Code identifying the classification of service
Type
ID
Length
Max 2 / Min 1
Codes
<> 1
Medical Care
<> 2
Surgical
<> 3
Consultation
<> 4
Diagnostic X-Ray
<> 5
Diagnostic Lab
<> 6
Radiation Therapy
<> 7
Anesthesia
<> 8
Surgical Assistance
<> 9
Other Medical
<> 10
Blood Charges
<> 11
Used Durable Medical Equipment
<> 12
Durable Medical Equipment Purchase
<> 13
Ambulatory Service Center Facility
<> 14
Renal Supplies in the Home
<> 15
Alternate Method Dialysis
<> 16
Chronic Renal Disease (CRD) Equipment
<> 17
Pre-Admission Testing
<> 18
Durable Medical Equipment Rental
<> 19
Pneumonia Vaccine
<> 20
Second Surgical Opinion
<> 21
Third Surgical Opinion
<> 22
Social Work
<> 23
Diagnostic Dental
<> 24
Periodontics
<> 25
Restorative
<> 26
Endodontics
<> 27
Maxillofacial Prosthetics
<> 28
Adjunctive Dental Services
<> 30
Health Benefit Plan Coverage
<> 31
Benefit Disclaimer
<> 32
Plan Waiting Period
<> 33
Chiropractic
<> 34
Chiropractic Office Visits
<> 35
Dental Care
<> 36
Dental Crowns
<> 37
Dental Accident
<> 38
Orthodontics
<> 39
Prosthodontics
<> 40
Oral Surgery
<> 41
Routine (Preventive) Dental
<> 42
Home Health Care
<> 43
Home Health Prescriptions
<> 44
Home Health Visits
<> 45
Hospice
<> 46
Respite Care
<> 47
Hospital
<> 48
Hospital - Inpatient
<> 49
Hospital - Room and Board
<> 50
Hospital - Outpatient
<> 51
Hospital - Emergency Accident
<> 52
Hospital - Emergency Medical
<> 53
Hospital - Ambulatory Surgical
<> 54
Long Term Care
<> 55
Major Medical
<> 56
Medically Related Transportation
<> 57
Air Transportation
<> 58
Cabulance
<> 59
Licensed Ambulance
<> 60
General Benefits
<> 61
In-vitro Fertilization
<> 62
MRI/CAT Scan
<> 63
Donor Procedures
<> 64
Acupuncture
<> 65
Newborn Care
<> 66
Pathology
<> 67
Smoking Cessation
<> 68
Well Baby Care
<> 69
Maternity
<> 70
Transplants
<> 71
Audiology Exam
<> 72
Inhalation Therapy
<> 73
Diagnostic Medical
<> 74
Private Duty Nursing
<> 75
Prosthetic Device
<> 76
Dialysis
<> 77
Otological Exam
<> 78
Chemotherapy
<> 79
Allergy Testing
<> 80
Immunizations
<> 81
Routine Physical
<> 82
Family Planning
<> 83
Infertility
<> 84
Abortion
<> 85
AIDS
<> 86
Emergency Services
<> 87
Cancer
<> 88
Pharmacy
<> 89
Free Standing Prescription Drug
<> 90
Mail Order Prescription Drug
<> 91
Brand Name Prescription Drug
<> 92
Generic Prescription Drug
<> 93
Podiatry
<> 94
Podiatry - Office Visits
<> 95
Podiatry - Nursing Home Visits
<> 96
Professional (Physician)
<> 97
Anesthesiologist
<> 98
Professional (Physician) Visit - Office
<> 99
Professional (Physician) Visit - Inpatient
<> A0
Professional (Physician) Visit - Outpatient
<> A1
Professional (Physician) Visit - Nursing Home
<> A2
Professional (Physician) Visit - Skilled Nursing Facility
<> A3
Professional (Physician) Visit - Home
<> A4
Psychiatric
<> A5
Psychiatric - Room and Board
<> A6
Psychotherapy
<> A7
Psychiatric - Inpatient
<> A8
Psychiatric - Outpatient
<> A9
Rehabilitation
<> AA
Rehabilitation - Room and Board
<> AB
Rehabilitation - Inpatient
<> AC
Rehabilitation - Outpatient
<> AD
Occupational Therapy
<> AE
Physical Medicine
<> AF
Speech Therapy
<> AG
Skilled Nursing Care
<> AH
Skilled Nursing Care - Room and Board
<> AI
Substance Abuse
<> AJ
Alcoholism
<> AK
Drug Addiction
<> AL
Vision (Optometry)
<> AM
Frames
<> AN
Routine Exam
<> AO
Lenses
<> AQ
Nonmedically Necessary Physical
<> AR
Experimental Drug Therapy
<> B
Non-escrow or Non-impound Service
<> B1
Burn Care
<> B2
Brand Name Prescription Drug - Formulary
<> B3
Brand Name Prescription Drug - Non-Formulary
<> BA
Independent Medical Evaluation
<> BB
Partial Hospitalization (Psychiatric)
<> BC
Day Care (Psychiatric)
<> BD
Cognitive Therapy
<> BE
Massage Therapy
<> BF
Pulmonary Rehabilitation
<> BG
Cardiac Rehabilitation
<> BH
Pediatric
<> BI
Nursery
<> BJ
Skin
<> BK
Orthopedic
<> BL
Cardiac
<> BM
Lymphatic
<> BN
Gastrointestinal
<> BP
Endocrine
<> BQ
Neurology
<> BR
Eye
<> BS
Invasive Procedures
<> BT
Gynecological
<> BU
Obstetrical
<> BV
Obstetrical/Gynecological
<> BW
Mail Order Prescription Drug: Brand Name
<> BX
Mail Order Prescription Drug: Generic
<> BY
Physician Visit - Office: Sick
<> BZ
Physician Visit - Office: Well
<> C
Escrow or Impound Service
<> C1
Coronary Care
<> CA
Private Duty Nursing - Inpatient
<> CB
Private Duty Nursing - Home
<> CC
Surgical Benefits - Professional (Physician)
<> CD
Surgical Benefits - Facility
<> CE
Mental Health Provider - Inpatient
<> CF
Mental Health Provider - Outpatient
<> CG
Mental Health Facility - Inpatient
<> CH
Mental Health Facility - Outpatient
<> CI
Substance Abuse Facility - Inpatient
<> CJ
Substance Abuse Facility - Outpatient
<> CK
Screening X-ray
<> CL
Screening laboratory
<> CM
Mammogram, High Risk Patient
<> CN
Mammogram, Low Risk Patient
<> CO
Flu Vaccination
<> CP
Eyewear and Eyewear Accessories
<> DG
Dermatology
<> DM
Durable Medical Equipment
<> GF
Generic Prescription Drug - Formulary
<> GN
Generic Prescription Drug - Non-Formulary
<> GY
Allergy
<> IC
Intensive Care
<> MH
Mental Health
<> NI
Neonatal Intensive Care
<> TC
Transitional Care
<> TN
Transitional Nursery Care
<> UC
Urgent Care
