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

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.

V2-0468.json

Raw JSON (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment Adjustment Code)

{
  "resourceType": "ValueSet",
  "id": "v2-0468",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
    ]
  },
  "text": {
    "status": "additional",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "url": "http://hl7.org/fhir/ValueSet/v2-0468",
  "version": "2.8.2",
  "name": "v2 Payment Adjustment Code",
  "status": "active",
  "experimental": true,
  "publisher": "HL7, Inc",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org"
        }
      ]
    }
  ],
  "description": "FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment Adjustment Code)",
  "codeSystem": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
        "valueUri": "urn:oid:2.16.840.1.133883.18.297"
      }
    ],
    "system": "http://hl7.org/fhir/v2/0468",
    "caseSensitive": false,
    "concept": [
      {
        "code": "1",
        "display": "No payment adjustment"
      },
      {
        "code": "2",
        "display": "Designated current drug or biological payment adjustment applies to APC (status indicator G)"
      },
      {
        "code": "3",
        "display": "Designated new device payment adjustment applies to APC (status indicator H)"
      },
      {
        "code": "4",
        "display": "Designated new drug or new biological payment adjustment applies to APC (status indicator J)"
      },
      {
        "code": "5",
        "display": "Deductible not applicable (specific list of HCPCS codes)"
      }
    ]
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.