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 Modifier Type

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | Computable Name: X12278RequestedServiceModifierType
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.17
Copyright/Legal: Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.

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
- ItemAuthorizedDetail
- PAS Claim Base
- PAS Claim Base
- PAS Claim Response Base
- PAS Claim Response Base

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- 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)

### Expansion

Expansion from tx-nordics.fhir.org based on:

- codesystem Current Procedural Terminology (CPT®) v3.0.1 (CodeSystem)
- codesystem Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes v1.0.2 (CodeSystem)
- valueset PCTGFEItemCptHcpcsVS version 2.0.0

This value set contains 0 concepts

System | Code | Display (en) | JSON | XML

Description of the above table(s).