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 2.1.0. For a full list of available versions, see the Directory of published versions

Benefit Category Codes - JSON Representation

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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."
    }
  ]
}