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

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

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    {
      "resourceType" : "ValueSet",
      "id" : "X12278RequestedServiceModifierType",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></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><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span></li></ul></div>"
      },
      "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"
          }
        ]
      }
    }