# X12 278 Requested Service Modifier Type - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.0-ballot

## ValueSet: X12 278 Requested Service Modifier Type 

 
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. 

 **References** 

* [ItemAuthorizedDetail](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-extension-itemAuthorizedDetail.html)
* [ItemAuthorizedDetail](StructureDefinition-extension-itemAuthorizedDetail.md)
* [PAS Claim Base](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-claim-base.html)
* [PAS Claim Base](StructureDefinition-profile-claim-base.md)
* [PAS Claim Response Base](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-claimresponse-base.html)
* [PAS Claim Response Base](StructureDefinition-profile-claimresponse-base.md)

### Logical Definition (CLD)

 

### Expansion

-------

 [Description of the above table(s)](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#terminology). 



## Resource Content

```json
{
  "resourceType" : "ValueSet",
  "id" : "X12278RequestedServiceModifierType",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.24.48.17"
    }
  ],
  "version" : "2.2.0-ballot",
  "name" : "X12278RequestedServiceModifierType",
  "title" : "X12 278 Requested Service Modifier Type",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-01-30T16:26:59+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "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" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.",
  "compose" : {
    "include" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"
      }
    ]
  }
}

```
