HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v6.0.2: 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: Coverage Copay Type Codes

Official URL: http://terminology.hl7.org/CodeSystem/coverage-copay-type Version: 1.0.1
Active as of 2024-07-21 Maturity Level: 2 Responsible: Health Level Seven International Computable Name: CoverageCopayTypeCodes
Other Identifiers: OID:2.16.840.1.113883.4.642.1.1149

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 sample Coverage Copayment Type codes.

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

Generated Narrative: CodeSystem coverage-copay-type

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:

gpvisit GP Office Visit An office visit for a general practitioner of a discipline.
spvisit Specialist Office Visit An office visit for a specialist practitioner of a discipline
emergency Emergency An episode in an emergency department.
inpthosp Inpatient Hospital An episode of an Inpatient hospital stay.
televisit Tele-visit A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcare Urgent Care A visit to an urgent care facility - typically a community care clinic.
copaypct Copay Percentage A standard percentage applied to all classes or service or product not otherwise specified.
copay Copay Amount A standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductible Deductible The accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocket Maximum out of pocket The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.


2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.