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 Diagnosis Code Value Set

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278DiagnosisCodes | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | Computable Name: X12278DiagnosisCodes
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.9

The complete set of codes that can be used to convey a patient diagnosis. This includes codes from ICD-10-CM, ICD-9-CM and Diagnosis Related Group codes.

References

- CommunicatedDiagnosis
- CommunicatedDiagnosis
- PAS Claim Base
- PAS Claim Base

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- 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://hl7.org/fhir/sid/icd-10-cm` version Not Stated (use latest from terminology server)
- Include all codes defined in `https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://uri.hddaccess.com/cs/apdrg` version Not Stated (use latest from terminology server)
- Include all codes defined in `http://uri.hddaccess.com/cs/aprdrg` version Not Stated (use latest from terminology server)

### Expansion

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

- codesystem International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) v2.0.1 (CodeSystem)
- codesystem ICD-9CM v2.0.1 (CodeSystem)
- codesystem All Patient Diagnosis Related Groups (AP DRGs) v1.0.1 (CodeSystem)
- codesystem All Patient Refined Diagnosis Related Groups (APR DRGs) v1.0.1 (CodeSystem)
- codesystem Medicare Severity Diagnosis Related Groups (MS-DRGs) v1.0.0 (CodeSystem)

This value set contains 0 concepts

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

Description of the above table(s).