HL7 Terminology (THO)
5.1.0 - Publication International flag

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

: paymentAdjustmentInformation - XML Representation

Active as of 2019-12-01

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0468"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Properties</b></p><p><b>This code system  defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>status</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>code</td><td>Status of the concept</td></tr><tr><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>code</td><td>Version of HL7 in which the code was deprecated</td></tr></table><p><b>Concepts</b></p><p>This code system <code>http://terminology.hl7.org/CodeSystem/v2-0468</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">1<a name="v2-0468-1"> </a></td><td>No payment adjustment</td><td>No payment adjustment</td></tr><tr><td style="white-space:nowrap">2<a name="v2-0468-2"> </a></td><td>Designated current drug or biological payment adjustment applies to APC (status indicator G)</td><td>Designated current drug or biological payment adjustment applies to APC (status indicator G)</td></tr><tr><td style="white-space:nowrap">3<a name="v2-0468-3"> </a></td><td>Designated new device payment adjustment applies to APC (status indicator H)</td><td>Designated new device payment adjustment applies to APC (status indicator H)</td></tr><tr><td style="white-space:nowrap">4<a name="v2-0468-4"> </a></td><td>Designated new drug or new biological payment adjustment applies to APC (status indicator J)</td><td>Designated new drug or new biological payment adjustment applies to APC (status indicator J)</td></tr><tr><td style="white-space:nowrap">5<a name="v2-0468-5"> </a></td><td>Deductible not applicable (specific list of HCPCS codes)</td><td>Deductible not applicable (specific list of HCPCS codes)</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/v2-0468"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.18.297"/>
  </identifier>
  <version value="2.1.0"/>
  <name value="PaymentAdjustmentInformation"/>
  <title value="paymentAdjustmentInformation"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2019-12-01"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/"/>
    </telecom>
  </contact>
  <description
               value="Code system of concepts specifying any payment adjustment due to drugs or medical devices.  Used in HL7 Version 2.x messaging in the GP2 segment."/>
  <purpose
           value="Underlying Master Code System for V2 table 0468 (Payment Adjustment Code)"/>
  <copyright
             value="Copyright HL7. Licensed under creative commons public domain"/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/v2-0468"/>
  <hierarchyMeaning value="is-a"/>
  <compositional value="false"/>
  <versionNeeded value="false"/>
  <content value="complete"/>
  <property>
    <code value="status"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#status"/>
    <description value="Status of the concept"/>
    <type value="code"/>
  </property>
  <property>
    <code value="deprecated"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated"/>
    <description value="Version of HL7 in which the code was deprecated"/>
    <type value="code"/>
  </property>
  <concept id="4851">
    <code value="1"/>
    <display value="No payment adjustment"/>
    <definition value="No payment adjustment"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="4852">
    <code value="2"/>
    <display
             value="Designated current drug or biological payment adjustment applies to APC (status indicator G)"/>
    <definition
                value="Designated current drug or biological payment adjustment applies to APC (status indicator G)"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="4853">
    <code value="3"/>
    <display
             value="Designated new device payment adjustment applies to APC (status indicator H)"/>
    <definition
                value="Designated new device payment adjustment applies to APC (status indicator H)"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="4854">
    <code value="4"/>
    <display
             value="Designated new drug or new biological payment adjustment applies to APC (status indicator J)"/>
    <definition
                value="Designated new drug or new biological payment adjustment applies to APC (status indicator J)"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="4855">
    <code value="5"/>
    <display
             value="Deductible not applicable (specific list of HCPCS codes)"/>
    <definition
                value="Deductible not applicable (specific list of HCPCS codes)"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
</CodeSystem>