HL7 Terminology (THO)
5.0.0 - Publication World

This page is part of the HL7 Terminology (v5.0.0: Release) based on FHIR R4. This is the current published version. 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: 0.1.0
Standards status: Trial-use Maturity Level: 2 Responsible: Financial Management Computable Name: CoverageCopayTypeCodes
Other Identifiers: : urn:oid:2.16.840.1.113883.4.642.1.1149

Copyright/Legal: This is an example set.

This value set includes sample Coverage Copayment Type codes.

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

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

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

History

DateActionAuthorCustodianComment
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.