http://terminology.hl7.org/CodeSystem/ex-benefitcategory|1.0.1
name
BenefitCategoryCodes
BenefitCategoryCodes
package
hl7.terminology.r4@6.3.0
hl7.terminology.r4@6.3.0
content
complete
complete
status
active
active
date
2025-05-01 01:35:10.0
2025-05-01 01:35:10.0
Benefit Category Codes
This value set includes examples of Benefit Category codes.
{
"description" : "This value set includes examples of Benefit Category codes.",
"compose" : null,
"package" : "hl7.terminology.r4@6.3.0",
"date" : "2025-05-01T01:35:10Z",
"meta" : {
"profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
"lastUpdated" : "2024-04-24T00:00:00+00:00"
},
"publisher" : "Health Level Seven International",
"content" : "complete",
"name" : "BenefitCategoryCodes",
"copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "Benefit Category Codes",
"supliment" : null,
"extension" : [ {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
}, {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
} ],
"status" : "active",
"id" : "20779682-8d9e-5719-99eb-909c966d38f4",
"valueSet" : "http://terminology.hl7.org/ValueSet/ex-benefitcategory",
"url" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
"identifier" : [ {
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1175",
"system" : "urn:ietf:rfc:3986"
} ],
"concept" : [ {
"code" : "1",
"display" : "Medical Care",
"definition" : "Medical Care."
}, {
"code" : "2",
"display" : "Surgical",
"definition" : "Surgical."
}, {
"code" : "3",
"display" : "Consultation",
"definition" : "Consultation."
}, {
"code" : "4",
"display" : "Diagnostic XRay",
"definition" : "Diagnostic XRay."
}, {
"code" : "5",
"display" : "Diagnostic Lab",
"definition" : "Diagnostic Lab."
}, {
"code" : "14",
"display" : "Renal Supplies",
"definition" : "Renal Supplies excluding Dialysis."
}, {
"code" : "23",
"display" : "Diagnostic Dental",
"definition" : "Diagnostic Dental."
}, {
"code" : "24",
"display" : "Periodontics",
"definition" : "Periodontics."
}, {
"code" : "25",
"display" : "Restorative",
"definition" : "Restorative."
}, {
"code" : "26",
"display" : "Endodontics",
"definition" : "Endodontics."
}, {
"code" : "27",
"display" : "Maxillofacial Prosthetics",
"definition" : "Maxillofacial Prosthetics."
}, {
"code" : "28",
"display" : "Adjunctive Dental Services",
"definition" : "Adjunctive Dental Services."
}, {
"code" : "30",
"display" : "Health Benefit Plan Coverage",
"definition" : "Health Benefit Plan Coverage."
}, {
"code" : "35",
"display" : "Dental Care",
"definition" : "Dental Care."
}, {
"code" : "36",
"display" : "Dental Crowns",
"definition" : "Dental Crowns."
}, {
"code" : "37",
"display" : "Dental Accident",
"definition" : "Dental Accident."
}, {
"code" : "49",
"display" : "Hospital Room and Board",
"definition" : "Hospital Room and Board."
}, {
"code" : "55",
"display" : "Major Medical",
"definition" : "Major Medical."
}, {
"code" : "56",
"display" : "Medically Related Transportation",
"definition" : "Medically Related Transportation."
}, {
"code" : "61",
"display" : "In-vitro Fertilization",
"definition" : "In-vitro Fertilization."
}, {
"code" : "62",
"display" : "MRI Scan",
"definition" : "MRI Scan."
}, {
"code" : "63",
"display" : "Donor Procedures",
"definition" : "Donor Procedures such as organ harvest."
}, {
"code" : "69",
"display" : "Maternity",
"definition" : "Maternity."
}, {
"code" : "76",
"display" : "Renal Dialysis",
"definition" : "Renal dialysis."
}, {
"code" : "F1",
"display" : "Medical Coverage",
"definition" : "Medical Coverage."
}, {
"code" : "F3",
"display" : "Dental Coverage",
"definition" : "Dental Coverage."
}, {
"code" : "F4",
"display" : "Hearing Coverage",
"definition" : "Hearing Coverage."
}, {
"code" : "F6",
"display" : "Vision Coverage",
"definition" : "Vision Coverage."
} ],
"caseSensitive" : true,
"version" : "1.0.1",
"contact" : [ {
"telecom" : [ {
"value" : "http://hl7.org",
"system" : "url"
}, {
"value" : "hq@HL7.org",
"system" : "email"
} ]
} ]
}