| Code | Description | Nederlands (Dutch) | Comment | Version |
| ... | See NUBC codes | | | added v2.5.1 |
| 01 | Most common semi-private rate | Meest algemeen semi-privé | deprecated | added v2.3.1, removed after v2.4 |
| 02 | Hospital has no semi-private rooms | Ziekenhuis heeft geen semi-eigen kamers | deprecated | added v2.3.1, removed after v2.4 |
| 04 | Inpatient professional component charges which are combined billed | | deprecated | added v2.3.1, removed after v2.4 |
| 05 | Professional component included in charges and also billed separate to carrier | | deprecated | added v2.3.1, removed after v2.4 |
| 06 | Medicare blood deductible | | deprecated | added v2.3.1, removed after v2.4 |
| 08 | Medicare life time reserve amount in the first calendar year | | deprecated | added v2.3.1, removed after v2.4 |
| 09 | Medicare co-insurance amount in the first calendar year | | deprecated | added v2.3.1, removed after v2.4 |
| 10 | Lifetime reserve amount in the second calendar year | | deprecated | added v2.3.1, removed after v2.4 |
| 11 | Co-insurance amount in the second calendar year | | deprecated | added v2.3.1, removed after v2.4 |
| 12 | Working aged beneficiary/spouse with employer group health plan | | deprecated | added v2.3.1, removed after v2.4 |
| 13 | ESRD beneficiary in a Medicare coordination period with an employer group health plan | | deprecated | added v2.3.1, removed after v2.4 |
| 14 | No Fault including auto/other | | deprecated | added v2.3.1, removed after v2.4 |
| 15 | Worker's Compensation | Werknemer compensatie | deprecated | added v2.3.1, removed after v2.4 |
| 16 | PHS, or other federal agency | | deprecated | added v2.3.1, removed after v2.4 |
| 17 | Payer code | Betalercode | deprecated | added v2.3.1, removed after v2.4 |
| 21 | Catastrophic | Catastrofaal | deprecated | added v2.3.1, removed after v2.4 |
| 22 | Surplus | Surplus | deprecated | added v2.3.1, removed after v2.4 |
| 23 | Recurring monthly incode | Regelmatig maandelijks inkomen | deprecated | added v2.3.1, removed after v2.4 |
| 24 | Medicaid rate code | Medicaid tariefcode | deprecated | added v2.3.1, removed after v2.4 |
| 30 | Pre-admission testing | Vooropname testen | deprecated | added v2.3.1, removed after v2.4 |
| 31 | Patient liability amount | Patiënt aansprakelijkheid bedrag | deprecated | added v2.3.1, removed after v2.4 |
| 37 | Pints of blood furnished | | deprecated | added v2.3.1, removed after v2.4 |
| 38 | Blood deductible pints | | deprecated | added v2.3.1, removed after v2.4 |
| 39 | Pints of blood replaced | | deprecated | added v2.3.1, removed after v2.4 |
| 40 | New coverage not implemented by HMO (for inpatient service only) | | deprecated | added v2.3.1, removed after v2.4 |
| 41 | Black lung | Stoflong | deprecated | added v2.3.1, removed after v2.4 |
| 42 | VA | Amerikaanse Veterans Affairs | deprecated | added v2.3.1, removed after v2.4 |
| 43 | Disabled beneficiary under age 64 with LGHP | | deprecated | added v2.3.1, removed after v2.4 |
| 44 | Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due | | deprecated | added v2.3.1, removed after v2.4 |
| 45 | Accident hour | | deprecated | added v2.3.1, removed after v2.4 |
| 46 | Number of grace days | | deprecated | added v2.3.1, removed after v2.4 |
| 47 | Any liability insurance | Een of andere aansprakelijkheidsverzekering | deprecated | added v2.3.1, removed after v2.4 |
| 48 | Hemoglobin reading | Hemoglobinewaarde | deprecated | added v2.3.1, removed after v2.4 |
| 49 | Hematocrit reading | Hematocrietwaarde | deprecated | added v2.3.1, removed after v2.4 |
| 50 | Physical therapy visits | Lichamelijke oefening bezoeken | deprecated | added v2.3.1, removed after v2.4 |
| 51 | Occupational therapy visits | Ergotherapie bezoeken | deprecated | added v2.3.1, removed after v2.4 |
| 52 | Speech therapy visits | Stemoefening bezoeken | deprecated | added v2.3.1, removed after v2.4 |
| 53 | Cardiac rehab visits | Hartrevalidatie bezoeken | deprecated | added v2.3.1, removed after v2.4 |
| 56 | Skilled nurse - home visit hours | | deprecated | added v2.3.1, removed after v2.4 |
| 57 | Home health aide - home visit hours | Thuiszorg hulp - thuisbezoekuren | deprecated | added v2.3.1, removed after v2.4 |
| 58 | Arterial blood gas | Arterieel bloedgas | deprecated | added v2.3.1, removed after v2.4 |
| 59 | Oxygen saturation | Zuurstofsaturatie | deprecated | added v2.3.1, removed after v2.4 |
| 60 | HHA branch MSA | | deprecated | added v2.3.1, removed after v2.4 |
| 67 | Peritoneal dialysis | Peritoneale dialyse | deprecated | added v2.3.1, removed after v2.4 |
| 68 | EPO-drug | EPO-medicatie | deprecated | added v2.3.1, removed after v2.4 |
| 70 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 70 ... 72 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 71 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 72 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 75 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 75 ... 79 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 76 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 77 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 78 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 79 | Payer codes | Betalercodes | deprecated | added v2.3.1, removed after v2.4 |
| 80 | Psychiatric visits | Psychiatrische bezoeken | deprecated | added v2.3.1, removed after v2.4 |
| 81 | Visits subject to co-payment | Bezoeken vallen onder co-betaling | deprecated | added v2.3.1, removed after v2.4 |
| A1 | Deductible payer A | Eigen risico betaler A | deprecated | added v2.3.1, removed after v2.4 |
| A2 | Coinsurance payer A | Medeverzekerd betaler A | deprecated | added v2.3.1, removed after v2.4 |
| A3 | Estimated responsibility payer A | Geschatte verantwoordelijkheid betaler A | deprecated | added v2.3.1, removed after v2.4 |
| X0 | Service excluded on primary policy | Service uitgesloten van primaire polis | deprecated | added v2.3.1, removed after v2.4 |
| X4 | Supplemental coverage | Aanvullende dekking | deprecated | added v2.3.1, removed after v2.4 |
| … | See NUBC codes | | deprecated | added v2.7.1, removed after v2.7.1 |