Order Catalog Implementation Guide
1.0.0 - STU 1 International flag

This page is part of the Order Catalog Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: Laboratory service reimbursability categories CodeSystem

Official URL: http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: LaboratoryServiceReimbursability
Other Identifiers: OID:2.16.840.1.113883.4.642.40.55.16.3

This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services

This Code system is referenced in the content logical definition of the following value sets:

Last updated: 2020-03-18 09:55:00+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability defines the following codes:

CodeDisplayDefinition
none no reimbursement provided for the service in general The service is usually not covered by insurance plans, and charged to the paying party
normal normal reimbursement dispositions applicable to the service The service is usually reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service
conditional reimbursement of service subject to conditions The service reimbursement is conditioned by the clinical context of the order
partial normal reimbursement limited to a part of the service The service is composed of a part that is usually reimbursed under general dispositions defined in insurance plans, and of a part that is non-reimbursable
conditional-partial reimbursement limited to a part of the service and subject to conditions The service is composed of a part that is reimbursable depending on the clinical context, and of a part that is non-reimbursable