HL7 Terminology (THO)
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: Benefit Category Codes - JSON Representation

Draft as of 2024-03-09 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\"><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"ex-benefitcategory-1\"> </a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"ex-benefitcategory-2\"> </a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"ex-benefitcategory-3\"> </a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"ex-benefitcategory-4\"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"ex-benefitcategory-5\"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"ex-benefitcategory-14\"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"ex-benefitcategory-23\"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"ex-benefitcategory-24\"> </a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"ex-benefitcategory-25\"> </a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"ex-benefitcategory-26\"> </a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"ex-benefitcategory-27\"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"ex-benefitcategory-28\"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"ex-benefitcategory-30\"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"ex-benefitcategory-35\"> </a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"ex-benefitcategory-36\"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"ex-benefitcategory-37\"> </a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"ex-benefitcategory-49\"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"ex-benefitcategory-55\"> </a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"ex-benefitcategory-56\"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td style=\"white-space:nowrap\">61<a name=\"ex-benefitcategory-61\"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"ex-benefitcategory-62\"> </a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"ex-benefitcategory-63\"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td style=\"white-space:nowrap\">69<a name=\"ex-benefitcategory-69\"> </a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"ex-benefitcategory-76\"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td style=\"white-space:nowrap\">F1<a name=\"ex-benefitcategory-F1\"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F3<a name=\"ex-benefitcategory-F3\"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F4<a name=\"ex-benefitcategory-F4\"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F6<a name=\"ex-benefitcategory-F6\"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</td></tr></table></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" : "1.0.0",
  "name" : "BenefitCategoryCodes",
  "title" : "Benefit Category Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-03-09T11:11:30-07:00",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "description" : "This value set includes examples of Benefit Category codes.",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "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."
    }
  ]
}