This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType | Version: 2.2.1 | ||||
| Standards status: Trial-use Active as of 2026-03-27 | Maturity Level: 4 | Computable Name: X12278RequestedServiceType | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.18 | |||||
Copyright/Legal: Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved. X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
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This set of codes identifies what service is being requested. For queries, if the query is not searching for a specific service type, the not-applicable data absent reason code can be used. It is a combination of X12 Service Type codes, CPT (HCPCS I) and HCPCS II procedure code modifiers, ICD-9 Procedure codes, ICD-10 Procedure codes, and NDC Drug codes. NOTE: HCPCS Level 1 Codes are the CPT codes so either code system could be used to send the codes. When receiving the codes from an X12 system, the system returned will be HCPCS even if it was initially sent as a CPT code.
References
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/data-absent-reason version 📍1.0.0| Code | Display | Definition |
| not-applicable | Not Applicable | There is no proper value for this element (e.g. last menstrual period for a male). |
https://codesystem.x12.org/005010/1365 version Not Stated (use latest from terminology server)http://www.ama-assn.org/go/cpt version Not Stated (use latest from terminology server)http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets version Not Stated (use latest from terminology server)http://terminology.hl7.org/CodeSystem/icd9cm version Not Stated (use latest from terminology server)http://www.cms.gov/Medicare/Coding/ICD10 version Not Stated (use latest from terminology server)http://hl7.org/fhir/sid/ndc version Not Stated (use latest from terminology server)
No Expansion for this valueset (Unknown Code System)