This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions icon ValueSet http://hl7.org/fhir/ValueSet/coverage-copay-type

Financial Management icon Work Group Maturity Level: 0Informative Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/coverage-copay-type Version: 6.0.0-cibuild
draft as of 2024-06-17 Computable Name: CoverageCopayTypeCodes
Flags: OID: 2.16.840.1.113883.4.642.3.527

This value set is used in the following places:

This value set includes sample Coverage Copayment Type codes.


This expansion generated 17 Jun 2024

Expansion based on codesystem Coverage Copay Type Codes v1.0.0 (CodeSystem) icon

This value set contains 10 concepts.

  gpvisit iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeGP Office Visit

An office visit for a general practitioner of a discipline.

  spvisit iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeSpecialist Office Visit

An office visit for a specialist practitioner of a discipline

  emergency iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeEmergency

An episode in an emergency department.

  inpthosp iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeInpatient Hospital

An episode of an Inpatient hospital stay.

  televisit iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeTele-visit

A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.

  urgentcare iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeUrgent Care

A visit to an urgent care facility - typically a community care clinic.

  copaypct iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay Percentage

A standard percentage applied to all classes or service or product not otherwise specified.

  copay iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay Amount

A standard fixed currency amount applied to all classes or service or product not otherwise specified.

  deductible iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeDeductible

The accumulated amount of patient payment before the coverage begins to pay for services.

  maxoutofpocket iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeMaximum out of pocket

The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code