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

ValueSet: Benefit Category Codes

Official URL: http://terminology.hl7.org/ValueSet/ex-benefitcategory Version: 0.1.0
Standards status: Draft Maturity Level: 1 Responsible: Financial Management Computable Name: BenefitCategoryCodes
Other Identifiers: : urn:oid:2.16.840.1.113883.4.642.3.1174

Copyright/Legal: This is an example set.

This value set includes examples of Benefit Category codes.


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)



This value set contains 28 concepts

Expansion based on Benefit Category Codes v0.1.0 (CodeSystem)

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/ex-benefitcategory

1Medical CareMedical Care.
4Diagnostic XRayDiagnostic XRay.
5Diagnostic LabDiagnostic Lab.
14Renal SuppliesRenal Supplies excluding Dialysis.
23Diagnostic DentalDiagnostic Dental.
27Maxillofacial ProstheticsMaxillofacial Prosthetics.
28Adjunctive Dental ServicesAdjunctive Dental Services.
30Health Benefit Plan CoverageHealth Benefit Plan Coverage.
35Dental CareDental Care.
36Dental CrownsDental Crowns.
37Dental AccidentDental Accident.
49Hospital Room and BoardHospital Room and Board.
55Major MedicalMajor Medical.
56Medically Related TransportationMedically Related Transportation.
61In-vitro FertilizationIn-vitro Fertilization.
62MRI ScanMRI Scan.
63Donor ProceduresDonor Procedures such as organ harvest.
76Renal DialysisRenal dialysis.
F1Medical CoverageMedical Coverage.
F3Dental CoverageDental Coverage.
F4Hearing CoverageHearing Coverage.
F6Vision CoverageVision Coverage.

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
System 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


2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.