paymentAdjustmentInformation - HL7 Terminology (THO) v6.1.0

HL7 Terminology (THO)
6.1.0 - Continuous Process Integration (ci build) International flag

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.1.0 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

CodeSystem: paymentAdjustmentInformation

Official URL: http://terminology.hl7.org/CodeSystem/v2-0468		Version: 2.0.0
Active as of 2019-12-01	Responsible: Health Level Seven International	Computable Name: PaymentAdjustmentInformation
Other Identifiers: OID:2.16.840.1.113883.18.297
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

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:

Hl7VSPaymentAdjustmentCode

Generated Narrative: CodeSystem v2-0468

Properties

This code system defines the following properties for its concepts

Name

Code

URI

Type

Description

status

http://terminology.hl7.org/CodeSystem/utg-concept-properties#status

code

Status of the concept

deprecated

http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated

code

Version of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0468 defines the following codes in a Is-A hierarchy:

Code	Display	Definition
1	No payment adjustment	No 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)