HTA License Conformance Analysis for Patient Cost Transparency Implementation Guide

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/CodeSystem/PointOfOrigin (AHA NUBC Point of Origin for Non-newborn)

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

URL Name Copyright Notes
AHANUBCPointOfOriginVS NUBC Point Of Origin

https://www.nubc.org/CodeSystem/PointOfOriginNewborn (AHA NUBC Point of Origin for Newborn)

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

URL Name Copyright Notes
AHANUBCPointOfOriginVS NUBC Point Of Origin

https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit (AHA NUBC Priority (Type) of Admission or Visit)

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

URL Name Copyright Notes
AHANUBCPriorityTypeOfAdmissionOrVisitVS NUBC Priority (Type) of Admission or Visit

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
ICD10ProcedureCodes ICD-10 Procedure Codes

https://x12.org/codes/claim-adjustment-reason-codes (X12 Claim Adjustment Reason Codes)

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

URL Name Copyright Notes
PCTAdjustmentReasonVS PCT Adjustment Reason

https://x12.org/codes/remittance-advice-remark-codes (X12 Remittance Advice Remark Codes)

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

URL Name Copyright Notes
PCTAdjustmentReasonVS PCT Adjustment Reason

https://x12.org/codes/service-type-codes (X12 Service Type Codes)

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

URL Name Copyright Notes
PCTBenefitBalanceCategoryVS PCT benefitBalance.category codes

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
PCTGFECMSPOS PCT GFE CMS Place of Service Value Set

This Valueset is not copyrighted.

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
PCTGFEItemCptHcpcsVS PCT GFE Item CPT - HCPCS Value Set ☑
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set ☑

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

Uses3
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PCTGFEItemCptHcpcsVS PCT GFE Item CPT - HCPCS Value Set

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

PCTProcedureSurgicalCodes PCT CMS HCPCS and AMA CPT Procedure Surgical Codes

This Valueset is not copyrighted.

USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set

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

This artifact incorporates content from ANSI/ADA Standard No. 218, Dentistry—Designation Systems for Teeth and Areas of the Oral Cavity, the ADA Dental Claim Form (Version 2024), and the Code on Dental Procedures and Nomenclature (CDT Code), all of which are copyrighted works of, and owned exclusively by, the American Dental Association (ADA). Implementers and users of this artifact assume full responsibility for obtaining and maintaining all necessary rights and licenses from the ADA for any use of ADA-proprietary content. For licensing information, refer to: https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users

https://www.nubc.org/CodeSystem/RevenueCodes (AHA NUBC Revenue Codes)

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

URL Name Copyright Notes
PCTGFEItemRevenueVS PCT GFE NUBC Revenue Value Set

This Valueset is not copyrighted.

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
PCTGFETypeOfBillVS PCT GFE NUBC Uniform Billing (UB-04) Type of Bill Value Set

This Valueset is not copyrighted.

urn:ietf:bcp:13

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

URL Name Copyright Notes
PCTTaskAttachmentContentType PCT Task Attachment Mime Types

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
USClaimDRGCodes US Claim DRG Codes

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
USClaimDRGCodes US Claim DRG Codes

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
USClaimDRGCodes US Claim DRG Codes

http://www.ada.org/cdt (Code on Dental Procedures and Nomenclature)

Uses1
Expected Copyright

This artifact incorporates content from ANSI/ADA Standard No. 218, Dentistry—Designation Systems for Teeth and Areas of the Oral Cavity, the ADA Dental Claim Form (Version 2024), and the Code on Dental Procedures and Nomenclature (CDT Code), all of which are copyrighted works of, and owned exclusively by, the American Dental Association (ADA). Implementers and users of this artifact assume full responsibility for obtaining and maintaining all necessary rights and licenses from the ADA for any use of ADA-proprietary content. For licensing information, refer to: https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users

Approved:To be resolved

URL Name Copyright Notes
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set ☑

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes (Health Insurance Prospective Payment System (HIPPS))

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

URL Name Copyright Notes
USClaimMedicalProductOrServiceCodes Claim Medical Product or Service Value Set

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

This artifact incorporates content from ANSI/ADA Standard No. 218, Dentistry—Designation Systems for Teeth and Areas of the Oral Cavity, the ADA Dental Claim Form (Version 2024), and the Code on Dental Procedures and Nomenclature (CDT Code), all of which are copyrighted works of, and owned exclusively by, the American Dental Association (ADA). Implementers and users of this artifact assume full responsibility for obtaining and maintaining all necessary rights and licenses from the ADA for any use of ADA-proprietary content. For licensing information, refer to: https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users