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1.14.3.1.153 HL7 Version 2 Table http://hl7.org/fhir/v2/0153

This is a table defined as part of HL7 v2.

Formal value Set definition (identifier http://hl7.org/fhir/v2/vs/0153 ): XML or JSON

Value Code

Code Description Version
... See NUBC codes added v2.5.1, removed after v2.6
01 Most common semi-private rate added v2.3.1, removed after v2.4
02 Hospital has no semi-private rooms added v2.3.1, removed after v2.4
04 Inpatient professional component charges which are combined billed added v2.3.1, removed after v2.4
05 Professional component included in charges and also billed separate to carrier added v2.3.1, removed after v2.4
06 Medicare blood deductible added v2.3.1, removed after v2.4
08 Medicare life time reserve amount in the first calendar year added v2.3.1, removed after v2.4
09 Medicare co-insurance amount in the first calendar year added v2.3.1, removed after v2.4
10 Lifetime reserve amount in the second calendar year added v2.3.1, removed after v2.4
11 Co-insurance amount in the second calendar year added v2.3.1, removed after v2.4
12 Working aged beneficiary/spouse with employer group health plan added v2.3.1, removed after v2.4
13 ESRD beneficiary in a Medicare coordination period with an employer group health plan added v2.3.1, removed after v2.4
14 No Fault including auto/other added v2.3.1, removed after v2.4
15 Worker's Compensation added v2.3.1, removed after v2.4
16 PHS, or other federal agency added v2.3.1, removed after v2.4
17 Payer code added v2.3.1, removed after v2.4
21 Catastrophic added v2.3.1, removed after v2.4
22 Surplus added v2.3.1, removed after v2.4
23 Recurring monthly incode added v2.3.1, removed after v2.4
24 Medicaid rate code added v2.3.1, removed after v2.4
30 Pre-admission testing added v2.3.1, removed after v2.4
31 Patient liability amount added v2.3.1, removed after v2.4
37 Pints of blood furnished added v2.3.1, removed after v2.4
38 Blood deductible pints added v2.3.1, removed after v2.4
39 Pints of blood replaced added v2.3.1, removed after v2.4
40 New coverage not implemented by HMO (for inpatient service only) added v2.3.1, removed after v2.4
41 Black lung added v2.3.1, removed after v2.4
42 VA added v2.3.1, removed after v2.4
43 Disabled beneficiary under age 64 with LGHP added v2.3.1, removed after v2.4
44 Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due added v2.3.1, removed after v2.4
45 Accident hour added v2.3.1, removed after v2.4
46 Number of grace days added v2.3.1, removed after v2.4
47 Any liability insurance added v2.3.1, removed after v2.4
48 Hemoglobin reading added v2.3.1, removed after v2.4
49 Hematocrit reading added v2.3.1, removed after v2.4
50 Physical therapy visits added v2.3.1, removed after v2.4
51 Occupational therapy visits added v2.3.1, removed after v2.4
52 Speech therapy visits added v2.3.1, removed after v2.4
53 Cardiac rehab visits added v2.3.1, removed after v2.4
56 Skilled nurse - home visit hours added v2.3.1, removed after v2.4
57 Home health aide - home visit hours added v2.3.1, removed after v2.4
58 Arterial blood gas added v2.3.1, removed after v2.4
59 Oxygen saturation added v2.3.1, removed after v2.4
60 HHA branch MSA added v2.3.1, removed after v2.4
67 Peritoneal dialysis added v2.3.1, removed after v2.4
68 EPO-drug added v2.3.1, removed after v2.4
70 ... 72 Payer codes added v2.3.1, removed after v2.4
75 ... 79 Payer codes added v2.3.1, removed after v2.4
80 Psychiatric visits added v2.3.1, removed after v2.4
81 Visits subject to co-payment added v2.3.1, removed after v2.4
A1 Deductible payer A added v2.3.1, removed after v2.4
A2 Coinsurance payer A added v2.3.1, removed after v2.4
A3 Estimated responsibility payer A added v2.3.1, removed after v2.4
X0 Service excluded on primary policy added v2.3.1, removed after v2.4
X4 Supplemental coverage added v2.3.1, removed after v2.4
See NUBC codes added v2.7