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 7.1.0 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

ValueSet: Benefit Category Codes

Official URL: http://terminology.hl7.org/ValueSet/ex-benefitcategory Version: 1.0.1
Maturity Level: 1 Responsible: Health Level Seven International Computable Name: BenefitCategoryCodes
Other Identifiers: OID:2.16.840.1.113883.4.642.3.1174

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

This value set includes examples of Benefit Category codes.

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: 2024-04-24 00:00:00+0000; Language: en

Profile: Shareable ValueSet

 

Expansion

Expansion performed internally based on codesystem Benefit Category Codes v1.0.1 (CodeSystem)

This value set contains 28 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  1Medical CareMedical Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  2SurgicalSurgical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  3ConsultationConsultation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  4Diagnostic XRayDiagnostic XRay.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  5Diagnostic LabDiagnostic Lab.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  14Renal SuppliesRenal Supplies excluding Dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  23Diagnostic DentalDiagnostic Dental.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  24PeriodonticsPeriodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  25RestorativeRestorative.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  26EndodonticsEndodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  27Maxillofacial ProstheticsMaxillofacial Prosthetics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  28Adjunctive Dental ServicesAdjunctive Dental Services.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  30Health Benefit Plan CoverageHealth Benefit Plan Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  35Dental CareDental Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  36Dental CrownsDental Crowns.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  37Dental AccidentDental Accident.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  49Hospital Room and BoardHospital Room and Board.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  55Major MedicalMajor Medical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  56Medically Related TransportationMedically Related Transportation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  61In-vitro FertilizationIn-vitro Fertilization.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  62MRI ScanMRI Scan.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  63Donor ProceduresDonor Procedures such as organ harvest.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  69MaternityMaternity.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  76Renal DialysisRenal dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F1Medical CoverageMedical Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F3Dental CoverageDental Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F4Hearing CoverageHearing Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory  F6Vision CoverageVision Coverage.

Description of the above table(s).


History

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2020-10-14reviseVocabulary WGGrahame GrieveReset Version after migration to UTG
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.