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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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="us-claim-information-category"/>
  <meta>
    <lastUpdated value="2026-06-12T00:00:00+00:00"/>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url
       value="http://terminology.hl7.org/CodeSystem/us-claim-information-category"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.5.182"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="USClaimInformationCategoryCodes"/>
  <title value="US Claim Information Category Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-07-27T10:03:46+10:00"/>
  <publisher value="Health Level Seven International"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hq@HL7.org"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="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 value="true"/>
  <valueSet
            value="http://terminology.hl7.org/ValueSet/us-claim-information-category"/>
  <content value="complete"/>
  <concept>
    <code value="place-of-service"/>
    <display value="Place of Service"/>
    <definition
                value="Place of service codes placed on health care claims to indicate the setting in which a service was provided."/>
  </concept>
  <concept>
    <code value="type-of-bill"/>
    <display value="Type of Bill"/>
    <definition value="Categorization of the type of bill."/>
  </concept>
  <concept>
    <code value="service-facility"/>
    <display value="Service Facility"/>
    <definition value="The facility where the service occurred."/>
  </concept>
  <concept>
    <code value="drg"/>
    <display value="DRG"/>
    <definition
                value="Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping."/>
  </concept>
  <concept>
    <code value="point-of-origin"/>
    <display value="Point of Origin"/>
    <definition
                value="Institutional claim Point of origin for the patient's admission or visit."/>
  </concept>
  <concept>
    <code value="adm-type"/>
    <display value="Admission Type"/>
    <definition value="Institutional Type of admission."/>
  </concept>
  <concept>
    <code value="claim-frequency"/>
    <display value="Claim Frequency"/>
    <definition
                value="Indicates the billing frequency or submission type of the claim, such as original, replacement, or void."/>
  </concept>
  <concept>
    <code value="discharge-status"/>
    <display value="Discharge Status"/>
    <definition
                value="Indicates the patient's status as of the discharge date for a facility stay."/>
  </concept>
</CodeSystem>