1365 Service Type Code

Code identifying the classification of service

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

<> AP

Routine Eye Exam

<> 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

<> CQ

Case Management

<> DG

Dermatology

<> DM

Durable Medical Equipment

<> DS

Diabetic Supplies

<> GF

Generic Prescription Drug - Formulary

<> GN

Generic Prescription Drug - Non-Formulary

<> GY

Allergy

<> IC

Intensive Care

<> MH

Mental Health

<> NI

Neonatal Intensive Care

<> ON

Oncology

<> PT

Physical Therapy

<> PU

Pulmonary

<> RN

Renal

<> RT

Residential Psychiatric Treatment

<> TC

Transitional Care

<> TN

Transitional Nursery Care

<> UC

Urgent Care