HL7 Terminology (THO)
7.3.0 - Publication
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
| Official URL: http://terminology.hl7.org/ValueSet/us-claim-information-category | Version: 1.0.0 | ||||
| Active as of 2026-06-12 | Maturity Level: 1 | Responsible: Health Level Seven International |
Realm: |
Computable Name: USClaimInformationCategoryCodes | |
| Other Identifiers: OID:2.16.840.1.113883.11.21042 | |||||
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.html |
|||||
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.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Last updated: 2026-06-12 00:00:00+0000
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/us-claim-information-category version 📦1.0.0
Expansion performed internally based on codesystem US Claim Information Category Codes v1.0.0 (CodeSystem)
This value set contains 8 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/us-claim-information-category | place-of-service | Place of Service | Place of service codes placed on health care claims to indicate the setting in which a service was provided. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | type-of-bill | Type of Bill | Categorization of the type of bill. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | service-facility | Service Facility | The facility where the service occurred. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | drg | DRG | Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | point-of-origin | Point of Origin | Institutional claim Point of origin for the patient's admission or visit. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | adm-type | Admission Type | Institutional Type of admission. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | claim-frequency | Claim Frequency | Indicates the billing frequency or submission type of the claim, such as original, replacement, or void. | ||
http://terminology.hl7.org/CodeSystem/us-claim-information-category | discharge-status | Discharge Status | Indicates the patient's status as of the discharge date for a facility stay. |
Description of the above table(s).
History
| Date | Action | Author | Custodian | Comment |
| 2026-07-24 | create | Corey Spears | FM | Create a new US Realm CodeSystem: US Claim Information Category Codes and associated ValueSet including all codes from this CodeSystem; up-828 |