National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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This page is part of the National Directory of Healthcare Providers and Services (NDH) Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: NDH Benefit Type Value Set - XML Representation

Active as of 2023-07-30

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="NdhBenefitTypeVS"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-NdhPayerCharacteristicsCS.html"><code>http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-pcpov">pcpov</a></td><td>Primary Care Visit to Treat an Injury or Illness</td><td>Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-specialistov">specialistov</a></td><td>Specialist Office Visit</td><td>Covered healthcare service rendered to a patient by a specialty provider.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-mlpov">mlpov</a></td><td>Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional</td><td>Benefit plan covers covered health related services rendered by a practioner other than MD or DO and referred to as other practitioner.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-outpatient">outpatient</a></td><td>Outpatient Facility Fee (e.g., Ambulatory Surgery Center)</td><td>Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-outpatstx">outpatstx</a></td><td>Outpatient Surgery Physician/Surgical Services</td><td>Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-hospserv">hospserv</a></td><td>Hospice Services</td><td>Benefit plan covers hospice services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-routinedental">routinedental</a></td><td>Routine Dental Services (Adult)</td><td>Benefit plan covers routine dental services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-infertilitytx">infertilitytx</a></td><td>Infertility Treatment</td><td>Benefit plan covers eligible infertility treatment services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ltnhc">ltnhc</a></td><td>Long-Term/Custodial Nursing Home Care</td><td>Long-Term/Custodial Nursing Home Care.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-privatenurse">privatenurse</a></td><td>Private-Duty Nursing</td><td>Private-Duty Nursing.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-routineeye">routineeye</a></td><td>Routine Eye Exam (Adult)</td><td>Routine Eye Exam (Adult).</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ucservice">ucservice</a></td><td>Urgent Care Centers or Facilities</td><td>Urgent Care Centers or Facilities.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-homehealth">homehealth</a></td><td>Home Health</td><td>Home health services insurance coverage.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-erservice">erservice</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ambulance">ambulance</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-inpatienthospital">inpatienthospital</a></td><td>Inpatient Hospital Services (e.g., Hospital Stay)</td><td>A person who is hospitalized for at least one night to receive treatment or participate in a study.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-inpatientprovider">inpatientprovider</a></td><td>Inpatient Physician and Surgical Services</td><td>A healthcare provider who is delivering healthcare services in a hospital environment.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-bariatricsurg">bariatricsurg</a></td><td>Bariatric Surgery</td><td>Bariatric surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-cosmeticsurg">cosmeticsurg</a></td><td>Cosmetic Surgery</td><td>Cosmetic surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-skillednursing">skillednursing</a></td><td>Skilled Nursing Facility</td><td>Skilled nursing service (qualifier value).</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ppnatalcare">ppnatalcare</a></td><td>Prenatal and Postnatal Care</td><td>Prenatal and Postnatal services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-maternitycare">maternitycare</a></td><td>Delivery and All Inpatient Services for Maternity Care</td><td>All maternity care services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-menthlthoutp">menthlthoutp</a></td><td>Mental/Behavioral Health Outpatient Services</td><td>Mental health service delivered in an outpatient setting.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-menthlthinp">menthlthinp</a></td><td>Mental/Behavioral Health Inpatient Services</td><td>Mental health service delivered in an hospital or inpatient facility setting.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-sadoutp">sadoutp</a></td><td>Substance Abuse Disorder Outpatient Services</td><td>Substance abuse related services delivered in a outpatient setting.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-sadinp">sadinp</a></td><td>Substance Abuse Disorder Inpatient Services</td><td>Substance abuse related services delivered in a inpatient setting.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drggenric">drggenric</a></td><td>Generic Drugs</td><td>Generic drugs eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgbrand">drgbrand</a></td><td>Preferred Brand Drugs</td><td>Preferred brand drugs eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgnonpreferred">drgnonpreferred</a></td><td>Non-Preferred Brand Drugs</td><td>Non-Preferred drugs brands eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgspecialty">drgspecialty</a></td><td>Specialty Drugs</td><td>Benefit plan covers specialty drugs.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rehaboutp">rehaboutp</a></td><td>Outpatient Rehabilitation Services</td><td>Benefit plan covers outpatient rehabilitation services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-servicehablitation">servicehablitation</a></td><td>Habilitation Services</td><td>Habilitation Services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-chiro">chiro</a></td><td>Chiropractic Care</td><td>Benefit plan covers chiropractor eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dme">dme</a></td><td>Durable Medical Equipment</td><td>Benefit plan covers Durable medical equipment eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-hearingaids">hearingaids</a></td><td>Hearing Aids</td><td>Benefit plan covers hearing aids.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-imgctpetmri">imgctpetmri</a></td><td>Imaging (CT/PET Scans, MRIs)</td><td>Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-prev">prev</a></td><td>Preventive Care/Screening/Immunization</td><td>Routine healthcare services to prevent health related problems eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtnpod">rtnpod</a></td><td>Routine Foot Care</td><td>Routine Foot Care.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-acupuncture">acupuncture</a></td><td>Acupuncture</td><td>Benefit plan covers acupuncture treatment.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-weightloss">weightloss</a></td><td>Weight Loss Programs</td><td>Benefit plan covers weight loss services eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtneyechld">rtneyechld</a></td><td>Routine Eye Exam for Children</td><td>Routine eye exam for children eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-glasseschld">glasseschld</a></td><td>Eye Glasses for Children</td><td>Eye glasses children eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtndntlchld">rtndntlchld</a></td><td>Dental Check-Up for Children</td><td>Dental Check-Up for Children.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-speachthpy">speachthpy</a></td><td>Rehabilitative Speech Therapy</td><td>Benefit plan covers rehabilitative speech therapy eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rehaboccandpt">rehaboccandpt</a></td><td>Rehabilitative Occupational and Rehabilitative Physical Therapy</td><td>Benefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-wellbaby">wellbaby</a></td><td>Well Baby Visits and Care</td><td>Regularly scheduled, preventive care services, including immunizations, provided to children up to an age as specified by a health insurance company or mandated by a government agency.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-laboutp">laboutp</a></td><td>Laboratory Outpatient and Professional Services</td><td>Benefit plan covers laboratory testing and related professional services received as outpatient.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-imagingdx">imagingdx</a></td><td>X-rays and Diagnostic Imaging</td><td>Benefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlbaschld">dntlbaschld</a></td><td>Basic Dental Care - Child</td><td>Benefit plan covers diagnostic basic dental care.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-orthochld">orthochld</a></td><td>Orthodontia - Child</td><td>Benefit plan covers orthodontia for children.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlmajchld">dntlmajchld</a></td><td>Major Dental Care - Child</td><td>Benefit plan covers major dental care for children.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlbasadlt">dntlbasadlt</a></td><td>Basic Dental Care - Adult</td><td>Benefit plan covers basic dental care for adults.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-orthodadlt">orthodadlt</a></td><td>Orthodontia - Adult</td><td>Benefits plan covers services provided that are required for orthodontic purposes for an adult.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlmajadlt">dntlmajadlt</a></td><td>Major Dental Care - Adult</td><td>Benefit plan covers major dental care for adult.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-abortion">abortion</a></td><td>Abortion for Which Public Funding is Prohibited</td><td>Benefit plan covers services for abortion for which public funding is prohibited.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-transplant">transplant</a></td><td>Transplant</td><td>Benefit plan covers transplant related services.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-accdntl">accdntl</a></td><td>Accidental Dental</td><td>Benefit plan covers dental care services related to an accident.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dialysis">dialysis</a></td><td>Dialysis</td><td>The plan benefit covers services used to treat end stage renal disease.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-testallrgy">testallrgy</a></td><td>Allergy Testing</td><td>The plan benefits covers services for diagnostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge activities.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-chemotherapy">chemotherapy</a></td><td>Chemotherapy</td><td>The plan benefits cover services the use of drugs and approved chemicals to treat disease.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-radiation">radiation</a></td><td>Radiation</td><td>The plan benefits cover services the use radiation to treat disease.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-edudiab">edudiab</a></td><td>Diabetes Education</td><td>The plan benefits cover services related to instruction or training that encourages behaviors most likely to optimize health potentials through information about diabetes; facilitates the prevention of diabetes.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-prosthetic">prosthetic</a></td><td>Prosthetic Devices</td><td>Plan benefit covers services related to prosthesis devices.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-infusiontx">infusiontx</a></td><td>Infusion Therapy</td><td>Plan benefit covers services related to infusion therapy.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-tmjtx">tmjtx</a></td><td>Treatment for Temporomandibular Joint Disorders</td><td>Plan benefit covers services related to treatment of Temporomandibular Joint disorder.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-nutrition">nutrition</a></td><td>Nutritional Counseling</td><td>Nutritional Counseling.</td></tr><tr><td><a href="CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-reconsurg">reconsurg</a></td><td>Reconstructive Surgery</td><td>Plan benefit covers services related to reconstructive surgery.</td></tr></table></li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/us/ndh/ValueSet/NdhBenefitTypeVS"/>
  <version value="1.0.0-ballot"/>
  <name value="NdhBenefitTypeVS"/>
  <title value="NDH Benefit Type Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-07-30T14:53:07+00:00"/>
  <publisher value="HL7 International - Patient Administration Work Group"/>
  <contact>
    <name value="HL7 International - Patient Administration Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/pafm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pafm@lists.hl7.org"/>
    </telecom>
  </contact>
  <description value="Codes for NDH Insurance Benefit Type."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS"/>
      <concept>
        <code value="pcpov"/>
        <display value="Primary Care Visit to Treat an Injury or Illness"/>
      </concept>
      <concept>
        <code value="specialistov"/>
        <display value="Specialist Office Visit"/>
      </concept>
      <concept>
        <code value="mlpov"/>
        <display
                 value="Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional"/>
      </concept>
      <concept>
        <code value="outpatient"/>
        <display
                 value="Outpatient Facility Fee (e.g., Ambulatory Surgery Center)"/>
      </concept>
      <concept>
        <code value="outpatstx"/>
        <display value="Outpatient Surgery Physician/Surgical Services"/>
      </concept>
      <concept>
        <code value="hospserv"/>
        <display value="Hospice Services"/>
      </concept>
      <concept>
        <code value="routinedental"/>
        <display value="Routine Dental Services (Adult)"/>
      </concept>
      <concept>
        <code value="infertilitytx"/>
        <display value="Infertility Treatment"/>
      </concept>
      <concept>
        <code value="ltnhc"/>
        <display value="Long-Term/Custodial Nursing Home Care"/>
      </concept>
      <concept>
        <code value="privatenurse"/>
        <display value="Private-Duty Nursing"/>
      </concept>
      <concept>
        <code value="routineeye"/>
        <display value="Routine Eye Exam (Adult)"/>
      </concept>
      <concept>
        <code value="ucservice"/>
        <display value="Urgent Care Centers or Facilities"/>
      </concept>
      <concept>
        <code value="homehealth"/>
        <display value="Home Health"/>
      </concept>
      <concept>
        <code value="erservice"/>
        <display value="Emergency Room Services"/>
      </concept>
      <concept>
        <code value="ambulance"/>
        <display value="Emergency Room Services"/>
      </concept>
      <concept>
        <code value="inpatienthospital"/>
        <display value="Inpatient Hospital Services (e.g., Hospital Stay)"/>
      </concept>
      <concept>
        <code value="inpatientprovider"/>
        <display value="Inpatient Physician and Surgical Services"/>
      </concept>
      <concept>
        <code value="bariatricsurg"/>
        <display value="Bariatric Surgery"/>
      </concept>
      <concept>
        <code value="cosmeticsurg"/>
        <display value="Cosmetic Surgery"/>
      </concept>
      <concept>
        <code value="skillednursing"/>
        <display value="Skilled Nursing Facility"/>
      </concept>
      <concept>
        <code value="ppnatalcare"/>
        <display value="Prenatal and Postnatal Care"/>
      </concept>
      <concept>
        <code value="maternitycare"/>
        <display
                 value="Delivery and All Inpatient Services for Maternity Care"/>
      </concept>
      <concept>
        <code value="menthlthoutp"/>
        <display value="Mental/Behavioral Health Outpatient Services"/>
      </concept>
      <concept>
        <code value="menthlthinp"/>
        <display value="Mental/Behavioral Health Inpatient Services"/>
      </concept>
      <concept>
        <code value="sadoutp"/>
        <display value="Substance Abuse Disorder Outpatient Services"/>
      </concept>
      <concept>
        <code value="sadinp"/>
        <display value="Substance Abuse Disorder Inpatient Services"/>
      </concept>
      <concept>
        <code value="drggenric"/>
        <display value="Generic Drugs"/>
      </concept>
      <concept>
        <code value="drgbrand"/>
        <display value="Preferred Brand Drugs"/>
      </concept>
      <concept>
        <code value="drgnonpreferred"/>
        <display value="Non-Preferred Brand Drugs"/>
      </concept>
      <concept>
        <code value="drgspecialty"/>
        <display value="Specialty Drugs"/>
      </concept>
      <concept>
        <code value="rehaboutp"/>
        <display value="Outpatient Rehabilitation Services"/>
      </concept>
      <concept>
        <code value="servicehablitation"/>
        <display value="Habilitation Services"/>
      </concept>
      <concept>
        <code value="chiro"/>
        <display value="Chiropractic Care"/>
      </concept>
      <concept>
        <code value="dme"/>
        <display value="Durable Medical Equipment"/>
      </concept>
      <concept>
        <code value="hearingaids"/>
        <display value="Hearing Aids"/>
      </concept>
      <concept>
        <code value="imgctpetmri"/>
        <display value="Imaging (CT/PET Scans, MRIs)"/>
      </concept>
      <concept>
        <code value="prev"/>
        <display value="Preventive Care/Screening/Immunization"/>
      </concept>
      <concept>
        <code value="rtnpod"/>
        <display value="Routine Foot Care"/>
      </concept>
      <concept>
        <code value="acupuncture"/>
        <display value="Acupuncture"/>
      </concept>
      <concept>
        <code value="weightloss"/>
        <display value="Weight Loss Programs"/>
      </concept>
      <concept>
        <code value="rtneyechld"/>
        <display value="Routine Eye Exam for Children"/>
      </concept>
      <concept>
        <code value="glasseschld"/>
        <display value="Eye Glasses for Children"/>
      </concept>
      <concept>
        <code value="rtndntlchld"/>
        <display value="Dental Check-Up for Children"/>
      </concept>
      <concept>
        <code value="speachthpy"/>
        <display value="Rehabilitative Speech Therapy"/>
      </concept>
      <concept>
        <code value="rehaboccandpt"/>
        <display
                 value="Rehabilitative Occupational and Rehabilitative Physical Therapy"/>
      </concept>
      <concept>
        <code value="wellbaby"/>
        <display value="Well Baby Visits and Care"/>
      </concept>
      <concept>
        <code value="laboutp"/>
        <display value="Laboratory Outpatient and Professional Services"/>
      </concept>
      <concept>
        <code value="imagingdx"/>
        <display value="X-rays and Diagnostic Imaging"/>
      </concept>
      <concept>
        <code value="dntlbaschld"/>
        <display value="Basic Dental Care - Child"/>
      </concept>
      <concept>
        <code value="orthochld"/>
        <display value="Orthodontia - Child"/>
      </concept>
      <concept>
        <code value="dntlmajchld"/>
        <display value="Major Dental Care - Child"/>
      </concept>
      <concept>
        <code value="dntlbasadlt"/>
        <display value="Basic Dental Care - Adult"/>
      </concept>
      <concept>
        <code value="orthodadlt"/>
        <display value="Orthodontia - Adult"/>
      </concept>
      <concept>
        <code value="dntlmajadlt"/>
        <display value="Major Dental Care - Adult"/>
      </concept>
      <concept>
        <code value="abortion"/>
        <display value="Abortion for Which Public Funding is Prohibited"/>
      </concept>
      <concept>
        <code value="transplant"/>
        <display value="Transplant"/>
      </concept>
      <concept>
        <code value="accdntl"/>
        <display value="Accidental Dental"/>
      </concept>
      <concept>
        <code value="dialysis"/>
        <display value="Dialysis"/>
      </concept>
      <concept>
        <code value="testallrgy"/>
        <display value="Allergy Testing"/>
      </concept>
      <concept>
        <code value="chemotherapy"/>
        <display value="Chemotherapy"/>
      </concept>
      <concept>
        <code value="radiation"/>
        <display value="Radiation"/>
      </concept>
      <concept>
        <code value="edudiab"/>
        <display value="Diabetes Education"/>
      </concept>
      <concept>
        <code value="prosthetic"/>
        <display value="Prosthetic Devices"/>
      </concept>
      <concept>
        <code value="infusiontx"/>
        <display value="Infusion Therapy"/>
      </concept>
      <concept>
        <code value="tmjtx"/>
        <display value="Treatment for Temporomandibular Joint Disorders"/>
      </concept>
      <concept>
        <code value="nutrition"/>
        <display value="Nutritional Counseling"/>
      </concept>
      <concept>
        <code value="reconsurg"/>
        <display value="Reconstructive Surgery"/>
      </concept>
    </include>
  </compose>
</ValueSet>