HTA License Conformance Analysis for Patient Cost Transparency Implementation Guide

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.

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
ICD10ProcedureCodes ICD-10 Procedure Codes

https://x12.org/codes/claim-adjustment-reason-codes (X12 Claim Adjustment Reason Codes)
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTAdjustmentReasonVS PCT Adjustment Reason

https://x12.org/codes/remittance-advice-remark-codes (X12 Remittance Advice Remark Codes)
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTAdjustmentReasonVS PCT Adjustment Reason

https://x12.org/codes/service-type-codes (X12 Service Type Codes)
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTBenefitBalanceCategoryVS PCT benefitBalance.category codes

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
PCTGFECMSPOS PCT GFE CMS Place of Service Value Set

This Valueset is not copyrighted.

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
PCTGFEItemCptHcpcsVS PCT GFE Item CPT - HCPCS Value Set ☑
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set ☑

http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets
Uses3
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTGFEItemCptHcpcsVS PCT GFE Item CPT - HCPCS Value Set

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.
PCTProcedureSurgicalCodes PCT CMS HCPCS and AMA CPT Procedure Surgical Codes

This Valueset is not copyrighted.
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set

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

https://www.nubc.org/CodeSystem/RevenueCodes (AHA NUBC Revenue Codes)
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTGFEItemRevenueVS PCT GFE NUBC Revenue Value Set

This Valueset is not copyrighted.

https://www.nubc.org/CodeSystem/TypeOfBill (AHA NUBC Type Of Bill Codes)
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTGFETypeOfBillVS PCT GFE NUBC Uniform Billing (UB-04) Type of Bill Value Set

This Valueset is not copyrighted.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software (Medicare Severity Diagnosis Related Groups (MS-DRGs))
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
USClaimDRGCodes US Claim DRG Codes

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
USClaimDRGCodes US Claim DRG Codes

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
USClaimDRGCodes US Claim DRG Codes

http://ada.org/cdt
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set

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

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes (Health Insurance Prospective Payment System (HIPPS))
Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set

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