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 5.4.5 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: reimbursementType

Official URL: http://terminology.hl7.org/CodeSystem/v2-0470 Version: 2.0.0
Active as of 2019-12-01 Responsible: Health Level Seven International Computable Name: ReimbursementType
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.18.299

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

Code system of concepts specifying the fee schedule reimbursement type applied to the line item. Used in HL7 Version 2.x messaging in the GP2 segment.

Underlying Master Code System for V2 table 0470 (Reimbursement Type Code)

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


This code system defines the following properties for its concepts

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 case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0470 defines the following codes in a Is-A heirarchy:

OPPS Outpatient Prospective Payment SystemOutpatient Prospective Payment System
Pckg Packaged APCPackaged APC
Lab Clinical Laboratory APCClinical Laboratory APC
Thrpy Therapy APCTherapy APC
DME Durable Medical EquipmentDurable Medical Equipment
EPO EpoteinEpotein
Mamm Screening Mammography APCScreening Mammography APC
PartH Partial Hospitalization APCPartial Hospitalization APC
Crnl Corneal Tissue APCCorneal Tissue APC
NoPay This APC is not paidThis APC is not paid


2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.