FHIR IG analytics| Package | hl7.v2.uv.terminology.v24 |
| Resource Type | CodeSystem |
| Id | CodeSystem-conditionCodes.json |
| FHIR Version | R4 |
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FHIR
FHIRsmithhttp://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes{
"resourceType": "CodeSystem",
"id": "conditionCodes",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated",
"valueString": "2.4"
},
{
"url": "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory",
"valueString": "generate correct history somehow"
},
{
"url": "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo",
"valueString": "0043"
}
],
"url": "http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.18.19"
}
],
"version": "1.0.0",
"name": "ConditionCodes",
"title": "Condition Code (2.4 - 1.0.0)",
"status": "active",
"experimental": true,
"date": "2026-01-27T19:23:17+00:00",
"publisher": "HL7/FO",
"contact": [
{
"name": "HL7/FO",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org"
}
]
}
],
"description": "HL7-defined code system of concepts specifying the condition code. This field is defined by CMS or other regulartory agencies. Used in HL7 Version 2.x messaging in the UB2 segment.",
"copyright": "HL7 Inc., 2026",
"caseSensitive": true,
"compositional": false,
"content": "complete",
"property": [
{
"code": "versionIntroduced",
"uri": "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced",
"description": "version when was this code introduced",
"type": "string"
},
{
"code": "versionDeprecated",
"uri": "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated",
"description": "version when was this code deprecated",
"type": "string"
},
{
"code": "status",
"uri": "http://hl7.org/fhir/concept-properties#status",
"description": "A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired",
"type": "code"
},
{
"code": "comment",
"uri": "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment",
"description": "A string that provides additional detail pertinent to the use or understanding of the concept",
"type": "string"
},
{
"code": "usage",
"uri": "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage",
"description": "usage notes for this code",
"type": "string"
},
{
"code": "modified",
"uri": "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified",
"description": "date of last modification",
"type": "dateTime"
}
],
"concept": [
{
"code": "01",
"display": "Military service related",
"definition": "Military service related",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "02",
"display": "Condition is employment related",
"definition": "Condition is employment related",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "03",
"display": "Patient covered by insurance not reflected here",
"definition": "Patient covered by insurance not reflected here",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "04",
"display": "HMO enrollee",
"definition": "HMO enrollee",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "05",
"display": "Lien has been filed",
"definition": "Lien has been filed",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "06",
"display": "ESRD patient in first 18 months of entitlement covered by employer group health insurance",
"definition": "ESRD patient in first 18 months of entitlement covered by employer group health insurance",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "07",
"display": "Treatment of non-terminal condition for hospice patient",
"definition": "Treatment of non-terminal condition for hospice patient",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "08",
"display": "Beneficiary would not provide information concerning other insurance coverage",
"definition": "Beneficiary would not provide information concerning other insurance coverage",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "09",
"display": "Neither patient nor spouse is employed",
"definition": "Neither patient nor spouse is employed",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "10",
"display": "Patient and/or spouse is employed but no EGHP exists",
"definition": "Patient and/or spouse is employed but no EGHP exists",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "11",
"display": "Disabled beneficiary but no LGHP",
"definition": "Disabled beneficiary but no LGHP",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "12",
"display": "Payer codes.",
"definition": "Payer codes.",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "13",
"display": "Payer codes.",
"definition": "Payer codes.",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "14",
"display": "Payer codes.",
"definition": "Payer codes.",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "15",
"display": "Payer codes.",
"definition": "Payer codes.",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "16",
"display": "Payer codes.",
"definition": "Payer codes.",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "18",
"display": "Maiden name retained",
"definition": "Maiden name retained",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "19",
"display": "Child retains mother's name",
"definition": "Child retains mother's name",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "20",
"display": "Beneficiary requested billing",
"definition": "Beneficiary requested billing",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "21",
"display": "Billing for Denial Notice",
"definition": "Billing for Denial Notice",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "26",
"display": "VA eligible patient chooses to receive services in a Medicare certified facility",
"definition": "VA eligible patient chooses to receive services in a Medicare certified facility",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "27",
"display": "Patient referred to a sole community hospital for a diagnostic laboratory test",
"definition": "Patient referred to a sole community hospital for a diagnostic laboratory test",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "28",
"display": "Patient and/or spouse’s EGHP is secondary to Medicare",
"definition": "Patient and/or spouse’s EGHP is secondary to Medicare",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "29",
"display": "Disabled beneficiary and/or family member’s LGHP is secondary to Medicare",
"definition": "Disabled beneficiary and/or family member’s LGHP is secondary to Medicare",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "31",
"display": "Patient is student (full time-day)",
"definition": "Patient is student (full time-day)",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "32",
"display": "Patient is student (cooperative/work study program)",
"definition": "Patient is student (cooperative/work study program)",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "33",
"display": "Patient is student (full time-night)",
"definition": "Patient is student (full time-night)",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "34",
"display": "Patient is student (Part time)",
"definition": "Patient is student (Part time)",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "36",
"display": "General care patient in a special unit",
"definition": "General care patient in a special unit",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "37",
"display": "Ward accommodation as patient request",
"definition": "Ward accommodation as patient request",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "38",
"display": "Semi-private room not available",
"definition": "Semi-private room not available",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "39",
"display": "Private room medically necessary",
"definition": "Private room medically necessary",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "40",
"display": "Same day transfer",
"definition": "Same day transfer",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "41",
"display": "Partial hospitalization",
"definition": "Partial hospitalization",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "46",
"display": "Non-availability statement on file",
"definition": "Non-availability statement on file",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "48",
"display": "Psychiatric residential treatment centers for children and adolescents",
"definition": "Psychiatric residential treatment centers for children and adolescents",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "55",
"display": "SNF bed not available",
"definition": "SNF bed not available",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "56",
"display": "Medical appropriateness",
"definition": "Medical appropriateness",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "57",
"display": "SNF readmission",
"definition": "SNF readmission",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "60",
"display": "Day outlier",
"definition": "Day outlier",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "61",
"display": "Cost outlier",
"definition": "Cost outlier",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "62",
"display": "Payer code",
"definition": "Payer code",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "66",
"display": "Provider does not wish cost outlier payment",
"definition": "Provider does not wish cost outlier payment",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "67",
"display": "Beneficiary elects not to use life time reserve (LTR) days",
"definition": "Beneficiary elects not to use life time reserve (LTR) days",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "68",
"display": "Beneficiary elects to use life time reserve (LTR) days",
"definition": "Beneficiary elects to use life time reserve (LTR) days",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "70",
"display": "Self-administered EPO",
"definition": "Self-administered EPO",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "71",
"display": "Full care in unit",
"definition": "Full care in unit",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "72",
"display": "Self-care in unit",
"definition": "Self-care in unit",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "73",
"display": "Self-care training",
"definition": "Self-care training",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "74",
"display": "Home",
"definition": "Home",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "75",
"display": "Home - 100% reimbursement",
"definition": "Home - 100% reimbursement",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "76",
"display": "Back-up in facility dialysis",
"definition": "Back-up in facility dialysis",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "77",
"display": "Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full",
"definition": "Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "78",
"display": "New coverage not implemented by HMO",
"definition": "New coverage not implemented by HMO",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "79",
"display": "Corf services provided off-site",
"definition": "Corf services provided off-site",
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
},
{
"code": "80",
"display": "Pregnant",
"definition": "Pregnant",
"designation": [
{
"language": "de",
"value": "schwanger"
}
],
"property": [
{
"code": "versionIntroduced",
"valueString": "2.3.1"
}
]
}
]
}