HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v7.0.1: 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

ValueSet: Benefit Category Codes

Official URL: http://terminology.hl7.org/ValueSet/ex-benefitcategory Version: 1.0.1
Active as of 2024-04-24 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: BenefitCategoryCodes
Other Identifiers: 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.html

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)

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

Profile: Shareable ValueSet

 

Expansion

Expansion performed internally based on codesystem Benefit Category Codes v1.0.1 (CodeSystem)

This value set contains 28 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  1Medical CareMedical Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  2SurgicalSurgical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  3ConsultationConsultation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  4Diagnostic XRayDiagnostic XRay.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  5Diagnostic LabDiagnostic Lab.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  14Renal SuppliesRenal Supplies excluding Dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  23Diagnostic DentalDiagnostic Dental.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  24PeriodonticsPeriodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  25RestorativeRestorative.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  26EndodonticsEndodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  27Maxillofacial ProstheticsMaxillofacial Prosthetics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  28Adjunctive Dental ServicesAdjunctive Dental Services.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  30Health Benefit Plan CoverageHealth Benefit Plan Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  35Dental CareDental Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  36Dental CrownsDental Crowns.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  37Dental AccidentDental Accident.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  49Hospital Room and BoardHospital Room and Board.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  55Major MedicalMajor Medical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  56Medically Related TransportationMedically Related Transportation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  61In-vitro FertilizationIn-vitro Fertilization.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  62MRI ScanMRI Scan.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  63Donor ProceduresDonor Procedures such as organ harvest.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  69MaternityMaternity.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  76Renal DialysisRenal dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F1Medical CoverageMedical Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F3Dental CoverageDental Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F4Hearing CoverageHearing Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F6Vision CoverageVision 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.