This page is part of the HL7 Terminology (v5.1.0: 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 
: Coverage Copay Type Codes - XML Representation
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<CodeSystem xmlns="http://hl7.org/fhir">
<id value="coverage-copay-type"/>
<meta>
<lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code> 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">gpvisit<a name="coverage-copay-type-gpvisit"> </a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td></tr><tr><td style="white-space:nowrap">spvisit<a name="coverage-copay-type-spvisit"> </a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td></tr><tr><td style="white-space:nowrap">emergency<a name="coverage-copay-type-emergency"> </a></td><td>Emergency</td><td>An episode in an emergency department.</td></tr><tr><td style="white-space:nowrap">inpthosp<a name="coverage-copay-type-inpthosp"> </a></td><td>Inpatient Hospital</td><td>An episode of an Inpatient hospital stay.</td></tr><tr><td style="white-space:nowrap">televisit<a name="coverage-copay-type-televisit"> </a></td><td>Tele-visit</td><td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td></tr><tr><td style="white-space:nowrap">urgentcare<a name="coverage-copay-type-urgentcare"> </a></td><td>Urgent Care</td><td>A visit to an urgent care facility - typically a community care clinic.</td></tr><tr><td style="white-space:nowrap">copaypct<a name="coverage-copay-type-copaypct"> </a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td></tr><tr><td style="white-space:nowrap">copay<a name="coverage-copay-type-copay"> </a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td></tr><tr><td style="white-space:nowrap">deductible<a name="coverage-copay-type-deductible"> </a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td></tr><tr><td style="white-space:nowrap">maxoutofpocket<a name="coverage-copay-type-maxoutofpocket"> </a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.1.1149"/>
</identifier>
<version value="0.1.0"/>
<name value="CoverageCopayTypeCodes"/>
<title value="Coverage Copay Type Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2023-02-25T11:07:30-07:00"/>
<publisher value="Financial Management"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/fhir"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/fhir"/>
</telecom>
</contact>
<description
value="This value set includes sample Coverage Copayment Type codes."/>
<copyright value="This is an example set."/>
<caseSensitive value="true"/>
<valueSet value="http://terminology.hl7.org/ValueSet/coverage-copay-type"/>
<content value="complete"/>
<concept>
<code value="gpvisit"/>
<display value="GP Office Visit"/>
<definition
value="An office visit for a general practitioner of a discipline."/>
</concept>
<concept>
<code value="spvisit"/>
<display value="Specialist Office Visit"/>
<definition
value="An office visit for a specialist practitioner of a discipline"/>
</concept>
<concept>
<code value="emergency"/>
<display value="Emergency"/>
<definition value="An episode in an emergency department."/>
</concept>
<concept>
<code value="inpthosp"/>
<display value="Inpatient Hospital"/>
<definition value="An episode of an Inpatient hospital stay."/>
</concept>
<concept>
<code value="televisit"/>
<display value="Tele-visit"/>
<definition
value="A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."/>
</concept>
<concept>
<code value="urgentcare"/>
<display value="Urgent Care"/>
<definition
value="A visit to an urgent care facility - typically a community care clinic."/>
</concept>
<concept>
<code value="copaypct"/>
<display value="Copay Percentage"/>
<definition
value="A standard percentage applied to all classes or service or product not otherwise specified."/>
</concept>
<concept>
<code value="copay"/>
<display value="Copay Amount"/>
<definition
value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."/>
</concept>
<concept>
<code value="deductible"/>
<display value="Deductible"/>
<definition
value="The accumulated amount of patient payment before the coverage begins to pay for services."/>
</concept>
<concept>
<code value="maxoutofpocket"/>
<display value="Maximum out of pocket"/>
<definition
value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."/>
</concept>
</CodeSystem>
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