HL7 Terminology (THO)
6.0.1 - Publication International flag

This page is part of the HL7 Terminology (v6.0.1: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. 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

CodeSystem: X12 Claim Adjustment Reason Codes

Official URL: https://x12.org/codes/claim-adjustment-reason-codes Version: 1.0.0
Active as of 2022-05-26 Responsible: X12 Computable Name: X12ClaimAdjustmentReasonCodes

Copyright/Legal: All X12 products are subject to this IP policy, including published and draft works.

X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.

Additional IP information can be found here

Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.

Additional information on X12 licensing program can be found here

To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com.

“X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally. X12’s diverse membership includes technologists and business process experts in health care, insurance, transportation, finance, government, supply chain and other industries.”

The X12 Claim Adjustment Reason Codes describe why a claim or service line was paid differently than it was billed. These codes are listed within an X12 implementation guide (TR3) and maintained by X12.

External code lists maintained by X12 and external code lists maintained by others and distributed by WPC on behalf of the maintainer can be found here: here

Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either www.wpc-edi.com/reference or www.x12.org/codes

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Generated Narrative: CodeSystem X12ClaimAdjustmentReasonCodes

This case-sensitive code system https://x12.org/codes/claim-adjustment-reason-codes defines codes, but no codes are represented here


History

DateActionCustodianAuthorComment
2022-08-30createHTAJessica BotaAdd X12 Claim Adjustment Reason Codes per HTA; up-328
2022-08-02createHTAJessica BotaAdd X12 Claim Adjustment Reason Codes per HTA; up-328