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5.2.0.375 0459 - Reimbursement Action Code (2.C.2.375)

Concept Domain Information

Display Name: Reimbursement Action Code
Description:
Interpretation: nicht verwendet

Value Set Information

OID: 2.16.840.1.113883.21.309
Description: Value Set of codes that specify the action to be taken during reimbursement calculations.
Symbolic Name: cms-OCEEditCode-cs

Binding Information

Binding: example

Table Metadata

Table: 459
Steward: FM

Code System Identification Information

CS-OID: 2.16.840.1.113883.6.301.9
Description: Code system of concepts specifying the action to be taken during reimbursement calculations. Used in HL7 Version 2.x messaging in the GP2 segment.
CS Symbolic Name: cms-OCEEditCode-cs
case insensitive: Falsch
contains 'unknown': Falsch
contains 'other': Falsch

Code System Version Information

OID Version:
1

Table Values

Value Display Name Interpretation Comment Usage Note Modification Date Active
0 OCE line item denial or rejection is not ignored Jul 13 2015  
1 OCE line item denial or rejection is ignored Jul 13 2015  
2 External line item denial. Line item is denied even if no OCE edits Jul 13 2015  
3 External line item rejection. Line item is rejected even if no OCE edits Jul 13 2015