| Code | Display | Definition | Deprecated | Version |
| ... | en: See NUBC codes nl: Zie (Amerikaanse) NUBC codes | | Deprecated | added v2.5.1, removed after v2.8.2 |
| 01 | en: Most common semi-private rate nl: Meest algemeen semi-privé | | Deprecated | added v2.3.1, removed after v2.4 |
| 02 | en: Hospital has no semi-private rooms nl: 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 | en: Worker's Compensation nl: 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 | en: Payer code nl: Betalercode | | Deprecated | added v2.3.1, removed after v2.4 |
| 21 | en: Catastrophic nl: Catastrofaal | | Deprecated | added v2.3.1, removed after v2.4 |
| 22 | Surplus | | Deprecated | added v2.3.1, removed after v2.4 |
| 23 | en: Recurring monthly incode nl: Regelmatig maandelijks inkomen | | Deprecated | added v2.3.1, removed after v2.4 |
| 24 | en: Medicaid rate code nl: Medicaid tariefcode | | Deprecated | added v2.3.1, removed after v2.4 |
| 30 | en: Pre-admission testing nl: Vooropname testen | | Deprecated | added v2.3.1, removed after v2.4 |
| 31 | en: Patient liability amount nl: 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 | en: Black lung nl: Stoflong | | Deprecated | added v2.3.1, removed after v2.4 |
| 42 | en: VA nl: 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 | en: Any liability insurance nl: Een of andere aansprakelijkheidsverzekering | | Deprecated | added v2.3.1, removed after v2.4 |
| 48 | en: Hemoglobin reading nl: Hemoglobinewaarde | | Deprecated | added v2.3.1, removed after v2.4 |
| 49 | en: Hematocrit reading nl: Hematocrietwaarde | | Deprecated | added v2.3.1, removed after v2.4 |
| 50 | en: Physical therapy visits nl: Lichamelijke oefening bezoeken | | Deprecated | added v2.3.1, removed after v2.4 |
| 51 | en: Occupational therapy visits nl: Ergotherapie bezoeken | | Deprecated | added v2.3.1, removed after v2.4 |
| 52 | en: Speech therapy visits nl: Stemoefening bezoeken | | Deprecated | added v2.3.1, removed after v2.4 |
| 53 | en: Cardiac rehab visits nl: 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 | en: Home health aide - home visit hours nl: Thuiszorg hulp - thuisbezoekuren | | Deprecated | added v2.3.1, removed after v2.4 |
| 58 | en: Arterial blood gas nl: Arterieel bloedgas | | Deprecated | added v2.3.1, removed after v2.4 |
| 59 | en: Oxygen saturation nl: Zuurstofsaturatie | | Deprecated | added v2.3.1, removed after v2.4 |
| 60 | HHA branch MSA | | Deprecated | added v2.3.1, removed after v2.4 |
| 67 | en: Peritoneal dialysis nl: Peritoneale dialyse | | Deprecated | added v2.3.1, removed after v2.4 |
| 68 | en: EPO-drug nl: EPO-medicatie | | Deprecated | added v2.3.1, removed after v2.4 |
| 70 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 70 ... 72 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 71 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 72 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 75 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 75 ... 79 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 76 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 77 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 78 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 79 | en: Payer codes nl: Betalercodes | | Deprecated | added v2.3.1, removed after v2.4 |
| 80 | en: Psychiatric visits nl: Psychiatrische bezoeken | | Deprecated | added v2.3.1, removed after v2.4 |
| 81 | en: Visits subject to co-payment nl: Bezoeken vallen onder co-betaling | | Deprecated | added v2.3.1, removed after v2.4 |
| A1 | en: Deductible payer A nl: Eigen risico betaler A | | Deprecated | added v2.3.1, removed after v2.4 |
| A2 | en: Coinsurance payer A nl: Medeverzekerd betaler A | | Deprecated | added v2.3.1, removed after v2.4 |
| A3 | en: Estimated responsibility payer A nl: Geschatte verantwoordelijkheid betaler A | | Deprecated | added v2.3.1, removed after v2.4 |
| X0 | en: Service excluded on primary policy nl: Service uitgesloten van primaire polis | | Deprecated | added v2.3.1, removed after v2.4 |
| X4 | en: Supplemental coverage nl: Aanvullende dekking | | Deprecated | added v2.3.1, removed after v2.4 |
| … | en: See NUBC codes nl: Zie (Amerikaanse) NUBC codes | | Deprecated | added v2.7.1, removed after v2.7.1 |