HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v7.3.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

: US Claim Information Category Codes

Active as of 2026-07-27 Maturity Level: 1

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{
  "resourceType" : "CodeSystem",
  "id" : "us-claim-information-category",
  "meta" : {
    "lastUpdated" : "2026-06-12T00:00:00+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem us-claim-information-category</b></p><a name=\"us-claim-information-category\"> </a><a name=\"hcus-claim-information-category\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2026-06-12 00:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/us-claim-information-category</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">place-of-service<a name=\"us-claim-information-category-place-of-service\"> </a></td><td>Place of Service</td><td>Place of service codes placed on health care claims to indicate the setting in which a service was provided.</td></tr><tr><td style=\"white-space:nowrap\">type-of-bill<a name=\"us-claim-information-category-type-of-bill\"> </a></td><td>Type of Bill</td><td>Categorization of the type of bill.</td></tr><tr><td style=\"white-space:nowrap\">service-facility<a name=\"us-claim-information-category-service-facility\"> </a></td><td>Service Facility</td><td>The facility where the service occurred.</td></tr><tr><td style=\"white-space:nowrap\">drg<a name=\"us-claim-information-category-drg\"> </a></td><td>DRG</td><td>Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.</td></tr><tr><td style=\"white-space:nowrap\">point-of-origin<a name=\"us-claim-information-category-point-of-origin\"> </a></td><td>Point of Origin</td><td>Institutional claim Point of origin for the patient's admission or visit.</td></tr><tr><td style=\"white-space:nowrap\">adm-type<a name=\"us-claim-information-category-adm-type\"> </a></td><td>Admission Type</td><td>Institutional Type of admission.</td></tr><tr><td style=\"white-space:nowrap\">claim-frequency<a name=\"us-claim-information-category-claim-frequency\"> </a></td><td>Claim Frequency</td><td>Indicates the billing frequency or submission type of the claim, such as original, replacement, or void.</td></tr><tr><td style=\"white-space:nowrap\">discharge-status<a name=\"us-claim-information-category-discharge-status\"> </a></td><td>Discharge Status</td><td>Indicates the patient's status as of the discharge date for a facility stay.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/us-claim-information-category",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.5.182"
    }
  ],
  "version" : "1.0.0",
  "name" : "USClaimInformationCategoryCodes",
  "title" : "US Claim Information Category Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-07-27T10:03:46+10:00",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "description" : "Categories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "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",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/us-claim-information-category",
  "content" : "complete",
  "concept" : [
    {
      "code" : "place-of-service",
      "display" : "Place of Service",
      "definition" : "Place of service codes placed on health care claims to indicate the setting in which a service was provided."
    },
    {
      "code" : "type-of-bill",
      "display" : "Type of Bill",
      "definition" : "Categorization of the type of bill."
    },
    {
      "code" : "service-facility",
      "display" : "Service Facility",
      "definition" : "The facility where the service occurred."
    },
    {
      "code" : "drg",
      "display" : "DRG",
      "definition" : "Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping."
    },
    {
      "code" : "point-of-origin",
      "display" : "Point of Origin",
      "definition" : "Institutional claim Point of origin for the patient's admission or visit."
    },
    {
      "code" : "adm-type",
      "display" : "Admission Type",
      "definition" : "Institutional Type of admission."
    },
    {
      "code" : "claim-frequency",
      "display" : "Claim Frequency",
      "definition" : "Indicates the billing frequency or submission type of the claim, such as original, replacement, or void."
    },
    {
      "code" : "discharge-status",
      "display" : "Discharge Status",
      "definition" : "Indicates the patient's status as of the discharge date for a facility stay."
    }
  ]
}