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TX: CodeSystem v2-0339

Properties

Language en
Defining URL http://terminology.hl7.org/CodeSystem/v2-0339
Version 3.0.0
Name AdvancedBeneficiaryNotice
Title advancedBeneficiaryNotice
Status active
Definition

Code system of concepts specifying the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.

Purpose

Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)

Publisher Health Level Seven International
Committee oo
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.html
Value Set v2 Advanced Beneficiary Notice Code

Properties

This code system defines the following properties for its concepts

Code URI Type Description
status http://hl7.org/fhir/concept-properties#status code A code that indicates the status of the concept
v2-table-deprecated http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated code Version of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0339 defines the following codes in a is-a hierarchy:

Code Display Definition
1 Service is subject to medical necessity procedures Service is subject to medical necessity procedures
2 Patient has been informed of responsibility, and agrees to pay for service Patient has been informed of responsibility, and agrees to pay for service
3 Patient has been informed of responsibility, and asks that the payer be billed Patient has been informed of responsibility, and asks that the payer be billed
4 Advanced Beneficiary Notice has not been signed Advanced Beneficiary Notice has not been signed