HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

advancedBeneficiaryNotice

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/v2-0339
Version:2.1.0
Name:AdvancedBeneficiaryNotice
Title:advancedBeneficiaryNotice
Status:Active
Content:All the concepts defined by the code system are included in the code system resource
Definition:

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.

Publisher:HL7, Inc
Committee:Orders and Observations
OID:2.16.840.1.113883.18.209 (for OID based terminology systems)
Content Mode:Complete
Value Set:http://terminology.hl7.org/ValueSet/v2-0339 ( is the value set for all codes in this code system)
Copyright:

Copyright HL7. Licensed under creative commons public domain

Source Resource:XML / JSON / Turtle

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

advancedBeneficiaryNotice

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.

Copyright Statement: Copyright HL7. Licensed under creative commons public domain

Properties

CodeURLDescriptionType
statushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statusStatus of the conceptcode
deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedVersion of HL7 in which the code was deprecatedcode

This code system http://terminology.hl7.org/CodeSystem/v2-0339 defines the following codes:

CodeDisplayDefinitionV2 Table Status
1 Service is subject to medical necessity proceduresService is subject to medical necessity proceduresA
2 Patient has been informed of responsibility, and agrees to pay for servicePatient has been informed of responsibility, and agrees to pay for serviceA
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 billedA
4 Advanced Beneficiary Notice has not been signedAdvanced Beneficiary Notice has not been signedA

Additional Language Displays

CodeDeutsch (German, de)
1Zuzahlung muss abgeklärt werden
2
3Patient fragt nach Rechnung
4Zustimmung zur Zuzahlung liegt nicht vor

History

DateActionCustodianAuthorComment
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.