FHIR Cross-Version Extensions package for FHIR R4B from FHIR R4 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R4-v2-0153-for-R4B",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R4-v2-0153-for-R4B</b></p><a name=\"R4-v2-0153-for-R4B\"> </a><a name=\"hcR4-v2-0153-for-R4B\"> </a><p>This value set expansion contains 64 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-...\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-.46.46.46\">...</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>See NUBC codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-01\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-01\">01</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Most common semi-private rate</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-02\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-02\">02</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Hospital has no semi-private rooms</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-04\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-04\">04</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Inpatient professional component charges which are combined billed</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-05\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-05\">05</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Professional component included in charges and also billed separate to carrier</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-06\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-06\">06</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Medicare blood deductible</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-08\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-08\">08</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Medicare life time reserve amount in the first calendar year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-09\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-09\">09</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Medicare co-insurance amount in the first calendar year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-10\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-10\">10</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Lifetime reserve amount in the second calendar year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-11\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-11\">11</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Co-insurance amount in the second calendar year</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-12\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-12\">12</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Working aged beneficiary/spouse with employer group health plan</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-13\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-13\">13</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>ESRD beneficiary in a Medicare coordination period with an employer group health plan</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-14\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-14\">14</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>No Fault including auto/other</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-15\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-15\">15</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Worker's Compensation</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-16\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-16\">16</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>PHS, or other federal agency</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-17\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-17\">17</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer code</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-21\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-21\">21</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Catastrophic</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-22\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-22\">22</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Surplus</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-23\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-23\">23</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Recurring monthly incode</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-24\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-24\">24</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Medicaid rate code</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-30\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-30\">30</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Pre-admission testing</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-31\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-31\">31</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Patient liability amount</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-37\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-37\">37</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Pints of blood furnished</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-38\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-38\">38</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Blood deductible pints</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-39\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-39\">39</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Pints of blood replaced</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-40\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-40\">40</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>New coverage not implemented by HMO (for inpatient service only)</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-41\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-41\">41</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Black lung</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-42\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-42\">42</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>VA</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-43\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-43\">43</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Disabled beneficiary under age 64 with LGHP</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-44\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-44\">44</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</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 style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-45\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-45\">45</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Accident hour</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-46\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-46\">46</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Number of grace days</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-47\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-47\">47</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Any liability insurance</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-48\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-48\">48</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Hemoglobin reading</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-49\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-49\">49</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Hematocrit reading</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-50\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-50\">50</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Physical therapy visits</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-51\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-51\">51</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Occupational therapy visits</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-52\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-52\">52</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Speech therapy visits</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-53\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-53\">53</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Cardiac rehab visits</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-56\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-56\">56</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Skilled nurse - home visit hours</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-57\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-57\">57</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Home health aide - home visit hours</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-58\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-58\">58</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Arterial blood gas</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-59\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-59\">59</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Oxygen saturation</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-60\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-60\">60</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>HHA branch MSA</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-67\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-67\">67</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Peritoneal dialysis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-68\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-68\">68</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>EPO-drug</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-70\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-70\">70</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-70|20...|2072\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-70.46.46.4672\">70 ... 72</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-71\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-71\">71</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-72\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-72\">72</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-75\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-75\">75</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-75|20...|2079\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-75.46.46.4679\">75 ... 79</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-76\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-76\">76</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-77\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-77\">77</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-78\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-78\">78</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-79\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-79\">79</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-80\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-80\">80</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Psychiatric visits</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-81\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-81\">81</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Visits subject to co-payment</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-A1\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A1\">A1</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Deductible payer A</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-A2\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A2\">A2</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Coinsurance payer A</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-A3\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A3\">A3</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Estimated responsibility payer A</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-X0\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-X0\">X0</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Service excluded on primary policy</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-X4\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-X4\">X4</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>Supplemental coverage</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-v2-0153-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0153-|2026\"> </a>\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-.8230\">…</a></td><td>http://terminology.hl7.org/CodeSystem/v2-0153</td><td>See NUBC codes</td></tr></table></div>"
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{
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{
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{
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"code" : "44",
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{
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{
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{
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"code" : "49",
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{
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"code" : "51",
"display" : "Occupational therapy visits"
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{
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{
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"code" : "56",
"display" : "Skilled nurse - home visit hours"
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{
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"code" : "57",
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{
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"display" : "Arterial blood gas"
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{
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{
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{
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{
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"display" : "Payer codes"
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{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
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"display" : "Payer codes"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "77",
"display" : "Payer codes"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "78",
"display" : "Payer codes"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "79",
"display" : "Payer codes"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "80",
"display" : "Psychiatric visits"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "81",
"display" : "Visits subject to co-payment"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "A1",
"display" : "Deductible payer A"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "A2",
"display" : "Coinsurance payer A"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "A3",
"display" : "Estimated responsibility payer A"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "X0",
"display" : "Service excluded on primary policy"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "X4",
"display" : "Supplemental coverage"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0153",
"version" : "2.9",
"code" : "…",
"display" : "See NUBC codes"
}
]
}
}