• Include these codes as defined in http://terminology.hl7.org/CodeSystem/v2-0043 version 📍2.9

  Code	Display
  ...	No suggested values defined
  01	Military service related
  02	Condition is employment related
  03	Patient covered by insurance not reflected here
  04	HMO enrollee
  05	Lien has been filed
  06	ESRD patient in first 18 months of entitlement covered by employer group health insurance
  07	Treatment of non-terminal condition for hospice patient
  08	Beneficiary would not provide information concerning other insurance coverage
  09	Neither patient nor spouse is employed
  10	Patient and/or spouse is employed but no EGHP exists
  11	Disabled beneficiary but no LGHP
  12	Payer codes.
  12 ... 16	Payer codes.
  13	Payer codes.
  14	Payer codes.
  15	Payer codes.
  16	Payer codes.
  18	Maiden name retained
  19	Child retains mother's name
  20	Beneficiary requested billing
  21	Billing for Denial Notice
  26	VA eligible patient chooses to receive services in a Medicare certified facility
  27	Patient referred to a sole community hospital for a diagnostic laboratory test
  28	Patient and/or spouse's EGHP is secondary to Medicare
  29	Disabled beneficiary and/or family member's LGHP is secondary to Medicare
  31	Patient is student (full time-day)
  32	Patient is student (cooperative/work study program)
  33	Patient is student (full time-night)
  34	Patient is student (Part time)
  36	General care patient in a special unit
  37	Ward accommodation as patient request
  38	Semi-private room not available
  39	Private room medically necessary
  40	Same day transfer
  41	Partial hospitalization
  46	Non-availability statement on file
  48	Psychiatric residential treatment centers for children and adolescents
  55	SNF bed not available
  56	Medical appropriateness
  57	SNF readmission
  60	Day outlier
  61	Cost outlier
  62	Payer code
  66	Provider does not wish cost outlier payment
  67	Beneficiary elects not to use life time reserve (LTR) days
  68	Beneficiary elects to use life time reserve (LTR) days
  70	Self-administered EPO
  71	Full care in unit
  72	Self-care in unit
  73	Self-care training
  74	Home
  75	Home - 100% reimbursement
  76	Back-up in facility dialysis
  77	Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full
  78	New coverage not implemented by HMO
  79	Corf services provided off-site
  80	Pregnant

This value set expansion contains 58 concepts.