HL7 v2.4 Vocabulary
0.1.0 - ci-build

HL7 v2.4 Vocabulary, published by HL7/FO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/hl7.v2.terminology.v24/ and changes regularly. See the Directory of published versions

CodeSystem: PSRO/UR Approval Indicator (2.4 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/CodeSystem/approvalIndicator Version: 1.0.0
Active as of 2026-01-27 Computable Name: ApprovalIndicator
Other Identifiers: OID:2.16.840.1.113883.18.447

Copyright/Legal: HL7 Inc., 2026

HL7-defined code system of concepts for PSRO/UR approval indicators, as used in the UB82 field 87. This field is defined by HCFA (in the US) or other regulatory agencies. Note that this form type is no longer used in the US, and the codes listed (as examples) are not an exhaustive or current list; refer to a UB84 specification for additional information. Used in HL7 Version 2 messaging in UB82 segment.

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

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
versionIntroduced versionIntroduced http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced string version when was this code introduced
versionDeprecated versionDeprecated http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated string version when was this code deprecated
status status http://hl7.org/fhir/concept-properties#status code A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired
comment comment http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment string A string that provides additional detail pertinent to the use or understanding of the concept
usage usage http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage string usage notes for this code
modified modified http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified dateTime date of last modification

Concepts

This case-sensitive code system http://terminology.hl7.org/v2plusvocab/CodeSystem/approvalIndicator defines the following codes:

CodeDisplayDefinitionversionIntroduced
1 Approved by the PSRO/UR as billed Approved by the PSRO/UR as billed 2.3.1
2 Automatic approval as billed based on focused review Automatic approval as billed based on focused review 2.3.1
3 Partial approval Partial approval 2.3.1
4 Admission denied Admission denied 2.3.1
5 Postpayment review applicable Postpayment review applicable 2.3.1