This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.0. For a full list of available versions, see the Directory of published versions
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{
"resourceType" : "CodeSystem",
"id" : "ex-benefitcategory",
"meta" : {
"lastUpdated" : "2020-04-09T17:10:28.568-04:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <h2>Benefit Category Codes</h2>\n \n <div>\n \n <p>This value set includes examples of Benefit Category codes.</p>\n\n \n </div>\n \n <p>\n \n <b>Copyright Statement:</b> This is an example set.\n \n </p>\n \n <p>This code system http://terminology.hl7.org/CodeSystem/ex-benefitcategory defines the following codes:</p>\n \n <table class=\"codes\">\n \n <tr>\n \n <td style=\"white-space:nowrap\">\n \n <b>Code</b>\n \n </td>\n \n <td>\n \n <b>Display</b>\n \n </td>\n \n <td>\n \n <b>Definition</b>\n \n </td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">1\n \n <a name=\"ex-benefitcategory-1\"> </a>\n \n </td>\n \n <td>Medical Care</td>\n \n <td>Medical Care.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">2\n \n <a name=\"ex-benefitcategory-2\"> </a>\n \n </td>\n \n <td>Surgical</td>\n \n <td>Surgical.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">3\n \n <a name=\"ex-benefitcategory-3\"> </a>\n \n </td>\n \n <td>Consultation</td>\n \n <td>Consultation.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">4\n \n <a name=\"ex-benefitcategory-4\"> </a>\n \n </td>\n \n <td>Diagnostic XRay</td>\n \n <td>Diagnostic XRay.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">5\n \n <a name=\"ex-benefitcategory-5\"> </a>\n \n </td>\n \n <td>Diagnostic Lab</td>\n \n <td>Diagnostic Lab.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">14\n \n <a name=\"ex-benefitcategory-14\"> </a>\n \n </td>\n \n <td>Renal Supplies</td>\n \n <td>Renal Supplies excluding Dialysis.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">23\n \n <a name=\"ex-benefitcategory-23\"> </a>\n \n </td>\n \n <td>Diagnostic Dental</td>\n \n <td>Diagnostic Dental.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">24\n \n <a name=\"ex-benefitcategory-24\"> </a>\n \n </td>\n \n <td>Periodontics</td>\n \n <td>Periodontics.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">25\n \n <a name=\"ex-benefitcategory-25\"> </a>\n \n </td>\n \n <td>Restorative</td>\n \n <td>Restorative.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">26\n \n <a name=\"ex-benefitcategory-26\"> </a>\n \n </td>\n \n <td>Endodontics</td>\n \n <td>Endodontics.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">27\n \n <a name=\"ex-benefitcategory-27\"> </a>\n \n </td>\n \n <td>Maxillofacial Prosthetics</td>\n \n <td>Maxillofacial Prosthetics.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">28\n \n <a name=\"ex-benefitcategory-28\"> </a>\n \n </td>\n \n <td>Adjunctive Dental Services</td>\n \n <td>Adjunctive Dental Services.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">30\n \n <a name=\"ex-benefitcategory-30\"> </a>\n \n </td>\n \n <td>Health Benefit Plan Coverage</td>\n \n <td>Health Benefit Plan Coverage.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">35\n \n <a name=\"ex-benefitcategory-35\"> </a>\n \n </td>\n \n <td>Dental Care</td>\n \n <td>Dental Care.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">36\n \n <a name=\"ex-benefitcategory-36\"> </a>\n \n </td>\n \n <td>Dental Crowns</td>\n \n <td>Dental Crowns.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">37\n \n <a name=\"ex-benefitcategory-37\"> </a>\n \n </td>\n \n <td>Dental Accident</td>\n \n <td>Dental Accident.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">49\n \n <a name=\"ex-benefitcategory-49\"> </a>\n \n </td>\n \n <td>Hospital Room and Board</td>\n \n <td>Hospital Room and Board.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">55\n \n <a name=\"ex-benefitcategory-55\"> </a>\n \n </td>\n \n <td>Major Medical</td>\n \n <td>Major Medical.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">56\n \n <a name=\"ex-benefitcategory-56\"> </a>\n \n </td>\n \n <td>Medically Related Transportation</td>\n \n <td>Medically Related Transportation.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">61\n \n <a name=\"ex-benefitcategory-61\"> </a>\n \n </td>\n \n <td>In-vitro Fertilization</td>\n \n <td>In-vitro Fertilization.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">62\n \n <a name=\"ex-benefitcategory-62\"> </a>\n \n </td>\n \n <td>MRI Scan</td>\n \n <td>MRI Scan.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">63\n \n <a name=\"ex-benefitcategory-63\"> </a>\n \n </td>\n \n <td>Donor Procedures</td>\n \n <td>Donor Procedures such as organ harvest.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">69\n \n <a name=\"ex-benefitcategory-69\"> </a>\n \n </td>\n \n <td>Maternity</td>\n \n <td>Maternity.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">76\n \n <a name=\"ex-benefitcategory-76\"> </a>\n \n </td>\n \n <td>Renal Dialysis</td>\n \n <td>Renal dialysis.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">F1\n \n <a name=\"ex-benefitcategory-F1\"> </a>\n \n </td>\n \n <td>Medical Coverage</td>\n \n <td>Medical Coverage.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">F3\n \n <a name=\"ex-benefitcategory-F3\"> </a>\n \n </td>\n \n <td>Dental Coverage</td>\n \n <td>Dental Coverage.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">F4\n \n <a name=\"ex-benefitcategory-F4\"> </a>\n \n </td>\n \n <td>Hearing Coverage</td>\n \n <td>Hearing Coverage.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">F6\n \n <a name=\"ex-benefitcategory-F6\"> </a>\n \n </td>\n \n <td>Vision Coverage</td>\n \n <td>Vision Coverage.</td>\n \n </tr>\n \n </table>\n \n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft"
},
{
"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" : "4.2.0",
"name" : "BenefitCategoryCodes",
"title" : "Benefit Category Codes",
"status" : "draft",
"experimental" : false,
"date" : "2020-05-09T12:49:00-04:00",
"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."
}
]
}