{
"resourceType": "CodeSystem",
"id": "us-claim-information-category",
"meta": {
"lastUpdated": "2026-06-12T00:00:00+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem us-claim-information-category</b></p><a name=\"us-claim-information-category\"> </a><a name=\"hcus-claim-information-category\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2026-06-12 00:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/us-claim-information-category</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">place-of-service<a name=\"us-claim-information-category-place-of-service\"> </a></td><td>Place of Service</td><td>Place of service codes placed on health care claims to indicate the setting in which a service was provided.</td></tr><tr><td style=\"white-space:nowrap\">type-of-bill<a name=\"us-claim-information-category-type-of-bill\"> </a></td><td>Type of Bill</td><td>Categorization of the type of bill.</td></tr><tr><td style=\"white-space:nowrap\">service-facility<a name=\"us-claim-information-category-service-facility\"> </a></td><td>Service Facility</td><td>The facility where the service occurred.</td></tr><tr><td style=\"white-space:nowrap\">drg<a name=\"us-claim-information-category-drg\"> </a></td><td>DRG</td><td>Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.</td></tr><tr><td style=\"white-space:nowrap\">point-of-origin<a name=\"us-claim-information-category-point-of-origin\"> </a></td><td>Point of Origin</td><td>Institutional claim Point of origin for the patient's admission or visit.</td></tr><tr><td style=\"white-space:nowrap\">adm-type<a name=\"us-claim-information-category-adm-type\"> </a></td><td>Admission Type</td><td>Institutional Type of admission.</td></tr><tr><td style=\"white-space:nowrap\">claim-frequency<a name=\"us-claim-information-category-claim-frequency\"> </a></td><td>Claim Frequency</td><td>Indicates the billing frequency or submission type of the claim, such as original, replacement, or void.</td></tr><tr><td style=\"white-space:nowrap\">discharge-status<a name=\"us-claim-information-category-discharge-status\"> </a></td><td>Discharge Status</td><td>Indicates the patient's status as of the discharge date for a facility stay.</td></tr></table></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
}
],
"url": "http://terminology.hl7.org/CodeSystem/us-claim-information-category",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.5.182"
}
],
"version": "1.0.0",
"name": "USClaimInformationCategoryCodes",
"title": "US Claim Information Category Codes",
"status": "active",
"experimental": false,
"date": "2026-07-27T09:27:31+10:00",
"publisher": "Health Level Seven International",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org"
},
{
"system": "email",
"value": "hq@HL7.org"
}
]
}
],
"description": "Categories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"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",
"caseSensitive": true,
"valueSet": "http://terminology.hl7.org/ValueSet/us-claim-information-category",
"content": "complete",
"concept": [
{
"code": "place-of-service",
"display": "Place of Service",
"definition": "Place of service codes placed on health care claims to indicate the setting in which a service was provided."
},
{
"code": "type-of-bill",
"display": "Type of Bill",
"definition": "Categorization of the type of bill."
},
{
"code": "service-facility",
"display": "Service Facility",
"definition": "The facility where the service occurred."
},
{
"code": "drg",
"display": "DRG",
"definition": "Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping."
},
{
"code": "point-of-origin",
"display": "Point of Origin",
"definition": "Institutional claim Point of origin for the patient's admission or visit."
},
{
"code": "adm-type",
"display": "Admission Type",
"definition": "Institutional Type of admission."
},
{
"code": "claim-frequency",
"display": "Claim Frequency",
"definition": "Indicates the billing frequency or submission type of the claim, such as original, replacement, or void."
},
{
"code": "discharge-status",
"display": "Discharge Status",
"definition": "Indicates the patient's status as of the discharge date for a facility stay."
}
]
}