This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions

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: X12 278 Requested Service Modifier Type - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "X12278RequestedServiceModifierType",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet X12278RequestedServiceModifierType</b></p><a name=\"X12278RequestedServiceModifierType\"> </a><a name=\"hcX12278RequestedServiceModifierType\"> </a><a name=\"X12278RequestedServiceModifierType-en-US\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html\"><code>http://www.ama-assn.org/go/cpt</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-hcpcs-Level-II.html\"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType",
  "version" : "2.1.0-preview",
  "name" : "X12278RequestedServiceModifierType",
  "title" : "X12 278 Requested Service Modifier Type",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-09-26T18:54:51-04:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This set of codes identifies modifiers to the type of service being requested.  It is a combination of CPT (HCPCS I) and HCPCS II procedure code modifiers.  NOTE: HCPCS Level 1 Codes are the CPT codes so either code system could be used to send the codes.  When receiving the codes from an X12 system, the system returned will be HCPCS even if it was initially sent as a CPT code.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.",
  "compose" : {
    "include" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"
      }
    ]
  }
}