GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

1.25.3.1.468 HL7 Version 2 Table 0468

This is a table defined as part of HL7 v2 . Related FHIR content: v2 Payment Adjustment Code.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/v2-0468
Name:v2 Payment Adjustment Code
Definition:FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment Adjustment Code)
OID:??
System URL:http://hl7.org/fhir/v2/0468
System OID:2.16.840.1.133883.18.297
Source ResourceXML / JSON

This value set is not currently used

1.25.3.1.468.1 Content Logical Definition

Payment Adjustment Code

CodeDescriptionCommentVersion
1 No payment adjustmentadded v2.4
2 Designated current drug or biological payment adjustment applies to APC (status indicator G)added v2.4
3 Designated new device payment adjustment applies to APC (status indicator H)added v2.4
4 Designated new drug or new biological payment adjustment applies to APC (status indicator J)added v2.4
5 Deductible not applicable (specific list of HCPCS codes)added v2.4