HL7 Terminology (THO)
5.5.0 - Publication
HL7 Terminology (THO)
5.5.0 - Publication
This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Draft as of 2024-03-09 | Maturity Level: 1 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="ex-benefitcategory"/>
<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 case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</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="ex-benefitcategory-1"> </a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td style="white-space:nowrap">2<a name="ex-benefitcategory-2"> </a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td style="white-space:nowrap">3<a name="ex-benefitcategory-3"> </a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td style="white-space:nowrap">4<a name="ex-benefitcategory-4"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td style="white-space:nowrap">5<a name="ex-benefitcategory-5"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td style="white-space:nowrap">14<a name="ex-benefitcategory-14"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td style="white-space:nowrap">23<a name="ex-benefitcategory-23"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td style="white-space:nowrap">24<a name="ex-benefitcategory-24"> </a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td style="white-space:nowrap">25<a name="ex-benefitcategory-25"> </a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td style="white-space:nowrap">26<a name="ex-benefitcategory-26"> </a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td style="white-space:nowrap">27<a name="ex-benefitcategory-27"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td style="white-space:nowrap">28<a name="ex-benefitcategory-28"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td style="white-space:nowrap">30<a name="ex-benefitcategory-30"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td style="white-space:nowrap">35<a name="ex-benefitcategory-35"> </a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td style="white-space:nowrap">36<a name="ex-benefitcategory-36"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td style="white-space:nowrap">37<a name="ex-benefitcategory-37"> </a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td style="white-space:nowrap">49<a name="ex-benefitcategory-49"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td style="white-space:nowrap">55<a name="ex-benefitcategory-55"> </a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td style="white-space:nowrap">56<a name="ex-benefitcategory-56"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td style="white-space:nowrap">61<a name="ex-benefitcategory-61"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td style="white-space:nowrap">62<a name="ex-benefitcategory-62"> </a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td style="white-space:nowrap">63<a name="ex-benefitcategory-63"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td style="white-space:nowrap">69<a name="ex-benefitcategory-69"> </a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td style="white-space:nowrap">76<a name="ex-benefitcategory-76"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td style="white-space:nowrap">F1<a name="ex-benefitcategory-F1"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td style="white-space:nowrap">F3<a name="ex-benefitcategory-F3"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td style="white-space:nowrap">F4<a name="ex-benefitcategory-F4"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td style="white-space:nowrap">F6<a name="ex-benefitcategory-F6"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</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="1"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.1.1175"/>
</identifier>
<version value="1.0.0"/>
<name value="BenefitCategoryCodes"/>
<title value="Benefit Category Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2024-03-09T11:11:30-07:00"/>
<publisher value="Health Level Seven International"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hq@HL7.org"/>
</telecom>
</contact>
<description
value="This value set includes examples of Benefit Category codes."/>
<copyright
value="This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
<caseSensitive value="true"/>
<valueSet value="http://terminology.hl7.org/ValueSet/ex-benefitcategory"/>
<content value="complete"/>
<concept>
<code value="1"/>
<display value="Medical Care"/>
<definition value="Medical Care."/>
</concept>
<concept>
<code value="2"/>
<display value="Surgical"/>
<definition value="Surgical."/>
</concept>
<concept>
<code value="3"/>
<display value="Consultation"/>
<definition value="Consultation."/>
</concept>
<concept>
<code value="4"/>
<display value="Diagnostic XRay"/>
<definition value="Diagnostic XRay."/>
</concept>
<concept>
<code value="5"/>
<display value="Diagnostic Lab"/>
<definition value="Diagnostic Lab."/>
</concept>
<concept>
<code value="14"/>
<display value="Renal Supplies"/>
<definition value="Renal Supplies excluding Dialysis."/>
</concept>
<concept>
<code value="23"/>
<display value="Diagnostic Dental"/>
<definition value="Diagnostic Dental."/>
</concept>
<concept>
<code value="24"/>
<display value="Periodontics"/>
<definition value="Periodontics."/>
</concept>
<concept>
<code value="25"/>
<display value="Restorative"/>
<definition value="Restorative."/>
</concept>
<concept>
<code value="26"/>
<display value="Endodontics"/>
<definition value="Endodontics."/>
</concept>
<concept>
<code value="27"/>
<display value="Maxillofacial Prosthetics"/>
<definition value="Maxillofacial Prosthetics."/>
</concept>
<concept>
<code value="28"/>
<display value="Adjunctive Dental Services"/>
<definition value="Adjunctive Dental Services."/>
</concept>
<concept>
<code value="30"/>
<display value="Health Benefit Plan Coverage"/>
<definition value="Health Benefit Plan Coverage."/>
</concept>
<concept>
<code value="35"/>
<display value="Dental Care"/>
<definition value="Dental Care."/>
</concept>
<concept>
<code value="36"/>
<display value="Dental Crowns"/>
<definition value="Dental Crowns."/>
</concept>
<concept>
<code value="37"/>
<display value="Dental Accident"/>
<definition value="Dental Accident."/>
</concept>
<concept>
<code value="49"/>
<display value="Hospital Room and Board"/>
<definition value="Hospital Room and Board."/>
</concept>
<concept>
<code value="55"/>
<display value="Major Medical"/>
<definition value="Major Medical."/>
</concept>
<concept>
<code value="56"/>
<display value="Medically Related Transportation"/>
<definition value="Medically Related Transportation."/>
</concept>
<concept>
<code value="61"/>
<display value="In-vitro Fertilization"/>
<definition value="In-vitro Fertilization."/>
</concept>
<concept>
<code value="62"/>
<display value="MRI Scan"/>
<definition value="MRI Scan."/>
</concept>
<concept>
<code value="63"/>
<display value="Donor Procedures"/>
<definition value="Donor Procedures such as organ harvest."/>
</concept>
<concept>
<code value="69"/>
<display value="Maternity"/>
<definition value="Maternity."/>
</concept>
<concept>
<code value="76"/>
<display value="Renal Dialysis"/>
<definition value="Renal dialysis."/>
</concept>
<concept>
<code value="F1"/>
<display value="Medical Coverage"/>
<definition value="Medical Coverage."/>
</concept>
<concept>
<code value="F3"/>
<display value="Dental Coverage"/>
<definition value="Dental Coverage."/>
</concept>
<concept>
<code value="F4"/>
<display value="Hearing Coverage"/>
<definition value="Hearing Coverage."/>
</concept>
<concept>
<code value="F6"/>
<display value="Vision Coverage"/>
<definition value="Vision Coverage."/>
</concept>
</CodeSystem>
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#5.5.0 based on FHIR 4.0.1. Generated 2024-03-09
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