HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

HCFA Procedure Codes (HCPCS) - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "HCPCS",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><h2>HCFA Procedure Codes (HCPCS)</h2><div><p>The Healthcare Common Procedure Coding System (HCPCS) contains alpha-numeric codes used to identify those coding categories not included in the American Medical Association's CPT-4 codes (such as supplies)</p>\n<p>For example: E1093 - Wheelchair wide w/ foot rest</p>\n<p>Common Name - HCPCS</p>\n<p>Related Names, Versions, and Synonyms - Health Care Financing Administration Common Procedure Coding System</p>\n<p>Authoring/Maintenance Authority - US Health Care Financing Administration</p>\n<p>Coverage - Medical and Surgical Procedures, Supplies and Services</p>\n<p>License Fee(s) - Please review detailed description.</p>\n<p>Intended Use - Billing and claims processing for medical and surgical services and supplies</p>\n<p>Other Uses -</p>\n<p>Update Frequency - Generally, once a year.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state.  Normally is not populated unless the state is retired..</td><td>code</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>Indicates that the code is abstract - only intended to be used as a selector for other concepts</td><td>boolean</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/HCPCS defines many codes, of which the following are a subset:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>status</b></td><td><b>internalId</b></td><td><b>Not Selectable</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_VisionProductEntityType<a name=\"HCPCS-_VisionProductEntityType\"> </a></td><td>VisionProductEntityType</td><td>**Description:**Materials used for vision care.</td><td>retired</td><td>22027</td><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CanadianVisionProductRoleType<a name=\"HCPCS-_CanadianVisionProductRoleType\"> </a></td><td>CanadianVisionProductRoleType</td><td/><td>retired</td><td>22029</td><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CPT4<a name=\"HCPCS-_CPT4\"> </a></td><td>CPT4</td><td>**Description:**Physicians' Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).</td><td>retired</td><td>22028</td><td>true</td></tr></table></div>"
  },
  "url" : "http://terminology.hl7.org/CodeSystem/HCPCS",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.6.14"
    }
  ],
  "version" : "2.0.0",
  "name" : "HPC",
  "title" : "HCFA Procedure Codes (HCPCS)",
  "status" : "active",
  "date" : "2019-03-20T00:00:00-04:00",
  "description" : "The Healthcare Common Procedure Coding System (HCPCS) contains alpha-numeric codes used to identify those coding categories not included in the American Medical Association's CPT-4 codes (such as supplies)\r\n\r\nFor example: E1093 - Wheelchair wide w/ foot rest\r\n\r\nCommon Name - HCPCS\r\n\r\nRelated Names, Versions, and Synonyms - Health Care Financing Administration Common Procedure Coding System\r\n\r\nAuthoring/Maintenance Authority - US Health Care Financing Administration\r\n\r\nCoverage - Medical and Surgical Procedures, Supplies and Services\r\n\r\nLicense Fee(s) - Please review detailed description.\r\n\r\nIntended Use - Billing and claims processing for medical and surgical services and supplies\r\n\r\nOther Uses -\r\n\r\nUpdate Frequency - Generally, once a year.",
  "hierarchyMeaning" : "is-a",
  "content" : "fragment",
  "property" : [
    {
      "code" : "status",
      "uri" : "http://hl7.org/fhir/concept-properties#status",
      "description" : "Designation of a concept's state.  Normally is not populated unless the state is retired..",
      "type" : "code"
    },
    {
      "code" : "internalId",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
      "description" : "The internal identifier for the concept in the HL7 Access database repository.",
      "type" : "code"
    },
    {
      "code" : "notSelectable",
      "uri" : "http://hl7.org/fhir/concept-properties#notSelectable",
      "description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts",
      "type" : "boolean"
    }
  ],
  "concept" : [
    {
      "code" : "_VisionProductEntityType",
      "display" : "VisionProductEntityType",
      "definition" : "**Description:**Materials used for vision care.",
      "property" : [
        {
          "code" : "notSelectable",
          "valueBoolean" : true
        },
        {
          "code" : "status",
          "valueCode" : "retired"
        },
        {
          "code" : "internalId",
          "valueCode" : "22027"
        }
      ],
      "concept" : [
        {
          "code" : "_CanadianVisionProductRoleType",
          "display" : "CanadianVisionProductRoleType",
          "property" : [
            {
              "code" : "notSelectable",
              "valueBoolean" : true
            },
            {
              "code" : "status",
              "valueCode" : "retired"
            },
            {
              "code" : "internalId",
              "valueCode" : "22029"
            }
          ]
        },
        {
          "code" : "_CPT4",
          "display" : "CPT4",
          "definition" : "**Description:**Physicians' Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).",
          "property" : [
            {
              "code" : "notSelectable",
              "valueBoolean" : true
            },
            {
              "code" : "status",
              "valueCode" : "retired"
            },
            {
              "code" : "internalId",
              "valueCode" : "22028"
            }
          ]
        }
      ]
    }
  ]
}