HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 7.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: US Claim Information Category Codes

Official URL: http://terminology.hl7.org/ValueSet/us-claim-information-category Version: 1.0.0
Active as of 2026-06-12 Maturity Level: 1 Responsible: Health Level Seven International ​ Realm: United States of America flag Computable Name: USClaimInformationCategoryCodes
Other Identifiers: OID:2.16.840.1.113883.11.21042

Copyright/Legal: This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html

Categories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Last updated: 2026-06-12 00:00:00+0000

Profile: Shareable ValueSet

 

Expansion

Expansion performed internally based on codesystem US Claim Information Category Codes v1.0.0 (CodeSystem)

This value set contains 8 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/us-claim-information-category  place-of-servicePlace of ServicePlace of service codes placed on health care claims to indicate the setting in which a service was provided.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  type-of-billType of BillCategorization of the type of bill.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  service-facilityService FacilityThe facility where the service occurred.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  drgDRGIdentifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  point-of-originPoint of OriginInstitutional claim Point of origin for the patient's admission or visit.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  adm-typeAdmission TypeInstitutional Type of admission.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  claim-frequencyClaim FrequencyIndicates the billing frequency or submission type of the claim, such as original, replacement, or void.
http://terminology.hl7.org/CodeSystem/us-claim-information-category  discharge-statusDischarge StatusIndicates the patient's status as of the discharge date for a facility stay.

Description of the above table(s).

History

DateActionAuthorCustodianComment
2026-07-24createCorey SpearsFMCreate a new US Realm CodeSystem: US Claim Information Category Codes and associated ValueSet including all codes from this CodeSystem; up-828