HL7 v2.9 Vocabulary
0.2.0 - ci-build

HL7 v2.9 Vocabulary, published by HL7/FO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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.v29/ and changes regularly. See the Directory of published versions

ValueSet: Payment Adjustment Code (2.9 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/ValueSet/hl7VSpaymentAdjustmentCode Version: 1.0.0
Active as of 2026-03-13 Computable Name: Hl7VSpaymentAdjustmentCode
Other Identifiers: OID:2.16.840.1.113883.21.313, urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#http://terminology.hl7.org/v2plusvocab/ValueSet/v2-0468

Copyright/Legal: HL7 Inc., 2026

Value Set of codes that specify any payment adjustment due to drugs or medical devices.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Payment Adjustment Code (2.9 - 1.0.0) v1.0.0 (CodeSystem)

This value set contains 5 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/v2plusvocab/CodeSystem/paymentAdjustmentInformation  1No payment adjustmentNo payment adjustment
http://terminology.hl7.org/v2plusvocab/CodeSystem/paymentAdjustmentInformation  2Designated current drug or biological payment adjustment applies to APC (status indicator G)Designated current drug or biological payment adjustment applies to APC (status indicator G)
http://terminology.hl7.org/v2plusvocab/CodeSystem/paymentAdjustmentInformation  3Designated new device payment adjustment applies to APC (status indicator H)Designated new device payment adjustment applies to APC (status indicator H)
http://terminology.hl7.org/v2plusvocab/CodeSystem/paymentAdjustmentInformation  4Designated new drug or new biological payment adjustment applies to APC (status indicator J)Designated new drug or new biological payment adjustment applies to APC (status indicator J)
http://terminology.hl7.org/v2plusvocab/CodeSystem/paymentAdjustmentInformation  5Deductible not applicable (specific list of HCPCS codes)Deductible not applicable (specific list of HCPCS codes)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code