HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.4.0: 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: advancedBeneficiaryNotice

Official URL: http://terminology.hl7.org/CodeSystem/v2-0339 Version: 2.0.0
Active as of 2019-12-01 Responsible: Health Level Seven International Computable Name: AdvancedBeneficiaryNotice
Other Identifiers: id: Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.18.209

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

Code system of concepts specifying the status of the patient’s or the patient’s representative’s consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.

Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)

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

Properties

This code system defines the following properties for its concepts

CodeURITypeDescription
statushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statuscodeStatus of the concept
deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedcodeVersion of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0339 defines the following codes in a Is-A heirarchy:

CodeDisplayDefinitionDeutsch (German, de)
1 Service is subject to medical necessity proceduresService is subject to medical necessity proceduresZuzahlung muss abgeklärt werden
2 Patient has been informed of responsibility, and agrees to pay for servicePatient has been informed of responsibility, and agrees to pay for service
3 Patient has been informed of responsibility, and asks that the payer be billedPatient has been informed of responsibility, and asks that the payer be billedPatient fragt nach Rechnung
4 Advanced Beneficiary Notice has not been signedAdvanced Beneficiary Notice has not been signedZustimmung zur Zuzahlung liegt nicht vor

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.