HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: reimbursementType - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "v2-0470",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>Status of the concept</td><td>code</td></tr><tr><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>Version of HL7 in which the code was deprecated</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v2-0470 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\">OPPS<a name=\"v2-0470-OPPS\"> </a></td><td>Outpatient Prospective Payment System</td><td>Outpatient Prospective Payment System</td></tr><tr><td style=\"white-space:nowrap\">Pckg<a name=\"v2-0470-Pckg\"> </a></td><td>Packaged APC</td><td>Packaged APC</td></tr><tr><td style=\"white-space:nowrap\">Lab<a name=\"v2-0470-Lab\"> </a></td><td>Clinical Laboratory APC</td><td>Clinical Laboratory APC</td></tr><tr><td style=\"white-space:nowrap\">Thrpy<a name=\"v2-0470-Thrpy\"> </a></td><td>Therapy APC</td><td>Therapy APC</td></tr><tr><td style=\"white-space:nowrap\">DME<a name=\"v2-0470-DME\"> </a></td><td>Durable Medical Equipment</td><td>Durable Medical Equipment</td></tr><tr><td style=\"white-space:nowrap\">EPO<a name=\"v2-0470-EPO\"> </a></td><td>Epotein</td><td>Epotein</td></tr><tr><td style=\"white-space:nowrap\">Mamm<a name=\"v2-0470-Mamm\"> </a></td><td>Screening Mammography APC</td><td>Screening Mammography APC</td></tr><tr><td style=\"white-space:nowrap\">PartH<a name=\"v2-0470-PartH\"> </a></td><td>Partial Hospitalization APC</td><td>Partial Hospitalization APC</td></tr><tr><td style=\"white-space:nowrap\">Crnl<a name=\"v2-0470-Crnl\"> </a></td><td>Corneal Tissue APC</td><td>Corneal Tissue APC</td></tr><tr><td style=\"white-space:nowrap\">NoPay<a name=\"v2-0470-NoPay\"> </a></td><td>This APC is not paid</td><td>This APC is not paid</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/v2-0470",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.18.299"
    }
  ],
  "version" : "2.1.0",
  "name" : "ReimbursementType",
  "title" : "reimbursementType",
  "status" : "active",
  "experimental" : false,
  "date" : "2019-12-01",
  "publisher" : "HL7, Inc",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/"
        }
      ]
    }
  ],
  "description" : "Code system of concepts specifying the fee schedule reimbursement type applied to the line item.  Used in HL7 Version 2.x messaging in the GP2 segment.",
  "purpose" : "Underlying Master Code System for V2 table 0470 (Reimbursement Type Code)",
  "copyright" : "Copyright HL7. Licensed under creative commons public domain",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0470",
  "hierarchyMeaning" : "is-a",
  "compositional" : false,
  "versionNeeded" : false,
  "content" : "complete",
  "property" : [
    {
      "code" : "status",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#status",
      "description" : "Status of the concept",
      "type" : "code"
    },
    {
      "code" : "deprecated",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated",
      "description" : "Version of HL7 in which the code was deprecated",
      "type" : "code"
    }
  ],
  "concept" : [
    {
      "id" : "4859",
      "code" : "OPPS",
      "display" : "Outpatient Prospective Payment System",
      "definition" : "Outpatient Prospective Payment System",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4860",
      "code" : "Pckg",
      "display" : "Packaged APC",
      "definition" : "Packaged APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4861",
      "code" : "Lab",
      "display" : "Clinical Laboratory APC",
      "definition" : "Clinical Laboratory APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4862",
      "code" : "Thrpy",
      "display" : "Therapy APC",
      "definition" : "Therapy APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4863",
      "code" : "DME",
      "display" : "Durable Medical Equipment",
      "definition" : "Durable Medical Equipment",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4864",
      "code" : "EPO",
      "display" : "Epotein",
      "definition" : "Epotein",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4865",
      "code" : "Mamm",
      "display" : "Screening Mammography APC",
      "definition" : "Screening Mammography APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4866",
      "code" : "PartH",
      "display" : "Partial Hospitalization APC",
      "definition" : "Partial Hospitalization APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4867",
      "code" : "Crnl",
      "display" : "Corneal Tissue APC",
      "definition" : "Corneal Tissue APC",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "4868",
      "code" : "NoPay",
      "display" : "This APC is not paid",
      "definition" : "This APC is not paid",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    }
  ]
}