HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 3.1.5). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

CodeSystem: paymentAdjustmentInformation

Official URL: http://terminology.hl7.org/CodeSystem/v2-0468 Version: 2.1.0
Active as of 2019-12-01 Responsible: HL7, Inc Computable Name: PaymentAdjustmentInformation
Other Identifiers: : urn:oid:2.16.840.1.113883.18.297

Copyright/Legal: Copyright HL7. Licensed under creative commons public domain

Code system of concepts specifying any payment adjustment due to drugs or medical devices. Used in HL7 Version 2.x messaging in the GP2 segment.

Underlying Master Code System for V2 table 0468 (Payment Adjustment Code)

This Code system is referenced in the content logical definition of the following value sets:

Properties

CodeURLTypeDescription
statushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statuscodeStatus of the concept
deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedcodeVersion of HL7 in which the code was deprecated

This code system http://terminology.hl7.org/CodeSystem/v2-0468 defines the following codes:

CodeDisplayDefinition
1 No payment adjustmentNo payment adjustment
2 Designated current drug or biological payment adjustment applies to APC (status indicator G)Designated current drug or biological payment adjustment applies to APC (status indicator G)
3 Designated new device payment adjustment applies to APC (status indicator H)Designated new device payment adjustment applies to APC (status indicator H)
4 Designated new drug or new biological payment adjustment applies to APC (status indicator J)Designated new drug or new biological payment adjustment applies to APC (status indicator J)
5 Deductible not applicable (specific list of HCPCS codes)Deductible not applicable (specific list of HCPCS codes)

History

DateActionCustodianAuthorComment
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.