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: hl7VS-reimbursementTypeCode

Official URL: http://terminology.hl7.org/ValueSet/v2-0470 Version: 2.0.0
Active as of 2019-12-01 Responsible: Health Level Seven International Computable Name: Hl7VSReimbursementTypeCode
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.21.315

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

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)



Expansion based on codesystem reimbursementType v2.0.0 (CodeSystem)

This value set contains 10 concepts.

  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


2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.