http://terminology.hl7.org/CodeSystem/ex-benefitcategory|1.0.1

name
BenefitCategoryCodes
package
hl7.terminology.r4@6.3.0
content
complete
status
active
date
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" : {
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    "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"
    } ]
  } ]
}