HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: 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

ValueSet: hl7VS-paymentAdjustmentCode

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v2-0468
Version:2.0.0
Name:Hl7VSPaymentAdjustmentCode
Title:hl7VS-paymentAdjustmentCode
Status:Active as of 2019-12-01
Definition:

Value Set of codes that specify any payment adjustment due to drugs or medical devices.

Publisher:HL7, Inc
Copyright:

Copyright HL7. Licensed under creative commons public domain

OID:2.16.840.1.113883.21.313 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

This value set contains 5 concepts

Expansion based on paymentAdjustmentInformation v2.1.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v2-0468

CodeDisplayDefinition
1No payment adjustmentNo payment adjustment
2Designated current drug or biological payment adjustment applies to APC (status indicator G)Designated current drug or biological payment adjustment applies to APC (status indicator G)
3Designated new device payment adjustment applies to APC (status indicator H)Designated new device payment adjustment applies to APC (status indicator H)
4Designated new drug or new biological payment adjustment applies to APC (status indicator J)Designated new drug or new biological payment adjustment applies to APC (status indicator J)
5Deductible not applicable (specific list of HCPCS codes)Deductible not applicable (specific list of HCPCS codes)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.