Applicable Revenue Codes

40.3 - Applicable Revenue Codes (Rev. 2044, Issued: 09-03-10, Effective: 09-30-10, Implementation: 09-30-10) The appropriate revenue codes for reporting outpatient rehabilitation services are 0420 - Physical Therapy Services 0430 - Occupational Therapy Services 0440 – Speech-language pathology services The general classification of revenue codes is all that is needed for billing. If, however, providers choose to use more specific revenue code classifications, the A/B MAC (A) should accept them. Reporting of services is not limited to specific revenue codes; e.g., services other than therapy may be included on the same claim. Many therapy services may be provided by both physical and occupational therapists. Other services may be delivered by either occupational therapists or speech-language pathologists. Therefore, providers report outpatient rehabilitation HCPCS codes in conjunction with the appropriate outpatient rehabilitation revenue code based on the type of therapist who delivered the service, or, if a therapist does not deliver the service, then on the type of therapy under the plan of care (POC) for which the service is delivered.