Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

## : X12 278 Requested Service Modifier Type - XML Representation

Page standards status: Trial-use | Maturity Level: 3

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    <ValueSet xmlns="http://hl7.org/fhir">
      <id value="X12278RequestedServiceModifierType"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet X12278RequestedServiceModifierType</b></p><a name="X12278RequestedServiceModifierType"> </a><a name="hcX12278RequestedServiceModifierType"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-CPT.html"><code>http://www.ama-assn.org/go/cpt</code></a></li><li>Include all codes defined in <a href="http://terminology.hl7.org/6.2.0/CodeSystem-hcpcs-Level-II.html"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></a></li></ul></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="fm"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="3">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.24.48.17"/>
      </identifier>
      <version value="2.2.0-ballot"/>
      <name value="X12278RequestedServiceModifierType"/>
      <title value="X12 278 Requested Service Modifier Type"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2025-07-29T17:39:14+00:00"/>
      <publisher value="HL7 International / Financial Management"/>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.org/Special/committees/fm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="fmlists@lists.hl7.org"/>
        </telecom>
      </contact>
      <contact>
        <name value="Jean Duteau"/>
        <telecom>
          <system value="email"/>
          <value value="mailto:jean@duteaudesign.com"/>
        </telecom>
      </contact>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/fm"/>
        </telecom>
      </contact>
      <description
                   value="This set of codes identifies modifiers to the type of service being requested.  It is a combination of CPT (HCPCS I) and HCPCS II procedure code modifiers.  NOTE: HCPCS Level 1 Codes are the CPT codes so either code system could be used to send the codes.  When receiving the codes from an X12 system, the system returned will be HCPCS even if it was initially sent as a CPT code."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved."/>
      <compose>
        <include>
          <system value="http://www.ama-assn.org/go/cpt"/>
        </include>
        <include>
          <system
                  value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
        </include>
      </compose>
    </ValueSet>