# Reimbursement Action Code (2.5.1 - 1.0.0) - HL7 v2.5.1 Vocabulary v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Reimbursement Action Code (2.5.1 - 1.0.0)**

## CodeSystem: Reimbursement Action Code (2.5.1 - 1.0.0) (Experimental) 

| | |
| :--- | :--- |
| *Official URL*:http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementAction | *Version*:1.0.0 |
| Active as of 2026-01-27 | *Computable Name*:ReimbursementAction |
| *Other Identifiers:*OID:2.16.840.1.113883.18.293 | |
| **Copyright/Legal**: HL7 Inc., 2026 | |

 
Code specifying the action to be taken during reimbursement calculations. In the US, this field is defined by CMS or other regulatory agencies. Used in HL7 Version 2.x messaging in the GP2 segment. 

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

* [Hl7VSreimbursementActionCode](ValueSet-hl7VSreimbursementActionCode.md)



## Resource Content

```json
{
  "resourceType" : "CodeSystem",
  "id" : "reimbursementAction",
  "extension" : [
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated",
      "valueString" : "2.5.1"
    },
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory",
      "valueString" : "generate correct history somehow"
    },
    {
      "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo",
      "valueString" : "0459"
    }
  ],
  "url" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementAction",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.18.293"
    }
  ],
  "version" : "1.0.0",
  "name" : "ReimbursementAction",
  "title" : "Reimbursement Action Code (2.5.1 - 1.0.0)",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-01-27T19:29:18+00:00",
  "publisher" : "HL7/FO",
  "contact" : [
    {
      "name" : "HL7/FO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org"
        }
      ]
    }
  ],
  "description" : "Code specifying the action to be taken during reimbursement calculations.  In the US, this field is defined by CMS or other regulatory agencies.   Used in HL7 Version 2.x messaging in the GP2 segment.",
  "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" : "0",
      "display" : "OCE line item denial or rejection is not ignored",
      "definition" : "OCE line item denial or rejection is not ignored",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.4"
        }
      ]
    },
    {
      "code" : "1",
      "display" : "OCE line item denial or rejection is ignored",
      "definition" : "OCE line item denial or rejection is ignored",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.4"
        }
      ]
    },
    {
      "code" : "2",
      "display" : "External line item denial. Line item is denied even if no OCE edits",
      "definition" : "External line item denial. Line item is denied even if no OCE edits",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.4"
        }
      ]
    },
    {
      "code" : "3",
      "display" : "External line item rejection. Line item is rejected even if no OCE edits",
      "definition" : "External line item rejection. Line item is rejected even if no OCE edits",
      "property" : [
        {
          "code" : "versionIntroduced",
          "valueString" : "2.4"
        }
      ]
    }
  ]
}

```
