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Packagehl7.fhir.us.davinci-pct
Resource TypeValueSet
IdValueSet-USClaimMedicalProductOrServiceCodes.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/davinci-pct/ValueSet-USClaimMedicalProductOrServiceCodes.html
URLhttp://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes
Version2.0.0
Statusactive
Date2026-01-29T06:53:41+00:00
NameUSClaimMedicalProductOrServiceCodes
TitleClaim Medical Product or Service Value Set
Realmus
Authorityhl7
DescriptionCPT - HCPCS - HIPPS - CDT codes to report medical procedures and services under public and private health insurance programs
CopyrightCurrent Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.

Resources that use this resource

StructureDefinition
davinci-pct-aeobPCT Advanced EOB
davinci-pct-gfe-institutionalPCT Good Faith Estimate Institutional
davinci-pct-gfe-professionalPCT Good Faith Estimate Professional
davinci-pct-servicerequestPCT GFE ServiceRequest
estimateProcedureOrServiceSignificant Procedures and/or products involved

Resources that this resource uses

CodeSystem
data-absent-reasonDataAbsentReason
cdtCode on Dental Procedures and Nomenclature
cptCurrent Procedural Terminology (CPT®)
HCPCSReleaseCodeSetsHealthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes
HIPPSCodesHealth Insurance Prospective Payment System (HIPPS)

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet USClaimMedicalProductOrServiceCodes

This value set includes codes based on the following rules:


Source1

{
  "resourceType": "ValueSet",
  "id": "USClaimMedicalProductOrServiceCodes",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.4.48.36"
    }
  ],
  "version": "2.0.0",
  "name": "USClaimMedicalProductOrServiceCodes",
  "title": "Claim Medical Product or Service Value Set",
  "status": "active",
  "experimental": false,
  "date": "2026-01-29T06:53:41+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fmlists@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "CPT - HCPCS - HIPPS - CDT codes to report medical procedures and services under public and private health insurance programs",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved.",
  "compose": {
    "include": [
      {
        "system": "http://www.ama-assn.org/go/cpt"
      },
      {
        "system": "http://www.ada.org/cdt"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"
      },
      {
        "system": "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
        "version": "1.0.0",
        "concept": [
          {
            "code": "not-applicable",
            "display": "Not Applicable"
          }
        ]
      }
    ]
  }
}