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

CodeSystem: US Claim Information Category Codes

Official URL: http://terminology.hl7.org/CodeSystem/us-claim-information-category Version: 1.0.0
Active as of 2026-08-04 Maturity Level: 1 Responsible: Health Level Seven International ​ Realm: United States of America flag Computable Name: USClaimInformationCategoryCodes
Other Identifiers: OID:2.16.840.1.113883.5.182

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

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.

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

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

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/us-claim-information-category defines the following codes:

CodeDisplayDefinition
place-of-service Place of Service Place of service codes placed on health care claims to indicate the setting in which a service was provided.
type-of-bill Type of Bill Categorization of the type of bill.
service-facility Service Facility The facility where the service occurred.
drg DRG Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.
point-of-origin Point of Origin Institutional claim Point of origin for the patient's admission or visit.
adm-type Admission Type Institutional Type of admission.
claim-frequency Claim Frequency Indicates the billing frequency or submission type of the claim, such as original, replacement, or void.
discharge-status Discharge Status Indicates 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