HCPCS Code - CCharge Code Item Description General Ledger Key Medicare Medicaid Charges Revenue Code Activity Date - 49683105 CT scan; head; w/out contrast 3 70450 70450 500.00 0351 1/1/2013 - 49683106 CT scan; head; with contrast 3 70460 70460 675.00 0351 1/1/2013- This information is printed on the UB-04 claim form to represent the cost center (e.g. - lab - radiology - cardiology - respiratory - etc.) for the department in which the item is provided. It is used for Medicare billing.