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

## ValueSet: X12 278 Requested Service Type

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | Computable Name: X12278RequestedServiceType
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.18
Copyright/Legal: Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved. X12 codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

This set of codes identifies what service is being requested. For queries, if the query is not searching for a specific service type, the not-applicable data absent reason code can be used. It is a combination of X12 Service Type codes, CPT (HCPCS I) and HCPCS II procedure code modifiers, ICD-9 Procedure codes, ICD-10 Procedure codes, and NDC Drug codes. 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
- ItemAuthorizedDetail
- ProductOrServiceCodeEnd
- ProductOrServiceCodeEnd
- PAS Claim Base
- PAS Claim Base
- PAS Claim Response Base
- PAS Claim Response Base
- PAS Device Request
- PAS Device Request
- PAS Service Request
- PAS Service Request

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://terminology.hl7.org/CodeSystem/data-absent-reason` version 📍1.0.0

  Code | Display | Definition
  not-applicable | Not Applicable | There is no proper value for this element (e.g. last menstrual period for a male).

- Include all codes defined in `https://codesystem.x12.org/005010/1365` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://www.ama-assn.org/go/cpt` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://terminology.hl7.org/CodeSystem/icd9cm` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://www.cms.gov/Medicare/Coding/ICD10` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://hl7.org/fhir/sid/ndc` version Not Stated (use latest from terminology server)

### Expansion

No Expansion for this valueset (not supported by Publication Tooling)

Description of the above table(s).