HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.3.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Benefit Category Codes - JSON Representation

Draft as of 2023-09-08 Maturity Level: 1

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{
  "resourceType" : "CodeSystem",
  "id" : "ex-benefitcategory",
  "meta" : {
    "lastUpdated" : "2020-04-09T21:10:28.568+00:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.1.1175"
    }
  ],
  "version" : "0.1.0",
  "name" : "BenefitCategoryCodes",
  "title" : "Benefit Category Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2023-09-08T17:52:31-06:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description" : "This value set includes examples of Benefit Category codes.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/ex-benefitcategory",
  "content" : "complete",
  "concept" : [
    {
      "code" : "1",
      "display" : "Medical Care",
      "definition" : "Medical Care."
    },
    {
      "code" : "2",
      "display" : "Surgical",
      "definition" : "Surgical."
    },
    {
      "code" : "3",
      "display" : "Consultation",
      "definition" : "Consultation."
    },
    {
      "code" : "4",
      "display" : "Diagnostic XRay",
      "definition" : "Diagnostic XRay."
    },
    {
      "code" : "5",
      "display" : "Diagnostic Lab",
      "definition" : "Diagnostic Lab."
    },
    {
      "code" : "14",
      "display" : "Renal Supplies",
      "definition" : "Renal Supplies excluding Dialysis."
    },
    {
      "code" : "23",
      "display" : "Diagnostic Dental",
      "definition" : "Diagnostic Dental."
    },
    {
      "code" : "24",
      "display" : "Periodontics",
      "definition" : "Periodontics."
    },
    {
      "code" : "25",
      "display" : "Restorative",
      "definition" : "Restorative."
    },
    {
      "code" : "26",
      "display" : "Endodontics",
      "definition" : "Endodontics."
    },
    {
      "code" : "27",
      "display" : "Maxillofacial Prosthetics",
      "definition" : "Maxillofacial Prosthetics."
    },
    {
      "code" : "28",
      "display" : "Adjunctive Dental Services",
      "definition" : "Adjunctive Dental Services."
    },
    {
      "code" : "30",
      "display" : "Health Benefit Plan Coverage",
      "definition" : "Health Benefit Plan Coverage."
    },
    {
      "code" : "35",
      "display" : "Dental Care",
      "definition" : "Dental Care."
    },
    {
      "code" : "36",
      "display" : "Dental Crowns",
      "definition" : "Dental Crowns."
    },
    {
      "code" : "37",
      "display" : "Dental Accident",
      "definition" : "Dental Accident."
    },
    {
      "code" : "49",
      "display" : "Hospital Room and Board",
      "definition" : "Hospital Room and Board."
    },
    {
      "code" : "55",
      "display" : "Major Medical",
      "definition" : "Major Medical."
    },
    {
      "code" : "56",
      "display" : "Medically Related Transportation",
      "definition" : "Medically Related Transportation."
    },
    {
      "code" : "61",
      "display" : "In-vitro Fertilization",
      "definition" : "In-vitro Fertilization."
    },
    {
      "code" : "62",
      "display" : "MRI Scan",
      "definition" : "MRI Scan."
    },
    {
      "code" : "63",
      "display" : "Donor Procedures",
      "definition" : "Donor Procedures such as organ harvest."
    },
    {
      "code" : "69",
      "display" : "Maternity",
      "definition" : "Maternity."
    },
    {
      "code" : "76",
      "display" : "Renal Dialysis",
      "definition" : "Renal dialysis."
    },
    {
      "code" : "F1",
      "display" : "Medical Coverage",
      "definition" : "Medical Coverage."
    },
    {
      "code" : "F3",
      "display" : "Dental Coverage",
      "definition" : "Dental Coverage."
    },
    {
      "code" : "F4",
      "display" : "Hearing Coverage",
      "definition" : "Hearing Coverage."
    },
    {
      "code" : "F6",
      "display" : "Vision Coverage",
      "definition" : "Vision Coverage."
    }
  ]
}