HL7 v2.5.1 Vocabulary
0.1.0 - ci-build

HL7 v2.5.1 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.v251/ and changes regularly. See the Directory of published versions

## CodeSystem: Advanced Beneficiary Notice Code (2.5.1 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/CodeSystem/advancedBeneficiaryNotice | Version: 1.0.0
Active as of 2026-01-27 | Computable Name: AdvancedBeneficiaryNotice
Other Identifiers: OID:2.16.840.1.113883.18.209
Copyright/Legal: HL7 Inc., 2026

Code system of concepts specifying the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.

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

- Hl7VSadvancedBeneficiaryNoticeCode

Properties

This code system defines the following properties for its concepts

Name | Code | URI | Type | Description
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/advancedBeneficiaryNotice` defines the following codes:

Code | Display | Definition | versionIntroduced | Deutsch (German, de)
1 | Service is subject to medical necessity procedures | Service is subject to medical necessity procedures | 2.3.1 | Zuzahlung muss abgeklärt werden
2 | Patient has been informed of responsibility, and agrees to pay for service | Patient has been informed of responsibility, and agrees to pay for service | 2.3.1 |
3 | Patient has been informed of responsibility, and asks that the payer be billed | Patient has been informed of responsibility, and asks that the payer be billed | 2.3.1 | Patient fragt nach Rechnung
4 | Advanced Beneficiary Notice has not been signed | Advanced Beneficiary Notice has not been signed | 2.3.1 | Zustimmung zur Zuzahlung liegt nicht vor