HL7 V2 | TABLE 0468
Table 0468: Payment Adjustment Code
Table of codes specifying any payment adjustment due to drugs or medical devices.
- Type
- User-defined (site-defined)
- Codes
- 5
- Introduced
- HL7 v2.4
- Used in
- GP2-9
- THO code system
http://terminology.hl7.org/CodeSystem/v2-0468- OID
2.16.840.1.113883.18.297
User-defined (site-defined): HL7 suggests these values, and each site may use its own. PipeHat notes codes outside this list as information, not errors.
Codes
| Code | Meaning |
|---|---|
1 | No payment adjustment |
2 | Designated current drug or biological payment adjustment applies to APC (status indicator G) |
3 | Designated new device payment adjustment applies to APC (status indicator H) |
4 | Designated new drug or new biological payment adjustment applies to APC (status indicator J) |
5 | Deductible not applicable (specific list of HCPCS codes) |
Where it's used
| Element | Name | FHIR (v2-to-FHIR mapping) |
|---|---|---|
GP2-9 | — |
Elements with a dot (such as CX.5) are data type components, used wherever that data type appears.
Source: HL7 Terminology (THO) 7.4.0, published by HL7 International under CC0. Check your trading partner's specification for the values they actually send.