R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

V2-0153.vs.xml

Vocabulary Work GroupMaturity Level: N/ABallot Status: Informative

Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v2-0153"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <language value="en"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Value Code</p> 

      <table class="grid">
        <tr> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Description</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
          <td> 
            <b> Version</b> 
          </td> 
        </tr> 
        <tr> 
          <td> ...
            <a name=".46.46.46"> </a> 
          </td> 
          <td> See NUBC codes</td> 
          <td> deprecated</td> 
          <td> added v2.5.1, removed after v2.8.2</td> 
        </tr> 
        <tr> 
          <td> 01
            <a name="01"> </a> 
          </td> 
          <td> Most common semi-private rate</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 02
            <a name="02"> </a> 
          </td> 
          <td> Hospital has no semi-private rooms</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 04
            <a name="04"> </a> 
          </td> 
          <td> Inpatient professional component charges which are combined billed</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 05
            <a name="05"> </a> 
          </td> 
          <td> Professional component included in charges and also billed separate to carrier</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 06
            <a name="06"> </a> 
          </td> 
          <td> Medicare blood deductible</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 08
            <a name="08"> </a> 
          </td> 
          <td> Medicare life time reserve amount in the first calendar year</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 09
            <a name="09"> </a> 
          </td> 
          <td> Medicare co-insurance amount in the first calendar year</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 10
            <a name="10"> </a> 
          </td> 
          <td> Lifetime reserve amount in the second calendar year</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 11
            <a name="11"> </a> 
          </td> 
          <td> Co-insurance amount in the second calendar year</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 12
            <a name="12"> </a> 
          </td> 
          <td> Working aged beneficiary/spouse with employer group health plan</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 13
            <a name="13"> </a> 
          </td> 
          <td> ESRD beneficiary in a Medicare coordination period with an employer group health plan</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 14
            <a name="14"> </a> 
          </td> 
          <td> No Fault including auto/other</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 15
            <a name="15"> </a> 
          </td> 
          <td> Worker's Compensation</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 16
            <a name="16"> </a> 
          </td> 
          <td> PHS, or other federal agency</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 17
            <a name="17"> </a> 
          </td> 
          <td> Payer code</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 21
            <a name="21"> </a> 
          </td> 
          <td> Catastrophic</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 22
            <a name="22"> </a> 
          </td> 
          <td> Surplus</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 23
            <a name="23"> </a> 
          </td> 
          <td> Recurring monthly incode</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 24
            <a name="24"> </a> 
          </td> 
          <td> Medicaid rate code</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 30
            <a name="30"> </a> 
          </td> 
          <td> Pre-admission testing</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 31
            <a name="31"> </a> 
          </td> 
          <td> Patient liability amount</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 37
            <a name="37"> </a> 
          </td> 
          <td> Pints of blood furnished</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 38
            <a name="38"> </a> 
          </td> 
          <td> Blood deductible pints</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 39
            <a name="39"> </a> 
          </td> 
          <td> Pints of blood replaced</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 40
            <a name="40"> </a> 
          </td> 
          <td> New coverage not implemented by HMO (for inpatient service only)</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 41
            <a name="41"> </a> 
          </td> 
          <td> Black lung</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 42
            <a name="42"> </a> 
          </td> 
          <td> VA</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 43
            <a name="43"> </a> 
          </td> 
          <td> Disabled beneficiary under age 64 with LGHP</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 44
            <a name="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> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 45
            <a name="45"> </a> 
          </td> 
          <td> Accident hour</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 46
            <a name="46"> </a> 
          </td> 
          <td> Number of grace days</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 47
            <a name="47"> </a> 
          </td> 
          <td> Any liability insurance</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 48
            <a name="48"> </a> 
          </td> 
          <td> Hemoglobin reading</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 49
            <a name="49"> </a> 
          </td> 
          <td> Hematocrit reading</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 50
            <a name="50"> </a> 
          </td> 
          <td> Physical therapy visits</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 51
            <a name="51"> </a> 
          </td> 
          <td> Occupational therapy visits</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 52
            <a name="52"> </a> 
          </td> 
          <td> Speech therapy visits</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 53
            <a name="53"> </a> 
          </td> 
          <td> Cardiac rehab visits</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 56
            <a name="56"> </a> 
          </td> 
          <td> Skilled nurse - home visit hours</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 57
            <a name="57"> </a> 
          </td> 
          <td> Home health aide - home visit hours</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 58
            <a name="58"> </a> 
          </td> 
          <td> Arterial blood gas</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 59
            <a name="59"> </a> 
          </td> 
          <td> Oxygen saturation</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 60
            <a name="60"> </a> 
          </td> 
          <td> HHA branch MSA</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 67
            <a name="67"> </a> 
          </td> 
          <td> Peritoneal dialysis</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 68
            <a name="68"> </a> 
          </td> 
          <td> EPO-drug</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 70
            <a name="70"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 70 ... 72
            <a name="70.46.46.4672"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 71
            <a name="71"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 72
            <a name="72"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 75
            <a name="75"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 75 ... 79
            <a name="75.46.46.4679"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 76
            <a name="76"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 77
            <a name="77"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 78
            <a name="78"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 79
            <a name="79"> </a> 
          </td> 
          <td> Payer codes</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 80
            <a name="80"> </a> 
          </td> 
          <td> Psychiatric visits</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 81
            <a name="81"> </a> 
          </td> 
          <td> Visits subject to co-payment</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> A1
            <a name="A1"> </a> 
          </td> 
          <td> Deductible payer A</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> A2
            <a name="A2"> </a> 
          </td> 
          <td> Coinsurance payer A</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> A3
            <a name="A3"> </a> 
          </td> 
          <td> Estimated responsibility payer A</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> X0
            <a name="X0"> </a> 
          </td> 
          <td> Service excluded on primary policy</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> X4
            <a name="X4"> </a> 
          </td> 
          <td> Supplemental coverage</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> <a name=".8230"> </a> 
          </td> 
          <td> See NUBC codes</td> 
          <td> deprecated</td> 
          <td> added v2.7.1, removed after v2.7.1</td> 
        </tr> 
      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="External"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <url value="http://hl7.org/fhir/ValueSet/v2-0153"/> 
  <version value="2.9"/> 
  <name value="v2 Value Code"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)"/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://hl7.org/fhir/v2/0153"/> 
    </include> 
  </compose> 
</ValueSet> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.