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
Active as of 2019-12-01 |
<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 case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/v2-0468</code> defines the following codes in a Is-A heirarchy:</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="2.0.0"/>
<name value="PaymentAdjustmentInformation"/>
<title value="paymentAdjustmentInformation"/>
<status value="active"/>
<experimental value="false"/>
<date value="2019-12-01"/>
<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="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="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/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>