HTA License Conformance Analysis for Da Vinci Prior Authorization Support (PAS) FHIR IG

The content of this page is being developed with the HTA committee, and is subject to further change. Editors are welcome to use this page to pick up errors in their definitions, but should not regard the analysis as final.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://uri.hddaccess.com/cs/apdrg (All Patient Diagnosis Related Groups (AP DRGs))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://uri.hddaccess.com/cs/aprdrg (All Patient Refined Diagnosis Related Groups (APR DRGs))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://loinc.org (Logical Observation Identifiers, Names and Codes (LOINC))

Uses1
Expected Copyright

This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc

Approved:All OK

URL Name Copyright Notes
X12278DiagnosisInformationType X12 278 Diagnosis Information Type

https://www.nubc.org/CodeSystem/TypeOfBill

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278LocationType X12 278 Health Care Service Location Type Value Set

https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set (CMS Place of Service Codes (POS))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278LocationType X12 278 Health Care Service Location Type Value Set

http://www.ama-assn.org/go/cpt (Current Procedural Terminology (CPT®))

Uses2
Expected Copyright

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved

Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceModifierType X12 278 Requested Service Modifier Type
X12278RequestedServiceType X12 278 Requested Service Type

http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets

Uses2
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceModifierType X12 278 Requested Service Modifier Type

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.

X12278RequestedServiceType X12 278 Requested Service Type

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved. X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

http://codesystem.x12.org/005010/1365

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceType X12 278 Requested Service Type

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved. X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

http://www.cms.gov/Medicare/Coding/ICD10 (ICD-10 Procedure Codes)

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceType X12 278 Requested Service Type

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved. X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

https://codesystem.x12.org/external/886

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278ReviewDecisionReasonCode X12 278 Review Descision Reason Codes

This value set contains codes maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.