v2+ Vocabulary
0.3.0 - Working Draft to present the concept ideas (FO)

v2+ Vocabulary - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: Advanced Beneficiary Notice Code (2.3.1 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/CodeSystem/advancedBeneficiaryNoticeV100 Version: 1.0.0
Active as of 2025-08-05 Computable Name: AdvancedBeneficiaryNoticeV100
Other Identifiers: OID:2.16.840.1.113883.18.209

Copyright/Legal: HL7 Inc., 2024

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.

This Code system is referenced in the content logical definition of the following value sets:

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
version introduced versionIntroduced http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced string version when was this code introduced
version deprecated versionDeprecated http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated string version when was this code deprecated
status status http://hl7.org/fhir/concept-properties#status code A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired
comment, to suppress IG-publisher warning, to be replaced with standard later comment http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment string A string that provides additional detail pertinent to the use or understanding of the concept
usage usage http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage string usage notes for this code
modified modified http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified dateTime date of last modification

Concepts

This case-sensitive code system http://terminology.hl7.org/v2plusvocab/CodeSystem/advancedBeneficiaryNoticeV100 defines the following codes:

CodeDisplayDefinitionversion introducedDeutsch (German, de)
1 Service is subject to medical necessity procedures Service is subject to medical necessity procedures 2.3.1 Zuzahlung muss abgeklärt werden
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 2.3.1
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 2.3.1 Patient fragt nach Rechnung
4 Advanced Beneficiary Notice has not been signed Advanced Beneficiary Notice has not been signed 2.3.1 Zustimmung zur Zuzahlung liegt nicht vor