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HL7 V2 | TABLE 0470

Table 0470: Reimbursement Type Code

Table of codes specifying the fee schedule reimbursement type applied to the line item.

Type
User-defined (site-defined)
Codes
10
Introduced
HL7 v2.4
Used in
GP2-12
THO code system
http://terminology.hl7.org/CodeSystem/v2-0470
OID
2.16.840.1.113883.18.299

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

CodeMeaning
OPPSOutpatient Prospective Payment System
PckgPackaged APC
LabClinical Laboratory APC
ThrpyTherapy APC
DMEDurable Medical Equipment
EPOEpotein
MammScreening Mammography APC
PartHPartial Hospitalization APC
CrnlCorneal Tissue APC
NoPayThis APC is not paid

Where it's used

ElementNameFHIR (v2-to-FHIR mapping)
GP2-12—

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.