Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Claim Medical Product or Service Value Set - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "USClaimMedicalProductOrServiceCodes",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet USClaimMedicalProductOrServiceCodes</b></p><a name=\"USClaimMedicalProductOrServiceCodes\"> </a><a name=\"hcUSClaimMedicalProductOrServiceCodes\"> </a><a name=\"USClaimMedicalProductOrServiceCodes-en-US\"> </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/6.1.0/CodeSystem-CPT.html\"><code>http://www.ama-assn.org/go/cpt</code></a></li><li>Include all codes defined in <code>http://ada.org/cdt</code></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-hcpcs-Level-II.html\"><code>http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-HIPPS.html\"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes</code></a></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-data-absent-reason.html\"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-data-absent-reason.html#data-absent-reason-not-applicable\">not-applicable</a></td><td>Not Applicable</td><td>There is no proper value for this element (e.g. last menstrual period for a male).</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "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-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.4.48.36"
    }
  ],
  "version" : "2.0.0-ballot",
  "name" : "USClaimMedicalProductOrServiceCodes",
  "title" : "Claim Medical Product or Service Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-11-20T18:01:40+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "CPT - HCPCS - HIPPS - CDT codes to report medical procedures and services under public and private health insurance programs",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "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://ada.org/cdt"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"
      },
      {
        "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
        "concept" : [
          {
            "code" : "not-applicable",
            "display" : "Not Applicable"
          }
        ]
      }
    ]
  }
}