HTA License Conformance Analysis for Da Vinci Prior Authorization Support (PAS) FHIR IG

The content of this page is being developed with the HTA committee, and is subject to further change. Editors are welcome to use this page to pick up errors in their definitions, but should not regard the analysis as final.

https://www.nubc.org/revenue-code

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
AHANUBCRevenueCodes AHA NUBC Revenue Value Set

The Official UB-04 Data Specifications Manual, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee. No other publication—governmental or private/commercial—can be considered authoritative. See their website for licensing terms and conditions.

https://codesystem.x12.org/005010/756

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PASCommunicationRequestMedium PAS Communication Medium Value Set

These 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.

https://codesystem.x12.org/005010/1136

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278ConditionCategory X12 278 CRC Condition Category

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.

https://codesystem.x12.org/005010/1321

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278ConditionCode X12 278 CRC Condition Code

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.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software (Medicare Severity Diagnosis Related Groups (MS-DRGs))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://uri.hddaccess.com/cs/apdrg (All Patient Diagnosis Related Groups (AP DRGs))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://uri.hddaccess.com/cs/aprdrg (All Patient Refined Diagnosis Related Groups (APR DRGs))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278DiagnosisCodes X12 278 Diagnosis Code Value Set

http://loinc.org (Logical Observation Identifiers, Names and Codes (LOINC))

Uses2
Expected Copyright

This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc

Approved:All OK

URL Name Copyright Notes
X12278DiagnosisInformationType X12 278 Diagnosis Information Type
pas-loinc-attachment-codes PAS LOINC Attachment Codes Value Set

https://codesystem.x12.org/005010/889

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278FollowUpActionCodes X12 278 Follow Up Action Value Set

These 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.

https://www.nubc.org/CodeSystem/TypeOfBill (AHA NUBC Type Of Bill Codes)

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278LocationType X12 278 Health Care Service Location Type Value Set

https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set (CMS Place of Service Codes (POS))

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278LocationType X12 278 Health Care Service Location Type Value Set

http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes)

Uses4
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278NutritionEnteralFormulaType X12 278 Nutrition Enteral Formula Type
X12278NutritionOralDietType X12 278 Nutrition Oral Diet Type
X12278RequestedServiceModifierType X12 278 Requested Service Modifier Type

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.

X12278RequestedServiceType X12 278 Requested Service Type

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.

https://codesystem.x12.org/005010/901

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RejectReasonCodes X12 278 Reject Reason Value Set

These 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.

http://www.ama-assn.org/go/cpt (Current Procedural Terminology (CPT®))

Uses2
Expected Copyright

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved

Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceModifierType X12 278 Requested Service Modifier Type
X12278RequestedServiceType X12 278 Requested Service Type

https://codesystem.x12.org/005010/1365

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceType X12 278 Requested Service Type

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.

http://www.cms.gov/Medicare/Coding/ICD10 (ICD-10 Procedure Codes)

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278RequestedServiceType X12 278 Requested Service Type

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.

https://codesystem.x12.org/external/886

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278ReviewDecisionReasonCode X12 278 Review Decision Reason Codes

This value set contains codes maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

https://codesystem.x12.org/005010/755

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
pas-pwk01-attachment-report-type-code PAS PWK01 Attachment Report Type Code Value Set

All X12 work products are copyrighted. Any use of any X12 work product must be compliant with US Copyright laws and X12 Intellectual Property policies.

Please see https://x12.org/products/licensing-program