HL7 Terminology (THO)
3.1.0 - Publication International flag

This page is part of the HL7 Terminology (v3.1.0: 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

CodeSystem: advancedBeneficiaryNotice

Official URL: http://terminology.hl7.org/CodeSystem/v2-0339 Version: 2.1.0
Active as of 2019-12-01 Responsible: HL7, Inc Computable Name: AdvancedBeneficiaryNotice
Other Identifiers: : urn:oid:2.16.840.1.113883.18.209

Copyright/Legal: Copyright HL7. Licensed under creative commons public domain

Code system of concepts specifying the status of the patient’s or the patient’s representative’s consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.

Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)

This Code system is referenced in the content logical definition of the following value sets:

Properties

CodeURLTypeDescription
statushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statuscodeStatus of the concept
deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedcodeVersion of HL7 in which the code was deprecated

This code system http://terminology.hl7.org/CodeSystem/v2-0339 defines the following codes:

CodeDisplayDefinition
1 Service is subject to medical necessity proceduresService is subject to medical necessity procedures
2 Patient has been informed of responsibility, and agrees to pay for servicePatient has been informed of responsibility, and agrees to pay for service
3 Patient has been informed of responsibility, and asks that the payer be billedPatient has been informed of responsibility, and asks that the payer be billed
4 Advanced Beneficiary Notice has not been signedAdvanced Beneficiary Notice has not been signed

Additional Language Displays

CodeDeutsch (German, de)
1Zuzahlung muss abgeklärt werden
2
3Patient fragt nach Rechnung
4Zustimmung zur Zuzahlung liegt nicht vor

History

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