HL7 Terminology (THO)
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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

ValueSet: Benefit Category Codes

Official URL: http://terminology.hl7.org/ValueSet/ex-benefitcategory Version: 1.0.0
Draft as of 2020-02-24 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: BenefitCategoryCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.3.1174

Copyright/Legal: 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

This value set includes examples of Benefit Category codes.

References

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)

 

Expansion

Expansion based on codesystem Benefit Category Codes v1.0.0 (CodeSystem)

This value set contains 28 concepts.

CodeSystemDisplayDefinition
  1http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMedical Care

Medical Care.

  2http://terminology.hl7.org/CodeSystem/ex-benefitcategorySurgical

Surgical.

  3http://terminology.hl7.org/CodeSystem/ex-benefitcategoryConsultation

Consultation.

  4http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDiagnostic XRay

Diagnostic XRay.

  5http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDiagnostic Lab

Diagnostic Lab.

  14http://terminology.hl7.org/CodeSystem/ex-benefitcategoryRenal Supplies

Renal Supplies excluding Dialysis.

  23http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDiagnostic Dental

Diagnostic Dental.

  24http://terminology.hl7.org/CodeSystem/ex-benefitcategoryPeriodontics

Periodontics.

  25http://terminology.hl7.org/CodeSystem/ex-benefitcategoryRestorative

Restorative.

  26http://terminology.hl7.org/CodeSystem/ex-benefitcategoryEndodontics

Endodontics.

  27http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMaxillofacial Prosthetics

Maxillofacial Prosthetics.

  28http://terminology.hl7.org/CodeSystem/ex-benefitcategoryAdjunctive Dental Services

Adjunctive Dental Services.

  30http://terminology.hl7.org/CodeSystem/ex-benefitcategoryHealth Benefit Plan Coverage

Health Benefit Plan Coverage.

  35http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDental Care

Dental Care.

  36http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDental Crowns

Dental Crowns.

  37http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDental Accident

Dental Accident.

  49http://terminology.hl7.org/CodeSystem/ex-benefitcategoryHospital Room and Board

Hospital Room and Board.

  55http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMajor Medical

Major Medical.

  56http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMedically Related Transportation

Medically Related Transportation.

  61http://terminology.hl7.org/CodeSystem/ex-benefitcategoryIn-vitro Fertilization

In-vitro Fertilization.

  62http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMRI Scan

MRI Scan.

  63http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDonor Procedures

Donor Procedures such as organ harvest.

  69http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMaternity

Maternity.

  76http://terminology.hl7.org/CodeSystem/ex-benefitcategoryRenal Dialysis

Renal dialysis.

  F1http://terminology.hl7.org/CodeSystem/ex-benefitcategoryMedical Coverage

Medical Coverage.

  F3http://terminology.hl7.org/CodeSystem/ex-benefitcategoryDental Coverage

Dental Coverage.

  F4http://terminology.hl7.org/CodeSystem/ex-benefitcategoryHearing Coverage

Hearing Coverage.

  F6http://terminology.hl7.org/CodeSystem/ex-benefitcategoryVision Coverage

Vision Coverage.


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

History

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2020-10-14reviseVocabulary WGGrahame GrieveReset Version after migration to UTG
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.