# Occurrence Code (2.4 - 1.0.0) - HL7 v2.4 Vocabulary v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Occurrence Code (2.4 - 1.0.0)**

## CodeSystem: Occurrence Code (2.4 - 1.0.0) (Experimental) 

| | |
| :--- | :--- |
| *Official URL*:http://terminology.hl7.org/v2plusvocab/CodeSystem/nubc-OccurrenceCode-cs | *Version*:1.0.0 |
| Active as of 2026-01-27 | *Computable Name*:Nubc-OccurrenceCode-cs |
| *Other Identifiers:*OID:2.16.840.1.113883.6.301.7 | |
| **Copyright/Legal**: HL7 Inc., 2026 | |

 
National Uniform Billing Committee (NUBC) UB-04 Data Specifications Manual, UB form locator 31 - 34, Occurrence Codes and Amounts - code and associated date defining a significant event relating to the bill that may affect payer processing the claim. The UB-04 Data Specifications Manual with the codes is available by subscription from NUBC at http://www.nubc.org/become.html. Used in HL7 Version 2.x messaging in the OCD segment. Updated by NUBC annually; see the coding instructions for more detail. 

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

* [Hl7VSoccurrenceCode](ValueSet-hl7VSoccurrenceCode.md)



## Resource Content

```json
{
  "resourceType" : "CodeSystem",
  "id" : "nubc-OccurrenceCode-cs",
  "extension" : [
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated",
      "valueString" : "2.4"
    },
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory",
      "valueString" : "generate correct history somehow"
    },
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo",
      "valueString" : "0350"
    }
  ],
  "url" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/nubc-OccurrenceCode-cs",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.6.301.7"
    }
  ],
  "version" : "1.0.0",
  "name" : "Nubc-OccurrenceCode-cs",
  "title" : "Occurrence Code (2.4 - 1.0.0)",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-01-27T19:23:17+00:00",
  "publisher" : "HL7/FO",
  "contact" : [
    {
      "name" : "HL7/FO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org"
        }
      ]
    }
  ],
  "description" : "National Uniform Billing Committee (NUBC) UB-04 Data Specifications Manual, UB form locator 31 - 34, Occurrence Codes and Amounts - code and associated date defining a significant event relating to the bill that may affect payer processing the claim. The UB-04 Data Specifications Manual with the codes is available by subscription from NUBC at http://www.nubc.org/become.html.  Used in HL7 Version 2.x messaging in the OCD segment. Updated by NUBC annually; see the coding instructions for more detail.",
  "copyright" : "HL7 Inc., 2026",
  "caseSensitive" : true,
  "compositional" : false,
  "content" : "complete",
  "property" : [
    {
      "code" : "versionIntroduced",
      "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced",
      "description" : "version when was this code introduced",
      "type" : "string"
    },
    {
      "code" : "versionDeprecated",
      "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated",
      "description" : "version when was this code deprecated",
      "type" : "string"
    },
    {
      "code" : "status",
      "uri" : "http://hl7.org/fhir/concept-properties#status",
      "description" : "A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired",
      "type" : "code"
    },
    {
      "code" : "comment",
      "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment",
      "description" : "A string that provides additional detail pertinent to the use or understanding of the concept",
      "type" : "string"
    },
    {
      "code" : "usage",
      "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage",
      "description" : "usage notes for this code",
      "type" : "string"
    },
    {
      "code" : "modified",
      "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified",
      "description" : "date of last modification",
      "type" : "dateTime"
    }
  ],
  "concept" : [
    {
      "code" : "01",
      "display" : "Auto accident",
      "definition" : "Auto accident",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "02",
      "display" : "No fault insurance involved-including auto accident/other",
      "definition" : "No fault insurance involved-including auto accident/other",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "03",
      "display" : "Accident/tort liability",
      "definition" : "Accident/tort liability",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "04",
      "display" : "Accident/employment related",
      "definition" : "Accident/employment related",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "05",
      "display" : "Other accident",
      "definition" : "Other accident",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "06",
      "display" : "Crime victim",
      "definition" : "Crime victim",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "09",
      "display" : "Start of infertility treatment cycle",
      "definition" : "Start of infertility treatment cycle",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "10",
      "display" : "Last menstrual period",
      "definition" : "Last menstrual period",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "11",
      "display" : "Onset of symptoms/illness",
      "definition" : "Onset of symptoms/illness",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "12",
      "display" : "Date of onset for a chronically dependent individual",
      "definition" : "Date of onset for a chronically dependent individual",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "17",
      "display" : "Date outpatient occupational therapy plan established or last reviewed",
      "definition" : "Date outpatient occupational therapy plan established or last reviewed",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "18",
      "display" : "Date of retirement patient/beneficiary",
      "definition" : "Date of retirement patient/beneficiary",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "19",
      "display" : "Date of retirement spouse",
      "definition" : "Date of retirement spouse",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "20",
      "display" : "Guarantee of payment began",
      "definition" : "Guarantee of payment began",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "21",
      "display" : "UR notice received",
      "definition" : "UR notice received",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "22",
      "display" : "Date active care ended",
      "definition" : "Date active care ended",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "24",
      "display" : "Date insurance denied",
      "definition" : "Date insurance denied",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "25",
      "display" : "Date benefits terminated by primary payor",
      "definition" : "Date benefits terminated by primary payor",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "26",
      "display" : "Date SNF bed available",
      "definition" : "Date SNF bed available",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "27",
      "display" : "Date home health plan established",
      "definition" : "Date home health plan established",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "28",
      "display" : "Spouse's date of birth",
      "definition" : "Spouse's date of birth",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "29",
      "display" : "Date outpatient physical therapy plan established or last reviewed",
      "definition" : "Date outpatient physical therapy plan established or last reviewed",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "30",
      "display" : "Date outpatient speech pathology plan established or last reviewed",
      "definition" : "Date outpatient speech pathology plan established or last reviewed",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "31",
      "display" : "Date beneficiary notified of intent to bill (accommodations)",
      "definition" : "Date beneficiary notified of intent to bill (accommodations)",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "32",
      "display" : "Date beneficiary notified of intent to bill (procedures or treatments)",
      "definition" : "Date beneficiary notified of intent to bill (procedures or treatments)",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "33",
      "display" : "First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP",
      "definition" : "First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "34",
      "display" : "Date of election of extended care facilities",
      "definition" : "Date of election of extended care facilities",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "35",
      "display" : "Date treatment started for P.T.",
      "definition" : "Date treatment started for P.T.",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "36",
      "display" : "Date of inpatient hospital discharge for covered transplant patients",
      "definition" : "Date of inpatient hospital discharge for covered transplant patients",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "37",
      "display" : "Date of inpatient hospital discharge for non-covered transplant patient",
      "definition" : "Date of inpatient hospital discharge for non-covered transplant patient",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "40",
      "display" : "Scheduled date of admission",
      "definition" : "Scheduled date of admission",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "41",
      "display" : "Date of first test for pre-admission testing",
      "definition" : "Date of first test for pre-admission testing",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "42",
      "display" : "Date of discharge",
      "definition" : "Date of discharge",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "43",
      "display" : "Scheduled date of canceled surgery",
      "definition" : "Scheduled date of canceled surgery",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "44",
      "display" : "Date treatment started for O.T.",
      "definition" : "Date treatment started for O.T.",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "45",
      "display" : "Date treatment started for S.T.",
      "definition" : "Date treatment started for S.T.",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "46",
      "display" : "Date treatment started for cardiac rehab.",
      "definition" : "Date treatment started for cardiac rehab.",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "47",
      "display" : "Payer codes",
      "definition" : "Payer codes",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "48",
      "display" : "Payer codes",
      "definition" : "Payer codes",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "49",
      "display" : "Payer codes",
      "definition" : "Payer codes",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "50",
      "display" : "Date lien released",
      "definition" : "Date lien released",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "51",
      "display" : "Date treatment started for psychiatric care",
      "definition" : "Date treatment started for psychiatric care",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "70",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "71",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "72",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "73",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "74",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "75",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "76",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "77",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "78",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "79",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "80",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "81",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "82",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "83",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "84",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "85",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "86",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "87",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "88",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "89",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "90",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "91",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "92",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "93",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "94",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "95",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "96",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "97",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "98",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "99",
      "display" : "Occurrence span codes and dates",
      "definition" : "Occurrence span codes and dates",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "A1",
      "display" : "Birthdate - insured A",
      "definition" : "Birthdate - insured A",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "A2",
      "display" : "Effective date - insured A policy",
      "definition" : "Effective date - insured A policy",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    },
    {
      "code" : "A3",
      "display" : "Benefits exhausted payer A",
      "definition" : "Benefits exhausted payer A",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.3.1"
        }
      ]
    }
  ]
}

```
