Order Catalog Implementation Guide
current - CI Build International flag

Order Catalog Implementation Guide, published by HL7 International - Orders and Observations Work Group. This is not an authorized publication; it is the continuous build for version current). This version is based on the current content of https://github.com/HL7/fhir-order-catalog/ and changes regularly. See the Directory of published versions

CodeSystem: Laboratory service reimbursability categories CodeSystem

Official URL: http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability Version: current
Active as of 2020-03-20 Computable Name: LaboratoryServiceReimbursability

This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability defines the following codes:

CodeDisplayDefinition
none no reimbursement provided for the service in generalThe service is usually not covered by insurance plans, and charged to the paying party
normal normal reimbursement dispositions applicable to the serviceThe service is usually reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service
conditional reimbursement of service subject to conditionsThe service reimbursement is conditioned by the clinical context of the order
partial normal reimbursement limited to a part of the serviceThe service is composed of a part that is usually reimbursed under general dispositions defined in insurance plans, and of a part that is non-reimbursable
conditional-partial reimbursement limited to a part of the service and subject to conditionsThe service is composed of a part that is reimbursable depending on the clinical context, and of a part that is non-reimbursable