FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="ex-benefitcategory"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>This code system http://terminology.hl7.org/CodeSystem/ex-benefitcategory defines the following codes:</p>
<table class="codes">
<tr>
<td style="white-space:nowrap">
<b>Code</b>
</td>
<td>
<b>Display</b>
</td>
<td>
<b>Definition</b>
</td>
</tr>
<tr>
<td style="white-space:nowrap">1
<a name="ex-benefitcategory-1"> </a>
</td>
<td>Medical Care</td>
<td>Medical Care.</td>
</tr>
<tr>
<td style="white-space:nowrap">2
<a name="ex-benefitcategory-2"> </a>
</td>
<td>Surgical</td>
<td>Surgical.</td>
</tr>
<tr>
<td style="white-space:nowrap">3
<a name="ex-benefitcategory-3"> </a>
</td>
<td>Consultation</td>
<td>Consultation.</td>
</tr>
<tr>
<td style="white-space:nowrap">4
<a name="ex-benefitcategory-4"> </a>
</td>
<td>Diagnostic XRay</td>
<td>Diagnostic XRay.</td>
</tr>
<tr>
<td style="white-space:nowrap">5
<a name="ex-benefitcategory-5"> </a>
</td>
<td>Diagnostic Lab</td>
<td>Diagnostic Lab.</td>
</tr>
<tr>
<td style="white-space:nowrap">14
<a name="ex-benefitcategory-14"> </a>
</td>
<td>Renal Supplies</td>
<td>Renal Supplies excluding Dialysis.</td>
</tr>
<tr>
<td style="white-space:nowrap">23
<a name="ex-benefitcategory-23"> </a>
</td>
<td>Diagnostic Dental</td>
<td>Diagnostic Dental.</td>
</tr>
<tr>
<td style="white-space:nowrap">24
<a name="ex-benefitcategory-24"> </a>
</td>
<td>Periodontics</td>
<td>Periodontics.</td>
</tr>
<tr>
<td style="white-space:nowrap">25
<a name="ex-benefitcategory-25"> </a>
</td>
<td>Restorative</td>
<td>Restorative.</td>
</tr>
<tr>
<td style="white-space:nowrap">26
<a name="ex-benefitcategory-26"> </a>
</td>
<td>Endodontics</td>
<td>Endodontics.</td>
</tr>
<tr>
<td style="white-space:nowrap">27
<a name="ex-benefitcategory-27"> </a>
</td>
<td>Maxillofacial Prosthetics</td>
<td>Maxillofacial Prosthetics.</td>
</tr>
<tr>
<td style="white-space:nowrap">28
<a name="ex-benefitcategory-28"> </a>
</td>
<td>Adjunctive Dental Services</td>
<td>Adjunctive Dental Services.</td>
</tr>
<tr>
<td style="white-space:nowrap">30
<a name="ex-benefitcategory-30"> </a>
</td>
<td>Health Benefit Plan Coverage</td>
<td>Health Benefit Plan Coverage.</td>
</tr>
<tr>
<td style="white-space:nowrap">35
<a name="ex-benefitcategory-35"> </a>
</td>
<td>Dental Care</td>
<td>Dental Care.</td>
</tr>
<tr>
<td style="white-space:nowrap">36
<a name="ex-benefitcategory-36"> </a>
</td>
<td>Dental Crowns</td>
<td>Dental Crowns.</td>
</tr>
<tr>
<td style="white-space:nowrap">37
<a name="ex-benefitcategory-37"> </a>
</td>
<td>Dental Accident</td>
<td>Dental Accident.</td>
</tr>
<tr>
<td style="white-space:nowrap">49
<a name="ex-benefitcategory-49"> </a>
</td>
<td>Hospital Room and Board</td>
<td>Hospital Room and Board.</td>
</tr>
<tr>
<td style="white-space:nowrap">55
<a name="ex-benefitcategory-55"> </a>
</td>
<td>Major Medical</td>
<td>Major Medical.</td>
</tr>
<tr>
<td style="white-space:nowrap">56
<a name="ex-benefitcategory-56"> </a>
</td>
<td>Medically Related Transportation</td>
<td>Medically Related Transportation.</td>
</tr>
<tr>
<td style="white-space:nowrap">61
<a name="ex-benefitcategory-61"> </a>
</td>
<td>In-vitro Fertilization</td>
<td>In-vitro Fertilization.</td>
</tr>
<tr>
<td style="white-space:nowrap">62
<a name="ex-benefitcategory-62"> </a>
</td>
<td>MRI Scan</td>
<td>MRI Scan.</td>
</tr>
<tr>
<td style="white-space:nowrap">63
<a name="ex-benefitcategory-63"> </a>
</td>
<td>Donor Procedures</td>
<td>Donor Procedures such as organ harvest.</td>
</tr>
<tr>
<td style="white-space:nowrap">69
<a name="ex-benefitcategory-69"> </a>
</td>
<td>Maternity</td>
<td>Maternity.</td>
</tr>
<tr>
<td style="white-space:nowrap">76
<a name="ex-benefitcategory-76"> </a>
</td>
<td>Renal Dialysis</td>
<td>Renal dialysis.</td>
</tr>
<tr>
<td style="white-space:nowrap">F1
<a name="ex-benefitcategory-F1"> </a>
</td>
<td>Medical Coverage</td>
<td>Medical Coverage.</td>
</tr>
<tr>
<td style="white-space:nowrap">F3
<a name="ex-benefitcategory-F3"> </a>
</td>
<td>Dental Coverage</td>
<td>Dental Coverage.</td>
</tr>
<tr>
<td style="white-space:nowrap">F4
<a name="ex-benefitcategory-F4"> </a>
</td>
<td>Hearing Coverage</td>
<td>Hearing Coverage.</td>
</tr>
<tr>
<td style="white-space:nowrap">F6
<a name="ex-benefitcategory-F6"> </a>
</td>
<td>Vision Coverage</td>
<td>Vision Coverage.</td>
</tr>
</table>
</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4b.r4"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.3.0"/>
<name value="BenefitCategoryCodes"/>
<title value="Benefit Category Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2025-09-13T16:38:45-04:00"/>
<publisher value="Financial Management"/>
<contact>
<name value="Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
</contact>
<description
value="This value set includes a smattering of Benefit SubCategory codes."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<copyright value="This is an example set."/>
<caseSensitive value="true"/>
<content value="complete"/>
<concept>
<code value="1"/>
<display value="Medical Care"/>
<definition value="Medical Care."/>
</concept>
<concept>
<code value="2"/>
<display value="Surgical"/>
<definition value="Surgical."/>
</concept>
<concept>
<code value="3"/>
<display value="Consultation"/>
<definition value="Consultation."/>
</concept>
<concept>
<code value="4"/>
<display value="Diagnostic XRay"/>
<definition value="Diagnostic XRay."/>
</concept>
<concept>
<code value="5"/>
<display value="Diagnostic Lab"/>
<definition value="Diagnostic Lab."/>
</concept>
<concept>
<code value="14"/>
<display value="Renal Supplies"/>
<definition value="Renal Supplies excluding Dialysis."/>
</concept>
<concept>
<code value="23"/>
<display value="Diagnostic Dental"/>
<definition value="Diagnostic Dental."/>
</concept>
<concept>
<code value="24"/>
<display value="Periodontics"/>
<definition value="Periodontics."/>
</concept>
<concept>
<code value="25"/>
<display value="Restorative"/>
<definition value="Restorative."/>
</concept>
<concept>
<code value="26"/>
<display value="Endodontics"/>
<definition value="Endodontics."/>
</concept>
<concept>
<code value="27"/>
<display value="Maxillofacial Prosthetics"/>
<definition value="Maxillofacial Prosthetics."/>
</concept>
<concept>
<code value="28"/>
<display value="Adjunctive Dental Services"/>
<definition value="Adjunctive Dental Services."/>
</concept>
<concept>
<code value="30"/>
<display value="Health Benefit Plan Coverage"/>
<definition value="Health Benefit Plan Coverage."/>
</concept>
<concept>
<code value="35"/>
<display value="Dental Care"/>
<definition value="Dental Care."/>
</concept>
<concept>
<code value="36"/>
<display value="Dental Crowns"/>
<definition value="Dental Crowns."/>
</concept>
<concept>
<code value="37"/>
<display value="Dental Accident"/>
<definition value="Dental Accident."/>
</concept>
<concept>
<code value="49"/>
<display value="Hospital Room and Board"/>
<definition value="Hospital Room and Board."/>
</concept>
<concept>
<code value="55"/>
<display value="Major Medical"/>
<definition value="Major Medical."/>
</concept>
<concept>
<code value="56"/>
<display value="Medically Related Transportation"/>
<definition value="Medically Related Transportation."/>
</concept>
<concept>
<code value="61"/>
<display value="In-vitro Fertilization"/>
<definition value="In-vitro Fertilization."/>
</concept>
<concept>
<code value="62"/>
<display value="MRI Scan"/>
<definition value="MRI Scan."/>
</concept>
<concept>
<code value="63"/>
<display value="Donor Procedures"/>
<definition value="Donor Procedures such as organ harvest."/>
</concept>
<concept>
<code value="69"/>
<display value="Maternity"/>
<definition value="Maternity."/>
</concept>
<concept>
<code value="76"/>
<display value="Renal Dialysis"/>
<definition value="Renal dialysis."/>
</concept>
<concept>
<code value="F1"/>
<display value="Medical Coverage"/>
<definition value="Medical Coverage."/>
</concept>
<concept>
<code value="F3"/>
<display value="Dental Coverage"/>
<definition value="Dental Coverage."/>
</concept>
<concept>
<code value="F4"/>
<display value="Hearing Coverage"/>
<definition value="Hearing Coverage."/>
</concept>
<concept>
<code value="F6"/>
<display value="Vision Coverage"/>
<definition value="Vision Coverage."/>
</concept>
</CodeSystem>