companion	RESPITE/AIDE/HMEMKR/COMP	01-APR-03		01-MAR-07
0663	Ancillary Services	Respite Care-Daily Respite Charge	RESPITE/DAILY	01-APR-03		01-MAR-07
0664	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0665	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0666	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0667	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0668	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0669	Ancillary Services	Respite Care-Other Respite Care	RESPITE/OTHER	01-APR-03		01-MAR-07
066X	Ancillary Services	Category title: Respite Care		01-APR-03		01-APR-03
0670	Ancillary Services	Outpatient Special Residence Charges-General	OP SPEC RES	01-APR-03		01-APR-03
0671	Ancillary Services	Outpatient Special Residence Charges-Hospital Owned	OP SPEC RES/HOSP OWNED	01-APR-03		01-MAR-07
0672	Ancillary Services	Outpatient Special Residence Charges-Contracted	OP SPEC RES/CONTRACTED	01-APR-03		01-APR-03
0673	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0674	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0675	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0676	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0677	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0678	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0679	Ancillary Services	Outpatient Special Residence Charges-Other Special Residence Charges	OP SPEC RES/OTHER	01-APR-03		01-APR-03
067X	Ancillary Services	Category title: Outpatient Special Residence Charges		01-APR-03		01-APR-03
0680	Ancillary Services	Not Used		01-OCT-02		01-OCT-02
0681	Ancillary Services	Trauma Response-Level I	TRAUMA LEVEL I	01-OCT-02		01-OCT-02
0682	Ancillary Services	Trauma Response-Level II	TRAUMA LEVEL II	01-OCT-02		01-OCT-02
0683	Ancillary Services	Trauma Response-Level III	TRAUMA LEVEL III	01-OCT-02		01-OCT-02
0684	Ancillary Services	Trauma Response-Level IV	TRAUMA LEVEL IV	01-OCT-02		01-OCT-02
0685	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0686	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0687	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0688	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0689	Ancillary Services	Trauma Response-Other Trauma Response	TRAUMA OTHER	01-OCT-02		01-OCT-02
068X	Ancillary Services	Category title: Trauma Response		01-OCT-02		01-OCT-02
0690	Ancillary Services	Prehospice-General	PREHOSPICE	01-JAN-14		01-JAN-14
0691	Ancillary Services	Prehospice-Visit Charge	PREHOSPICE/VISIT	01-JAN-14		01-JAN-14
0692	Ancillary Services	Prehospice-Hourly Charge	PREHOSPICE/HOUR	01-JAN-14		01-JAN-14
0693	Ancillary Services	Prehospce-Evaluation	PREHOSPICE/EVAL	01-JAN-14		01-JAN-14
0694	Ancillary Services	Prehospice-Consultation and Education	PREHOSPICE/CONS&ED	01-JAN-14		01-JAN-14
0695	Ancillary Services	Prehospice-Inpatient Care	PREHOSPICE/IP	01-JAN-14		01-JAN-14
0696	Ancillary Services	Prehospice-Physician Services	PREHOSPICE/PHYSICIAN	01-JAN-14		01-JAN-14
0697	Ancillary Services	Reserved for Assignment by the NUBC		01-JAN-14		01-JAN-14
0698	Ancillary Services	Reserved for Assignment by the NUBC		01-JAN-14		01-JAN-14
0699	Ancillary Services	Prehospice-Other Prehospice/Palliative Care Services	PREHOSPICE/OTHER	01-JAN-14		01-JAN-14
069X	Ancillary Services	Category title: Prehospice/Palliative Care		01-OCT-02		01-JAN-14
0700	Ancillary Services	Cast Room-General	CAST ROOM	01-OCT-89		01-OCT-89
0701	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0702	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0703	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0704	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0705	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0706	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0707	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0708	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0709	Ancillary Services	Reserved		01-OCT-89		30-SEP-07
070X	Ancillary Services	Category title: Cast Room		01-OCT-89		01-OCT-89
0710	Ancillary Services	Recovery Room-General	RECOVERY ROOM	01-OCT-89		01-OCT-89
0711	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0712	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0713	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0714	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0715	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0716	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0717	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0718	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0719	Ancillary Services	Reserved		01-OCT-98		30-SEP-07
071X	Ancillary Services	Category title: Recovery Room		01-OCT-98		01-OCT-89
0720	Ancillary Services	Labor Room/Delivery-General	DELIVERY ROOM/LABOR	01-APR-85		01-MAR-07
0721	Ancillary Services	Labor Room/Delivery-Labor	LABOR	01-APR-85		01-APR-85
0722	Ancillary Services	Labor Room/Delivery-Delivery Room	DELIVERY ROOM	01-APR-85		01-APR-85
0723	Ancillary Services	Labor Room/Delivery-Circumcision	CIRCUMCISION	01-APR-85		01-APR-85
0724	Ancillary Services	Labor Room/Delivery-Birthing Center	BIRTHING CNTR	01-APR-85		01-MAR-07
0725	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0726	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0727	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0728	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0729	Ancillary Services	Labor Room/Delivery-Other Labor Room/Delivery	OTHER/DELIV-LABOR	01-APR-85		01-APR-85
072X	Ancillary Services	Category title: Labor Room/Delivery		01-APR-85		01-APR-85
0730	Ancillary Services	EKG/ECG (Electrocardiogram)-General	EKG/ECG	01-APR-85		01-APR-85
0731	Ancillary Services	EKG/ECG (Electrocardiogram)-Holter Monitor	HOLTER MONT	01-APR-85		01-APR-85
0732	Ancillary Services	EKG/ECG (Electrocardiogram)-Telemetry	TELEMETRY	01-APR-85		01-APR-85
0733	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0734	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0735	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0736	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0737	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0738	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0739	Ancillary Services	EKG/ECG (Electrocardiogram)-Other EKG/ECG	OTHER EKG/ECG	01-APR-85		01-APR-85
073X	Ancillary Services	Category title: EKG/ECG (Electrocardiogram)		01-APR-85		01-APR-85
0740	Ancillary Services	EEG (Electroencephalogram)-General	EEG	01-APR-92		01-APR-92
0741	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0742	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0743	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0744	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0745	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0746	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0748	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0749	Ancillary Services	Reserved		01-APR-92		30-SEP-07
074X	Ancillary Services	Category title: EEG (Electroencephalogram)		01-APR-92		01-APR-92
0750	Ancillary Services	Gastrointestinal (GI) Services-General	GASTR-INST SVS	01-APR-92		01-APR-92
0751	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0752	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0753	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0754	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0755	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0756	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0757	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0758	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0759	Ancillary Services	RESERVED		01-APR-92		30-SEP-07
075X	Ancillary Services	Category title: Gastrointestinal (GI) Services		01-APR-92		01-APR-92
0760	Ancillary Services	Specialty Services-General	SPECIALTY SVC	01-APR-97		01-APR-09
0761	Ancillary Services	Specialty Services-Treatment Room	TREATMENT RM	01-APR-97		01-APR-09
0762	Ancillary Services	Specialty Services-Observation Hours	OBSERVATION	01-APR-97		01-APR-09
0763	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0764	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0765	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0766	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0767	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0768	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0769	Ancillary Services	Specialty Services-Other Specialty Services	OTHER SPECIALTY SVC	01-APR-97		01-APR-09
076X	Ancillary Services	Category title: Specialty Services	SPECIALTY SERVICES	01-APR-97		01-APR-09
0770	Ancillary Services	Preventive Care Services-General	PREVENT CARE SVS	01-APR-97		01-APR-97
0771	Ancillary Services	Preventive Care Services-Vaccine Administration	VACCINE ADMIN	01-APR-97		01-APR-97
0772	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0773	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0774	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0775	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0776	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0777	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0778	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0779	Ancillary Services	Reserved		01-APR-97		30-SEP-07
077X	Ancillary Services	Category title: Preventive Care Services		01-APR-97		01-OCT-97
0780	Ancillary Services	Telemedicine-General	TELEMEDICINE	01-OCT-96		01-OCT-96
0781	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0782	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0783	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0784	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0785	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0786	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0787	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0788	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0789	Ancillary Services	Reserved		01-OCT-97		30-SEP-07
078X	Ancillary Services	Category title: Telemedicine		01-OCT-97		01-OCT-97
0790	Ancillary Services	Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy)-General	ESWT	01-OCT-97		18-JUN-03
0791	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0792	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0793	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0794	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0795	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0796	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0797	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0798	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0799	Ancillary Services	Reserved		01-OCT-97		30-SEP-07
079X	Ancillary Services	Category title: Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy)		01-OCT-97		18-JUN-03
0800	Ancillary Services	Inpatient Renal Dialysis-General	RENAL DIALYSIS	01-OCT-88		01-OCT-88
0801	Ancillary Services	Inpatient Renal Dialysis-Inpatient Hemodialysis	DIALY/INPATIENT	01-OCT-88		01-MAR-07
0802	Ancillary Services	Inpatient Renal Dialysis-Inpatient Peritoneal (Non-CAPD)	DIALY/IP/PER	01-OCT-88		01-MAR-07
0803	Ancillary Services	Inpatient Renal Dialysis-Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)	DIALY/IP/CAPD	01-OCT-88		01-MAR-07
0804	Ancillary Services	Inpatient Renal Dialysis-Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)	DIALY/IP/CCPD	01-OCT-88		01-MAR-07
0805	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0806	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0807	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0808	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0809	Ancillary Services	Inpatient Renal Dialysis-Other Inpatient Dialysis	DIALY/IP/OTHER	01-OCT-88		01-MAR-07
080X	Ancillary Services	Category title: Inpatient Renal Dialysis		01-OCT-88		01-OCT-88
0810	Ancillary Services	Acquisition of Body Components-General	ORGAN ACQUISIT	01-OCT-00		01-OCT-00
0811	Ancillary Services	Acquisition of Body Components-Living Donor	LIVING DONOR	01-OCT-00		01-OCT-00
0812	Ancillary Services	Acquisition of Body Components-Cadaver Donor	CADAVER DONOR	01-OCT-00		01-OCT-00
0813	Ancillary Services	Acquisition of Body Components-Unknown Donor	UNKNOWN DONOR	01-OCT-00		01-OCT-00
0814	Ancillary Services	Acquisition of Body Components-Unsuccessful Organ Search-Donor Bank Charges	UNSUCCESSFUL SEARCH	01-OCT-00		01-OCT-00
0815	Ancillary Services	Acquisition of Body Components-Stem Cells-Allogeneic	STEM CELL	01-OCT-00		01-JAN-17
0816	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0817	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0818	Ancillary Services	Reserved		01-OCT-88		01-OCT-88
0819	Ancillary Services	Acquisition of Body Components-Other Donor	OTHER DONOR	01-OCT-88		01-OCT-00
081X	Ancillary Services	Category Title: Acquisition of Body Components		01-OCT-88		01-OCT-88
0820	Ancillary Services	Hemodialysis-Outpatient or Home-General	HEMO/OP OR HOME	09-DEC-86		01-MAR-07
0821	Ancillary Services	Hemodialysis-Outpatient or Home-Hemodialysis Composite or Other Rate	HEMO/COMPOSITE	09-DEC-86		01-MAR-07
0822	Ancillary Services	Hemodialysis-Outpatient or Home-Home Supplies	HEMO/HOME/SUPPL	09-DEC-86		01-MAR-07
0823	Ancillary Services	Hemodialysis-Outpatient or Home-Home Equipment	HEMO/HOME/EQUIP	09-DEC-86		01-MAR-07
0824	Ancillary Services	Hemodialysis-Outpatient or Home-Maintenance-100%	HEMO/HOME/100%	09-DEC-86		01-MAR-07
0825	Ancillary Services	Hemodialysis-Outpatient or Home-Support Services	HEMO/HOME/SUPSERV	09-DEC-86		01-MAR-07
0826	Ancillary Services	Hemodialysis-Outpatient or Home-Hemodialysis-Shorter Duration		01-JAN-10		01-JUL-17
0827	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0828	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0829	Ancillary Services	Hemodialysis-Outpatient or Home-Other OP Hemodialysis	HEMO-OTHER OP	09-DEC-86		01-MAR-07
082X	Ancillary Services	Category Title: Hemodialysis-Outpatient or Home		09-DEC-86		09-DEC-86
0830	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-General	PERITONEAL/OP OR HOME	09-DEC-86		09-DEC-86
0831	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Peritoneal/Composite or Other Rate	PERTNL/COMPOSITE	09-DEC-86		09-DEC-86
0832	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Home Supplies	PERTNL/HOME/SUPPL	09-DEC-86		09-DEC-86
0833	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Home Equipment	PERTNL/HOME/EQUIP	09-DEC-86		09-DEC-86
0834	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Maintenance-100%	PERTNL/HOME/100%	09-DEC-86		09-DEC-86
0835	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Support Services	PERTNL/HOME/SUPSERV	09-DEC-86		09-DEC-86
0836	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0837	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0838	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0839	Ancillary Services	Peritoneal Dialysis-Outpatient or Home-Other Outpatient Peritoneal Dialysis	PERTNL/HOME/OTHER	09-DEC-86		09-DEC-86
083X	Ancillary Services	Category Title: Peritoneal Dialysis-Outpatient or Home		09-DEC-86		09-DEC-86
0840	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-General	CAPD/OP OR HOME	12-DEC-83		01-MAR-07
0841	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-CAPD/Composite or Other Rate	CAPD/COMPOSITE	12-DEC-83		01-MAR-07
0842	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-Home Supplies	CAPD/HOME/SUPPL	12-DEC-83		01-MAR-07
0843	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-Home Equipment	CAPD/HOME/EQUIP	12-DEC-83		01-MAR-07
0844	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-Maintenance-100%	CAPD/HOME/100%	12-DEC-83		01-MAR-07
0845	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-Support Services	CAPD/HOME/SUPSERV	12-DEC-83		01-MAR-07
0846	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0847	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0848	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0849	Ancillary Services	Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home-Other Outpatient CAPD	CAPD/HOME/OTHER	12-DEC-83		01-MAR-07
084X	Ancillary Services	Category Title: Continuous Ambulatory Peritoneal Dialysis (CAPD)-Outpatient or Home		12-DEC-83		12-DEC-83
0850	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-General	CCPD/OP OR HOME	12-DEC-83		01-MAR-07
0851	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-CCPD/Composite or Other Rate	CCPD/COMPOSITE	12-DEC-83		01-MAR-07
0852	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-Home Supplies	CCPD/HOME/SUPPL	12-DEC-83		01-MAR-07
0853	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-Home Equipment	CCPD/HOME/EQUIP	12-DEC-83		01-MAR-07
0854	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-Maintenance-100%	CCPD/HOME/100%	12-DEC-83		01-MAR-07
0855	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-Support Services	CCPD/HOME/SUPSERV	12-DEC-83		01-MAR-07
0856	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0857	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0858	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0859	Ancillary Services	Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home-Other Outpatient CCPD	CAPD/HOME/OTHER	12-DEC-83		01-MAR-07
085X	Ancillary Services	Category Title: Continuous Cycling Peritoneal Dialysis (CCPD)-Outpatient or Home		12-DEC-83		12-DEC-83
0860	Ancillary Services	Magnetoencephalography (MEG) - General	MAGNETOENCEPH	01-APR-10		01-APR-10
0861	Ancillary Services	Magnetoencephalography (MEG) - MEG	MEG	01-APR-10		01-APR-10
0862	Ancillary Services	Reserved		01-APR-10		01-APR-10
0863	Ancillary Services	Reserved		01-APR-10		01-APR-10
0864	Ancillary Services	Reserved		01-APR-10		01-APR-10
0865	Ancillary Services	Reserved		01-APR-10		01-APR-10
0866	Ancillary Services	Reserved		01-APR-10		01-APR-10
0867	Ancillary Services	Reserved		01-APR-10		01-APR-10
0868	Ancillary Services	Reserved		01-APR-10		01-APR-10
0869	Ancillary Services	Reserved		01-APR-10		01-APR-10
086X	Ancillary Services	Category Title: Magnetoencephalography (MEG)		10-AUG-83		01-APR-10
0870	Cell/Gene Therapy	General classification		01-APR-19		01-APR-19
0871	Cell/Gene Therapy	Cell Collection		01-APR-19		01-APR-19
0872	Cell/Gene Therapy	Special Biologic Processing and Storage--Prior to Transport		01-APR-19		01-APR-19
0873	Cell/Gene Therapy	Storage and Processing After Receipt of Cells from the Manufacturer		01-APR-19		01-APR-19
0874	Cell/Gene Therapy	Infusion of Modified Cells		01-APR-19		01-APR-19
0875	Cell/Gene Therapy	Injection of Modified Cells		01-APR-19		01-APR-19
0876	Cell/Gene Therapy	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0877	Cell/Gene Therapy	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0878	Cell/Gene Therapy	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0879	Cell/Gene Therapy	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
087X	Ancillary Services	Category: Cell/Gene Therapy		10-AUG-83		01-APR-19
0880	Ancillary Services	Miscellaneous Dialysis-General	DIALY/MISC	01-APR-94		01-APR-94
0881	Ancillary Services	Miscellaneous Dialysis-Ultrafiltration	DIALY/ULTRAFILT	01-APR-94		01-APR-94
0882	Ancillary Services	Miscellaneous Dialysis-Home Dialysis Aid Visit	HOME DIALYSIS AID VISIT	01-APR-94		01-APR-94
0883	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0884	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0885	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0886	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0887	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0888	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0889	Ancillary Services	Miscellaneous Dialysis-Other Miscellaneous Dialysis	DIALY/MISC/OTHER	01-APR-94		01-APR-94
088X	Ancillary Services	Category Title: Miscellaneous Dialysis		01-JAN-80		01-APR-94
0890	Pharmacy Extension of 025X and 063X	Reserved for use by the NUBC		01-APR-19		01-APR-19
0891	Pharmacy Extension of 025X and 063X	Special Processed Drugs-FDA Approved Cell Therapy		01-APR-19		01-APR-19
0892	Ancillary Services	Special Processed Drugs - FDA Approved Gene Therapy		01-APR-20		01-APR-20
0893	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0894	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0895	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0896	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0897	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0898	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
0899	Pharmacy Extension of 025X and 063X	Reserved for assignment by the NUBC		01-APR-19		01-APR-19
089X	Ancillary Services	Category: Pharmacy-Extension of 025X and 063X		01-JAN-80		01-APR-19
0900	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-General	BH/TREATMENTS	16-OCT-03		01-MAR-07
0901	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Electroshock Treatment	BH/ELECTRO SHOCK	16-OCT-03		16-OCT-03
0902	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Milieu Therapy	BH/MILIEU THERAPY	16-OCT-03		16-OCT-03
0903	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Play Therapy	BH/PLAY THERAPY	16-OCT-03		16-OCT-03
0904	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Activity Therapy	BH/ACTIVITY THERAPY	16-OCT-03		16-OCT-03
0905	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Psychiatric	BH/INTENS OP/PSYCH	16-OCT-03		16-OCT-03
0906	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Chemical Dependency	BH/INTENS OP/CHEM DEP	16-OCT-03		16-OCT-03
0907	Ancillary Services	Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Community Behavioral Health Program (Day Treatment)	BH/COMMUNITY	16-OCT-03		16-OCT-03
0908	Ancillary Services	Reserved		16-OCT-03		16-OCT-03
0909	Ancillary Services	Reserved		16-OCT-03		01-MAR-07
090X	Ancillary Services	Category Title: Behavioral Health Treatments/Services (also see 091X, an extension of 090X)		16-OCT-03		16-OCT-03
0910	Ancillary Services	Reserved		16-OCT-03		16-OCT-03
0911	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Rehabilitation	BH/REHAB	16-OCT-03		16-OCT-03
0912	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Partial Hospitalization-Less Intensive	BH/PARTIAL HOSP	16-OCT-03		16-OCT-03
0913	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Partial Hospitalization-Intensive	BH/PARTIAL INTENSV	16-OCT-03		16-OCT-03
0914	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Individual Therapy	BH/INDIV RX	16-OCT-03		16-OCT-03
0915	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Group Therapy	BH/GROUP RX	16-OCT-03		16-OCT-03
0916	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Family Therapy	BH/FAMILY RX	16-OCT-03		16-OCT-03
0917	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Bio Feedback	BH/BIOFEED	16-OCT-03		16-OCT-03
0918	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Testing	BH/TESTING	16-OCT-03		16-OCT-03
0919	Ancillary Services	Behavioral Health Treatments/Services-Extension of 090X-Other Behavioral Health Treatments/Services	BH/OTHER	16-OCT-03		16-OCT-03
091X	Ancillary Services	Category Title:Behavioral Health Treatments/Services-Extension of 090X		16-OCT-03		16-OCT-03
0920	Ancillary Services	Other Diagnostic Services-General	OTHER DX SVS	16-OCT-03		16-OCT-03
0921	Ancillary Services	Other Diagnostic Services-Peripheral Vascular Lab	PERI VASCUL LAB	16-OCT-03		16-OCT-03
0922	Ancillary Services	Other Diagnostic Services-Electromyogram	EMG	16-OCT-03		01-MAR-07
0923	Ancillary Services	Other Diagnostic Services-Pap Smear	PAP SMEAR	16-OCT-03		16-OCT-03
0924	Ancillary Services	Other Diagnostic Services-Allergy Test	ALLERGY TEST	16-OCT-03		16-OCT-03
0925	Ancillary Services	Other Diagnostic Services-Pregnancy Test	PREG TEST	16-OCT-03		16-OCT-03
0926	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0927	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0928	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0929	Ancillary Services	Other Diagnostic Services-Other Diagnostic Service	OTHER DX SVS	16-OCT-03		01-MAR-07
092X	Ancillary Services	Category Title: Other Diagnostic Services		01-JAN-80		16-OCT-03
0930	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0931	Ancillary Services	Medical Rehabilitation Day Program-Half Day	HALF DAY	01-APR-01		01-APR-01
0932	Ancillary Services	Medical Rehabilitation Day Program-Full Day	FULL DAY	01-APR-01		01-APR-01
0933	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0934	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0935	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0936	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0937	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0938	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0939	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
093X	Ancillary Services	Category Title: Medical Rehabilitation Day Program		01-APR-01		01-APR-01
0940	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-General	OTHER RX SVS	01-APR-01		01-APR-01
0941	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Recreational Therapy	RECREATION RX	01-APR-01		01-MAR-07
0942	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Education/Training	EDUC/TRAINING	01-APR-01		01-MAR-07
0943	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Cardiac Rehabilitation	CARDIAC REHAB	01-APR-01		01-MAR-07
0944	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Drug Rehabilitation	DRUG REHAB	01-APR-01		01-MAR-07
0945	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Alcohol Rehabilitation	ALCOHOL REHAB	01-APR-01		01-MAR-07
0946	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Complex Medical Equipment-Routine	CMPLX MED EQUIP-ROUT	01-APR-01		01-MAR-07
0947	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Complex Medical Equipment-Ancillary	CMPLX MED EQUIP-ANC	01-APR-01		01-MAR-07
0948	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Pulmonary Rehabilitation	PULMONARY REHAB	01-APR-01		01-OCT-07
0949	Ancillary Services	Other Therapeutic Services (see also 095X, an extension of 094X)-Other Therapeutic Services	ADDITIONAL RX SVS	01-APR-01		01-MAR-07
094X	Ancillary Services	Category title: Other Therapeutic Services (see also 095X, an extension of 094X)		01-APR-01		01-MAR-07
0950	Ancillary Services	Reserved		01-OCT-00		01-OCT-00
0951	Ancillary Services	Other Therapeutic Services (Extension of 094X)-Athletic Training	ATHLETIC TRAINING	01-OCT-00		01-MAR-07
0952	Ancillary Services	Other Therapeutic Services (Extension of 094X)-Kinesiotherapy	KINESIOTHERAPY	01-OCT-00		01-MAR-07
0953	Ancillary Services	Other Therapeutic Services (Extension of 094X)-Chemical Dependency (Drug and Alcohol)	CHEMDEP	01-JAN-10		01-OCT-13
0954	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0955	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0956	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0957	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0958	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0959	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
095X	Ancillary Services	Category title: Other Therapeutic Services (Extension of 094X)		01-OCT-00		01-MAR-07
0960	Ancillary Services	Professional Fees (see also 097X and 098X)-General	PRO FEE	01-OCT-00		01-MAR-07
0961	Ancillary Services	Professional Fees (see also 097X and 098X)-Psychiatric	PRO FEE/PSYCH	01-OCT-00		01-MAR-07
0962	Ancillary Services	Professional Fees (see also 097X and 098X)-Ophthalmology	PRO FEE/EYE	01-OCT-00		01-MAR-07
0963	Ancillary Services	Professional Fees (see also 097X and 098X)-Anesthesiologist (MD)	PRO FEE/ANES MD	01-OCT-00		01-MAR-07
0964	Ancillary Services	Professional Fees (see also 097X and 098X)-Anesthetist (CRNA)	PRO FEE/ANEST CRNA	01-OCT-00		01-MAR-07
0965	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0966	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0967	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0968	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
0969	Ancillary Services	Professional Fees (see also 097X and 098X)-Other Professional Fees	PRO FEE/OTHER	01-OCT-00		01-MAR-07
096X	Ancillary Services	Category title: Professional Fees (see also 097X and 098X)		01-OCT-00		01-MAR-07
0970	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
0971	Ancillary Services	Professional Fees (Extension of 096X)-Laboratory	PRO FEE/LAB	01-APR-91		01-APR-91
0972	Ancillary Services	Professional Fees (Extension of 096X)-Radiology-Diagnostic	PRO FEE/RAD/DX	01-APR-91		01-APR-91
0973	Ancillary Services	Professional Fees (Extension of 096X)-Radiology-Therapeutic	PRO FEE/RAD/RX	01-APR-91		01-APR-91
0974	Ancillary Services	Professional Fees (Extension of 096X)-Radiology-Nuclear	PRO FEE/NUC MED	01-APR-91		01-MAR-07
0975	Ancillary Services	Professional Fees (Extension of 096X)-Operating Room	PRO FEE/OR	01-APR-91		01-APR-91
0976	Ancillary Services	Professional Fees (Extension of 096X)-Respiratory Therapy	PRO FEE/RESPIR	01-APR-91		01-APR-91
0977	Ancillary Services	Professional Fees (Extension of 096X)-Physical Therapy	PRO FEE/PHYSI	01-APR-91		01-APR-91
0978	Ancillary Services	Professional Fees (Extension of 096X)-Occupational Therapy	PRO FEE/OCCUPA	01-APR-91		01-APR-91
0979	Ancillary Services	Professional Fees (Extension of 096X)-Speech Pathology	PRO FEE/SPEECH	01-APR-91		01-APR-91
097X	Ancillary Services	Category title: Professional Fees (Extension of 096X)		01-APR-91		01-APR-91
0980	Ancillary Services	Reserved		01-MAR-07		22-MAY-07
0981	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Emergency Room	PRO FEE/ER	01-APR-91		01-APR-91
0982	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Outpatient Services	PRO FEE/OUTPT	01-APR-91		01-APR-91
0983	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Clinic	PRO FEE/CLINIC	01-APR-91		01-APR-91
0984	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Medical Social Services	PRO FEE/SOC SVC	01-APR-91		01-APR-91
0985	Ancillary Services	Professional Fees (Extension of 096X and 097X)-EKG	PRO FEE/EKG	01-APR-91		01-APR-91
0986	Ancillary Services	Professional Fees (Extension of 096X and 097X)-EEG	PRO FEE/EEG	01-APR-91		01-APR-91
0987	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Hospital Visit	PRO FEE/HOS VIS	01-APR-91		01-APR-91
0988	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Consultation	PRO FEE/CONSULT	01-APR-91		01-APR-91
0989	Ancillary Services	Professional Fees (Extension of 096X and 097X)-Private-Duty Nurse	PRO FEE/PVT NURSE	01-APR-91		01-MAR-07
098X	Ancillary Services	Category title: Professional Fees (Extension of 096X and 097X)		01-APR-91		01-APR-91
0990	Ancillary Services	Patient Convenience Items-General	PT CONVENIENCE	16-OCT-03		16-OCT-03
0991	Ancillary Services	Patient Convenience Items-Cafeteria/Guest Tray	CAFETERIA	16-OCT-03		16-OCT-03
0992	Ancillary Services	Patient Convenience Items-Private Linen Service	LINEN	16-OCT-03		16-OCT-03
0993	Ancillary Services	Patient Convenience Items-Telephone/Telecom	TELEPHONE	16-OCT-03		01-MAR-07
0994	Ancillary Services	Patient Convenience Items-TV/Radio	TV/RADIO	16-OCT-03		16-OCT-03
0995	Ancillary Services	Patient Convenience Items-Nonpatient Room Rentals	NONPT ROOM RENT	16-OCT-03		16-OCT-03
0996	Ancillary Services	Patient Convenience Items-Late Discharge	LATE DISCHARGE	16-OCT-03		01-MAR-07
0997	Ancillary Services	Patient Convenience Items-Admission Kits	ADM KITS	16-OCT-03		01-MAR-07
0998	Ancillary Services	Patient Convenience Items-Beauty Shop/Barber	BARBER/BEAUTY	16-OCT-03		16-OCT-03
0999	Ancillary Services	Patient Convenience Items-Other Convenience Items	PT CONV/OTHER	16-OCT-03		01-MAR-07
099X	Ancillary Services	Category title: Patient Convenience Items		16-OCT-03		16-OCT-03
1000	Accommodation Codes	Behavioral Health Accommodations-General	BH/R&B	16-OCT-03		16-OCT-03
1001	Accommodation Codes	Behavioral Health Accommodations-Residential -Psychiatric	BH/R&B RES/PSYCH	16-OCT-03		01-OCT-13
1002	Accommodation Codes	Behavioral Health Accommodations-Residential-Chemical Dependency	BH/R&B RES/CHEM DEP	16-OCT-03		01-OCT-13
1003	Accommodation Codes	Behavioral Health Accommodations-Supervised Living	BH/R&B SUP LIVING	16-OCT-03		16-OCT-03
1004	Accommodation Codes	Behavioral Health Accommodations-Halfway House	BH/R&B HALFWAY HOUSE	16-OCT-03		16-OCT-03
1005	Accommodation Codes	Behavioral Health Accommodations-Group Home	BH/R&B GROUP HOME	16-OCT-03		16-OCT-03
1006	Accommodation Codes	Outdoor/Wilderness Behavioral Health	BH OUTDOOR/WILD	01-JUL-17		01-JUL-17
1007	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
1008	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
1009	Accommodation Codes	Reserved		01-JAN-10		01-JAN-10
100X	Accommodation Codes	Category title: Behavioral Health Accommodations		16-OCT-03		16-OCT-03
2100	Ancillary Services	Alternative Therapy Services-General	ALTTHERAPY	01-APR-03		01-APR-03
2101	Ancillary Services	Alternative Therapy Services-Acupuncture	ACUPUNCTURE	01-APR-03		01-APR-03
2102	Ancillary Services	Alternative Therapy Services-Accupressure	ACCUPRESSURE	01-APR-03		01-APR-03
2103	Ancillary Services	Alternative Therapy Services-Massage	MASSAGE	01-APR-03		01-APR-03
2104	Ancillary Services	Alternative Therapy Services-Reflexology	REFLEXOLOGY	01-APR-03		01-APR-03
2105	Ancillary Services	Alternative Therapy Services-Biofeedback	BIOFEEDBACK	01-APR-03		01-APR-03
2106	Ancillary Services	Alternative Therapy Services-Hypnosis	HYPNOSIS	01-APR-03		01-APR-03
2107	Ancillary Services	Reserved		01-APR-03		01-APR-03
2108	Ancillary Services	Reserved		01-APR-03		01-APR-03
2109	Ancillary Services	Alternative Therapy Services-Other Alternative Therapy Services	OTHER ALTTHERAPY	01-APR-03		01-APR-03
210X	Ancillary Services	Category title: Alternative Therapy Services		01-APR-03		01-APR-03
3100	Ancillary Services	Reserved		01-MAR-07		01-MAR-07
3101	Ancillary Services	Adult Care-Adult Day Care, Medical and Social-Hourly	ADULT MED/SOC HR	01-APR-03		01-APR-03
3102	Ancillary Services	Adult Care-Adult Day Care, Social-Hourly	ADULT SOC HR	01-APR-03		01-APR-03
3103	Ancillary Services	Adult Care-Adult Day Care, Medical and Social-Daily	ADULT MED/SOC DAY	01-APR-03		01-APR-03
3104	Ancillary Services	Adult Care-Adult Day Care, Social-Daily	ADULT SOC DAY	01-APR-03		01-APR-03
3105	Ancillary Services	Adult Care-Adult Foster Care-Daily	ADULT FOSTER DAY	01-APR-03		01-APR-03
3106	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
3107	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
3108	Ancillary Services	Reserved		01-JAN-10		01-JAN-10
3109	Ancillary Services	Adult Care-Other Adult Care	OTHER ADULT	01-APR-03		01-APR-03
310X	Ancillary Services	Category title: Adult Care		01-APR-03		01-APR-03
