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. For a full list of available versions, see the Directory of published versions

CodeSystem: Benefit Category Codes

Official URL: http://terminology.hl7.org/CodeSystem/ex-benefitcategory Version: 1.0.0
Draft as of 2024-03-09 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: BenefitCategoryCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.1.1175

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 examples of Benefit Category codes.

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

This case-sensitive code system http://terminology.hl7.org/CodeSystem/ex-benefitcategory defines the following codes:

CodeDisplayDefinition
1 Medical CareMedical Care.
2 SurgicalSurgical.
3 ConsultationConsultation.
4 Diagnostic XRayDiagnostic XRay.
5 Diagnostic LabDiagnostic Lab.
14 Renal SuppliesRenal Supplies excluding Dialysis.
23 Diagnostic DentalDiagnostic Dental.
24 PeriodonticsPeriodontics.
25 RestorativeRestorative.
26 EndodonticsEndodontics.
27 Maxillofacial ProstheticsMaxillofacial Prosthetics.
28 Adjunctive Dental ServicesAdjunctive Dental Services.
30 Health Benefit Plan CoverageHealth Benefit Plan Coverage.
35 Dental CareDental Care.
36 Dental CrownsDental Crowns.
37 Dental AccidentDental Accident.
49 Hospital Room and BoardHospital Room and Board.
55 Major MedicalMajor Medical.
56 Medically Related TransportationMedically Related Transportation.
61 In-vitro FertilizationIn-vitro Fertilization.
62 MRI ScanMRI Scan.
63 Donor ProceduresDonor Procedures such as organ harvest.
69 MaternityMaternity.
76 Renal DialysisRenal dialysis.
F1 Medical CoverageMedical Coverage.
F3 Dental CoverageDental Coverage.
F4 Hearing CoverageHearing Coverage.
F6 Vision CoverageVision Coverage.

History

DateActionAuthorCustodianComment
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.