Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B - Downloaded Version null See the Directory of published versions
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@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:ValueSet ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "R2-v2-0153-for-R4B"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R2-v2-0153-for-R4B</b></p><a name=\"R2-v2-0153-for-R4B\"> </a><a name=\"hcR2-v2-0153-for-R4B\"> </a><p>This value set expansion contains 64 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-...\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-.46.46.46\">...</a></td><td>See NUBC codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-01\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-01\">01</a></td><td>Most common semi-private rate</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-02\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-02\">02</a></td><td>Hospital has no semi-private rooms</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-04\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-04\">04</a></td><td>Inpatient professional component charges which are combined billed</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-05\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-05\">05</a></td><td>Professional component included in charges and also billed separate to carrier</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-06\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-06\">06</a></td><td>Medicare blood deductible</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-08\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-08\">08</a></td><td>Medicare life time reserve amount in the first calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-09\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-09\">09</a></td><td>Medicare co-insurance amount in the first calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-10\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-10\">10</a></td><td>Lifetime reserve amount in the second calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-11\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-11\">11</a></td><td>Co-insurance amount in the second calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-12\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-12\">12</a></td><td>Working aged beneficiary/spouse with employer group health plan</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-13\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-13\">13</a></td><td>ESRD beneficiary in a Medicare coordination period with an employer group health plan</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-14\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-14\">14</a></td><td>No Fault including auto/other</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-15\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-15\">15</a></td><td>Worker's Compensation</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-16\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-16\">16</a></td><td>PHS, or other federal agency</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-17\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-17\">17</a></td><td>Payer code</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-21\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-21\">21</a></td><td>Catastrophic</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-22\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-22\">22</a></td><td>Surplus</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-23\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-23\">23</a></td><td>Recurring monthly incode</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-24\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-24\">24</a></td><td>Medicaid rate code</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-30\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-30\">30</a></td><td>Pre-admission testing</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-31\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-31\">31</a></td><td>Patient liability amount</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-37\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-37\">37</a></td><td>Pints of blood furnished</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-38\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-38\">38</a></td><td>Blood deductible pints</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-39\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-39\">39</a></td><td>Pints of blood replaced</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-40\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-40\">40</a></td><td>New coverage not implemented by HMO (for inpatient service only)</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-41\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-41\">41</a></td><td>Black lung</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-42\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-42\">42</a></td><td>VA</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-43\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-43\">43</a></td><td>Disabled beneficiary under age 64 with LGHP</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-44\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-44\">44</a></td><td>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</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-45\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-45\">45</a></td><td>Accident hour</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-46\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-46\">46</a></td><td>Number of grace days</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-47\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-47\">47</a></td><td>Any liability insurance</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-48\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-48\">48</a></td><td>Hemoglobin reading</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-49\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-49\">49</a></td><td>Hematocrit reading</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-50\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-50\">50</a></td><td>Physical therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-51\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-51\">51</a></td><td>Occupational therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-52\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-52\">52</a></td><td>Speech therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-53\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-53\">53</a></td><td>Cardiac rehab visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-56\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-56\">56</a></td><td>Skilled nurse - home visit hours</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-57\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-57\">57</a></td><td>Home health aide - home visit hours</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-58\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-58\">58</a></td><td>Arterial blood gas</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-59\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-59\">59</a></td><td>Oxygen saturation</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-60\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-60\">60</a></td><td>HHA branch MSA</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-67\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-67\">67</a></td><td>Peritoneal dialysis</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-68\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-68\">68</a></td><td>EPO-drug</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-70\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-70\">70</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-70|20...|2072\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-70.46.46.4672\">70 ... 72</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-71\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-71\">71</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-72\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-72\">72</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-75\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-75\">75</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-75|20...|2079\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-75.46.46.4679\">75 ... 79</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-76\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-76\">76</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-77\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-77\">77</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-78\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-78\">78</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-79\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-79\">79</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-80\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-80\">80</a></td><td>Psychiatric visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-81\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-81\">81</a></td><td>Visits subject to co-payment</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-A1\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-A1\">A1</a></td><td>Deductible payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-A2\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-A2\">A2</a></td><td>Coinsurance payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-A3\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-A3\">A3</a></td><td>Estimated responsibility payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-X0\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-X0\">X0</a></td><td>Service excluded on primary policy</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-X4\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-X4\">X4</a></td><td>Supplemental coverage</td></tr><tr><td><a name=\"R2-v2-0153-for-R4B-http://hl7.org/fhir/v2/0153-|2026\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-.8230\">…</a></td><td>See NUBC codes</td></tr></table></div>"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg> ] ; fhir:value [ a fhir:Code ; fhir:v "fhir" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "packageId"^^xsd:anyURI ; fhir:l fhir:packageId ] ; fhir:value [ a fhir:Id ; fhir:v "hl7.fhir.uv.xver-r2.r4b" ] ] [ fhir:url [ fhir:v "version"^^xsd:anyURI ; fhir:l fhir:version ] ; fhir:value [ a fhir:String ; fhir:v "0.1.0" ] ] [ fhir:url [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ; fhir:value [ a fhir:Uri ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b> ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/package-source> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm> ] ; fhir:value [ a fhir:Integer ; fhir:v 0 ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom> ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b> ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "trial-use" ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom> ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b> ] ] ) ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R4B"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R4B> ] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "R2V20153ForR4B"] ; # fhir:title [ fhir:v "Cross-version ValueSet DSTU2.v2 Value Code for use in FHIR R4B"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "FHIR Infrastructure"] ; # fhir:contact ( [ fhir:name [ fhir:v "FHIR Infrastructure" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ] ] ) ] ) ; # fhir:description [ fhir:v "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` for use in FHIR R4B."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ; fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm> ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:purpose [ fhir:v "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` as defined in FHIR DSTU2\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR DSTU2 elements:\r\n* \r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`\n* `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`\n* `http://terminology.hl7.org/ValueSet/v2-0153|2.9`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (64).\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (64).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`, defined in FHIR DSTU2 does not have any mapping to FHIR R4B"] ; # fhir:compose [ ( fhir:include [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; ( fhir:concept [ fhir:code [ fhir:v "..." ] ; fhir:display [ fhir:v "See NUBC codes" ] ] [ fhir:code [ fhir:v "01" ] ; fhir:display [ fhir:v "Most common semi-private rate" ] ] [ fhir:code [ fhir:v "02" ] ; fhir:display [ fhir:v "Hospital has no semi-private rooms" ] ] [ fhir:code [ fhir:v "04" ] ; fhir:display [ fhir:v "Inpatient professional component charges which are combined billed" ] ] [ fhir:code [ fhir:v "05" ] ; fhir:display [ fhir:v "Professional component included in charges and also billed separate to carrier" ] ] [ fhir:code [ fhir:v "06" ] ; fhir:display [ fhir:v "Medicare blood deductible" ] ] [ fhir:code [ fhir:v "08" ] ; fhir:display [ fhir:v "Medicare life time reserve amount in the first calendar year" ] ] [ fhir:code [ fhir:v "09" ] ; fhir:display [ fhir:v "Medicare co-insurance amount in the first calendar year" ] ] [ fhir:code [ fhir:v "10" ] ; fhir:display [ fhir:v "Lifetime reserve amount in the second calendar year" ] ] [ fhir:code [ fhir:v "11" ] ; fhir:display [ fhir:v "Co-insurance amount in the second calendar year" ] ] [ fhir:code [ fhir:v "12" ] ; fhir:display [ fhir:v "Working aged beneficiary/spouse with employer group health plan" ] ] [ fhir:code [ fhir:v "13" ] ; fhir:display [ fhir:v "ESRD beneficiary in a Medicare coordination period with an employer group health plan" ] ] [ fhir:code [ fhir:v "14" ] ; fhir:display [ fhir:v "No Fault including auto/other" ] ] [ fhir:code [ fhir:v "15" ] ; fhir:display [ fhir:v "Worker's Compensation" ] ] [ fhir:code [ fhir:v "16" ] ; fhir:display [ fhir:v "PHS, or other federal agency" ] ] [ fhir:code [ fhir:v "17" ] ; fhir:display [ fhir:v "Payer code" ] ] [ fhir:code [ fhir:v "21" ] ; fhir:display [ fhir:v "Catastrophic" ] ] [ fhir:code [ fhir:v "22" ] ; fhir:display [ fhir:v "Surplus" ] ] [ fhir:code [ fhir:v "23" ] ; fhir:display [ fhir:v "Recurring monthly incode" ] ] [ fhir:code [ fhir:v "24" ] ; fhir:display [ fhir:v "Medicaid rate code" ] ] [ fhir:code [ fhir:v "30" ] ; fhir:display [ fhir:v "Pre-admission testing" ] ] [ fhir:code [ fhir:v "31" ] ; fhir:display [ fhir:v "Patient liability amount" ] ] [ fhir:code [ fhir:v "37" ] ; fhir:display [ fhir:v "Pints of blood furnished" ] ] [ fhir:code [ fhir:v "38" ] ; fhir:display [ fhir:v "Blood deductible pints" ] ] [ fhir:code [ fhir:v "39" ] ; fhir:display [ fhir:v "Pints of blood replaced" ] ] [ fhir:code [ fhir:v "40" ] ; fhir:display [ fhir:v "New coverage not implemented by HMO (for inpatient service only)" ] ] [ fhir:code [ fhir:v "41" ] ; fhir:display [ fhir:v "Black lung" ] ] [ fhir:code [ fhir:v "42" ] ; fhir:display [ fhir:v "VA" ] ] [ fhir:code [ fhir:v "43" ] ; fhir:display [ fhir:v "Disabled beneficiary under age 64 with LGHP" ] ] [ fhir:code [ fhir:v "44" ] ; fhir:display [ fhir:v "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" ] ] [ fhir:code [ fhir:v "45" ] ; fhir:display [ fhir:v "Accident hour" ] ] [ fhir:code [ fhir:v "46" ] ; fhir:display [ fhir:v "Number of grace days" ] ] [ fhir:code [ fhir:v "47" ] ; fhir:display [ fhir:v "Any liability insurance" ] ] [ fhir:code [ fhir:v "48" ] ; fhir:display [ fhir:v "Hemoglobin reading" ] ] [ fhir:code [ fhir:v "49" ] ; fhir:display [ fhir:v "Hematocrit reading" ] ] [ fhir:code [ fhir:v "50" ] ; fhir:display [ fhir:v "Physical therapy visits" ] ] [ fhir:code [ fhir:v "51" ] ; fhir:display [ fhir:v "Occupational therapy visits" ] ] [ fhir:code [ fhir:v "52" ] ; fhir:display [ fhir:v "Speech therapy visits" ] ] [ fhir:code [ fhir:v "53" ] ; fhir:display [ fhir:v "Cardiac rehab visits" ] ] [ fhir:code [ fhir:v "56" ] ; fhir:display [ fhir:v "Skilled nurse - home visit hours" ] ] [ fhir:code [ fhir:v "57" ] ; fhir:display [ fhir:v "Home health aide - home visit hours" ] ] [ fhir:code [ fhir:v "58" ] ; fhir:display [ fhir:v "Arterial blood gas" ] ] [ fhir:code [ fhir:v "59" ] ; fhir:display [ fhir:v "Oxygen saturation" ] ] [ fhir:code [ fhir:v "60" ] ; fhir:display [ fhir:v "HHA branch MSA" ] ] [ fhir:code [ fhir:v "67" ] ; fhir:display [ fhir:v "Peritoneal dialysis" ] ] [ fhir:code [ fhir:v "68" ] ; fhir:display [ fhir:v "EPO-drug" ] ] [ fhir:code [ fhir:v "70" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "70 ... 72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "71" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "75" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "75 ... 79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "76" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "77" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "78" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "80" ] ; fhir:display [ fhir:v "Psychiatric visits" ] ] [ fhir:code [ fhir:v "81" ] ; fhir:display [ fhir:v "Visits subject to co-payment" ] ] [ fhir:code [ fhir:v "A1" ] ; fhir:display [ fhir:v "Deductible payer A" ] ] [ fhir:code [ fhir:v "A2" ] ; fhir:display [ fhir:v "Coinsurance payer A" ] ] [ fhir:code [ fhir:v "A3" ] ; fhir:display [ fhir:v "Estimated responsibility payer A" ] ] [ fhir:code [ fhir:v "X0" ] ; fhir:display [ fhir:v "Service excluded on primary policy" ] ] [ fhir:code [ fhir:v "X4" ] ; fhir:display [ fhir:v "Supplemental coverage" ] ] [ fhir:code [ fhir:v "…" ] ; fhir:display [ fhir:v "See NUBC codes" ] ] ) ] ) ] ; # fhir:expansion [ fhir:timestamp [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime ] ; ( fhir:contains [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "..." ] ; fhir:display [ fhir:v "See NUBC codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "01" ] ; fhir:display [ fhir:v "Most common semi-private rate" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "02" ] ; fhir:display [ fhir:v "Hospital has no semi-private rooms" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "04" ] ; fhir:display [ fhir:v "Inpatient professional component charges which are combined billed" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "05" ] ; fhir:display [ fhir:v "Professional component included in charges and also billed separate to carrier" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "06" ] ; fhir:display [ fhir:v "Medicare blood deductible" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "08" ] ; fhir:display [ fhir:v "Medicare life time reserve amount in the first calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "09" ] ; fhir:display [ fhir:v "Medicare co-insurance amount in the first calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "10" ] ; fhir:display [ fhir:v "Lifetime reserve amount in the second calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "11" ] ; fhir:display [ fhir:v "Co-insurance amount in the second calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "12" ] ; fhir:display [ fhir:v "Working aged beneficiary/spouse with employer group health plan" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "13" ] ; fhir:display [ fhir:v "ESRD beneficiary in a Medicare coordination period with an employer group health plan" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "14" ] ; fhir:display [ fhir:v "No Fault including auto/other" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "15" ] ; fhir:display [ fhir:v "Worker's Compensation" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "16" ] ; fhir:display [ fhir:v "PHS, or other federal agency" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "17" ] ; fhir:display [ fhir:v "Payer code" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "21" ] ; fhir:display [ fhir:v "Catastrophic" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "22" ] ; fhir:display [ fhir:v "Surplus" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "23" ] ; fhir:display [ fhir:v "Recurring monthly incode" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "24" ] ; fhir:display [ fhir:v "Medicaid rate code" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "30" ] ; fhir:display [ fhir:v "Pre-admission testing" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "31" ] ; fhir:display [ fhir:v "Patient liability amount" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "37" ] ; fhir:display [ fhir:v "Pints of blood furnished" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "38" ] ; fhir:display [ fhir:v "Blood deductible pints" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "39" ] ; fhir:display [ fhir:v "Pints of blood replaced" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "40" ] ; fhir:display [ fhir:v "New coverage not implemented by HMO (for inpatient service only)" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "41" ] ; fhir:display [ fhir:v "Black lung" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "42" ] ; fhir:display [ fhir:v "VA" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "43" ] ; fhir:display [ fhir:v "Disabled beneficiary under age 64 with LGHP" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "44" ] ; fhir:display [ fhir:v "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" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "45" ] ; fhir:display [ fhir:v "Accident hour" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "46" ] ; fhir:display [ fhir:v "Number of grace days" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "47" ] ; fhir:display [ fhir:v "Any liability insurance" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "48" ] ; fhir:display [ fhir:v "Hemoglobin reading" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "49" ] ; fhir:display [ fhir:v "Hematocrit reading" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "50" ] ; fhir:display [ fhir:v "Physical therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "51" ] ; fhir:display [ fhir:v "Occupational therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "52" ] ; fhir:display [ fhir:v "Speech therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "53" ] ; fhir:display [ fhir:v "Cardiac rehab visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "56" ] ; fhir:display [ fhir:v "Skilled nurse - home visit hours" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "57" ] ; fhir:display [ fhir:v "Home health aide - home visit hours" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "58" ] ; fhir:display [ fhir:v "Arterial blood gas" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "59" ] ; fhir:display [ fhir:v "Oxygen saturation" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "60" ] ; fhir:display [ fhir:v "HHA branch MSA" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "67" ] ; fhir:display [ fhir:v "Peritoneal dialysis" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "68" ] ; fhir:display [ fhir:v "EPO-drug" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "70" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "70 ... 72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "71" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "75" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "75 ... 79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "76" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "77" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "78" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "80" ] ; fhir:display [ fhir:v "Psychiatric visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "81" ] ; fhir:display [ fhir:v "Visits subject to co-payment" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A1" ] ; fhir:display [ fhir:v "Deductible payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A2" ] ; fhir:display [ fhir:v "Coinsurance payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A3" ] ; fhir:display [ fhir:v "Estimated responsibility payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "X0" ] ; fhir:display [ fhir:v "Service excluded on primary policy" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "X4" ] ; fhir:display [ fhir:v "Supplemental coverage" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "…" ] ; fhir:display [ fhir:v "See NUBC codes" ] ] ) ] . #
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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