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

ValueSet: hl7VS-reimbursementTypeCode

Official URL: http://terminology.hl7.org/ValueSet/v2-0470 Version: 2.0.0
Active as of 2019-12-01 Responsible: HL7, Inc Computable Name: Hl7VSReimbursementTypeCode
Other Identifiers: id: urn:oid:2.16.840.1.113883.21.315

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

Value Set of codes that specify the fee schedule reimbursement type applied to a line item.


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 10 concepts

Expansion based on reimbursementType v2.1.0 (CodeSystem)

  OPPShttp://terminology.hl7.org/CodeSystem/v2-0470Outpatient Prospective Payment System

Outpatient Prospective Payment System

  Pckghttp://terminology.hl7.org/CodeSystem/v2-0470Packaged APC

Packaged APC

  Labhttp://terminology.hl7.org/CodeSystem/v2-0470Clinical Laboratory APC

Clinical Laboratory APC

  Thrpyhttp://terminology.hl7.org/CodeSystem/v2-0470Therapy APC

Therapy APC

  DMEhttp://terminology.hl7.org/CodeSystem/v2-0470Durable Medical Equipment

Durable Medical Equipment



  Mammhttp://terminology.hl7.org/CodeSystem/v2-0470Screening Mammography APC

Screening Mammography APC

  PartHhttp://terminology.hl7.org/CodeSystem/v2-0470Partial Hospitalization APC

Partial Hospitalization APC

  Crnlhttp://terminology.hl7.org/CodeSystem/v2-0470Corneal Tissue APC

Corneal Tissue APC

  NoPayhttp://terminology.hl7.org/CodeSystem/v2-0470This APC is not paid

This APC is not paid

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


2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.