v2+ Vocabulary
0.3.0 - Working Draft to present the concept ideas (FO)
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
| Active as of 2025-08-05 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "cms-OCEEditCode-csV100"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include all codes defined in <a href=\"CodeSystem-cms-OCEEditCode-csV100.html\"><code>http://terminology.hl7.org/v2plusvocab/CodeSystem/cms-OCEEditCode-csV100</code></a></li></ul></div>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ]
] [
fhir:url [ fhir:v "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "generate correct history somehow" ]
] [
fhir:url [ fhir:v "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "0458" ]
] ) ; #
fhir:url [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/cms-OCEEditCode-csV100"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.6.301.9" ]
] ) ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "Cms-OCEEditCode-csV100"] ; #
fhir:title [ fhir:v "OCE Edit Code (2.4 - 1.0.0)"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v true] ; #
fhir:date [ fhir:v "2025-08-05T15:14:51+02:00"^^xsd:dateTime] ; #
fhir:description [ fhir:v "Code system of concepts specifying the action to be taken during reimbursement calculations. Used in HL7 Version 2.x messaging in the GP2 segment."] ; #
fhir:copyright [ fhir:v "HL7 Inc., 2024"] ; #
fhir:caseSensitive [ fhir:v true] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:property ( [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:uri [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced"^^xsd:anyURI ] ;
fhir:description [ fhir:v "version when was this code introduced" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:code [ fhir:v "versionDeprecated" ] ;
fhir:uri [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated"^^xsd:anyURI ] ;
fhir:description [ fhir:v "version when was this code deprecated" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:code [ fhir:v "status" ] ;
fhir:uri [ fhir:v "http://hl7.org/fhir/concept-properties#status"^^xsd:anyURI ] ;
fhir:description [ fhir:v "A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired" ] ;
fhir:type [ fhir:v "code" ]
] [
fhir:code [ fhir:v "comment" ] ;
fhir:uri [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment"^^xsd:anyURI ] ;
fhir:description [ fhir:v "A string that provides additional detail pertinent to the use or understanding of the concept" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:code [ fhir:v "usage" ] ;
fhir:uri [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage"^^xsd:anyURI ] ;
fhir:description [ fhir:v "usage notes for this code" ] ;
fhir:type [ fhir:v "string" ]
] [
fhir:code [ fhir:v "modified" ] ;
fhir:uri [ fhir:v "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified"^^xsd:anyURI ] ;
fhir:description [ fhir:v "date of last modification" ] ;
fhir:type [ fhir:v "dateTime" ]
] ) ; #
fhir:concept ( [
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Invalid diagnosis code" ] ;
fhir:definition [ fhir:v "Invalid diagnosis code" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "10" ] ;
fhir:display [ fhir:v "Non-covered service submitted for verification of denial (condition code 21 from header information on claim)" ] ;
fhir:definition [ fhir:v "Non-covered service submitted for verification of denial (condition code 21 from header information on claim)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "11" ] ;
fhir:display [ fhir:v "Non-covered service submitted for FI review (condition code 20 from header information on claim)" ] ;
fhir:definition [ fhir:v "Non-covered service submitted for FI review (condition code 20 from header information on claim)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "12" ] ;
fhir:display [ fhir:v "Questionable covered service" ] ;
fhir:definition [ fhir:v "Questionable covered service" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "13" ] ;
fhir:display [ fhir:v "Additional payment for service not provided by Medicare" ] ;
fhir:definition [ fhir:v "Additional payment for service not provided by Medicare" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "14" ] ;
fhir:display [ fhir:v "Code indicates a site of service not included in OPPS" ] ;
fhir:definition [ fhir:v "Code indicates a site of service not included in OPPS" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "15" ] ;
fhir:display [ fhir:v "Service unit out of range for procedure" ] ;
fhir:definition [ fhir:v "Service unit out of range for procedure" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "16" ] ;
fhir:display [ fhir:v "Multiple bilateral procedures without modifier 50 (see Appendix A)" ] ;
fhir:definition [ fhir:v "Multiple bilateral procedures without modifier 50 (see Appendix A)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "17" ] ;
fhir:display [ fhir:v "Multiple bilateral procedures with modifier 50 (see Appendix A)" ] ;
fhir:definition [ fhir:v "Multiple bilateral procedures with modifier 50 (see Appendix A)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "18" ] ;
fhir:display [ fhir:v "Inpatient procedure" ] ;
fhir:definition [ fhir:v "Inpatient procedure" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "19" ] ;
fhir:display [ fhir:v "Mutually exclusive procedure that is not allowed even if appropriate modifier present" ] ;
fhir:definition [ fhir:v "Mutually exclusive procedure that is not allowed even if appropriate modifier present" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Diagnosis and age conflict" ] ;
fhir:definition [ fhir:v "Diagnosis and age conflict" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "20" ] ;
fhir:display [ fhir:v "Component of a comprehensive procedure that is not allowed even if appropriate modifier present" ] ;
fhir:definition [ fhir:v "Component of a comprehensive procedure that is not allowed even if appropriate modifier present" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "21" ] ;
fhir:display [ fhir:v "Medical visit on same day as a type \"T\" or \"S\" procedure without modifier 25 (see Appendix B)" ] ;
fhir:definition [ fhir:v "Medical visit on same day as a type \"T\" or \"S\" procedure without modifier 25 (see Appendix B)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "22" ] ;
fhir:display [ fhir:v "Invalid modifier" ] ;
fhir:definition [ fhir:v "Invalid modifier" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "23" ] ;
fhir:display [ fhir:v "Invalid date" ] ;
fhir:definition [ fhir:v "Invalid date" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "24" ] ;
fhir:display [ fhir:v "Date out of OCE range" ] ;
fhir:definition [ fhir:v "Date out of OCE range" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "25" ] ;
fhir:display [ fhir:v "Invalid age" ] ;
fhir:definition [ fhir:v "Invalid age" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "26" ] ;
fhir:display [ fhir:v "Invalid sex" ] ;
fhir:definition [ fhir:v "Invalid sex" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "27" ] ;
fhir:display [ fhir:v "Only incidental services reported" ] ;
fhir:definition [ fhir:v "Only incidental services reported" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "28" ] ;
fhir:display [ fhir:v "Code not recognized by Medicare; alternate code for same service available" ] ;
fhir:definition [ fhir:v "Code not recognized by Medicare; alternate code for same service available" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "29" ] ;
fhir:display [ fhir:v "Partial hospitalization service for non-mental health diagnosis" ] ;
fhir:definition [ fhir:v "Partial hospitalization service for non-mental health diagnosis" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "Diagnosis and sex conflict" ] ;
fhir:definition [ fhir:v "Diagnosis and sex conflict" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "30" ] ;
fhir:display [ fhir:v "Insufficient services on day of partial hospitalization" ] ;
fhir:definition [ fhir:v "Insufficient services on day of partial hospitalization" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "31" ] ;
fhir:display [ fhir:v "Partial hospitalization on same day as ECT or type \"T\" procedure" ] ;
fhir:definition [ fhir:v "Partial hospitalization on same day as ECT or type \"T\" procedure" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "32" ] ;
fhir:display [ fhir:v "Partial hospitalization claim spans 3 or less days with in-sufficient services, or ECT or significant procedure on at least one of the days" ] ;
fhir:definition [ fhir:v "Partial hospitalization claim spans 3 or less days with in-sufficient services, or ECT or significant procedure on at least one of the days" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "33" ] ;
fhir:display [ fhir:v "Partial hospitalization claim spans more than 3 days with insufficient number of days having mental health services" ] ;
fhir:definition [ fhir:v "Partial hospitalization claim spans more than 3 days with insufficient number of days having mental health services" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "34" ] ;
fhir:display [ fhir:v "Partial hospitalization claim spans more than 3 days with insufficient number of days meeting partial hospitalization criteria" ] ;
fhir:definition [ fhir:v "Partial hospitalization claim spans more than 3 days with insufficient number of days meeting partial hospitalization criteria" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "35" ] ;
fhir:display [ fhir:v "Only activity therapy and/or occupational therapy services provided" ] ;
fhir:definition [ fhir:v "Only activity therapy and/or occupational therapy services provided" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "36" ] ;
fhir:display [ fhir:v "Extensive mental health services provided on day of ECT or significant procedure" ] ;
fhir:definition [ fhir:v "Extensive mental health services provided on day of ECT or significant procedure" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "37" ] ;
fhir:display [ fhir:v "Terminated bilateral procedure or terminated procedure with units greater than one" ] ;
fhir:definition [ fhir:v "Terminated bilateral procedure or terminated procedure with units greater than one" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "38" ] ;
fhir:display [ fhir:v "Inconsistency between implanted device and implantation procedure" ] ;
fhir:definition [ fhir:v "Inconsistency between implanted device and implantation procedure" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "39" ] ;
fhir:display [ fhir:v "Mutually exclusive procedure that would be allowed if appropriate modifier were present" ] ;
fhir:definition [ fhir:v "Mutually exclusive procedure that would be allowed if appropriate modifier were present" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "4" ] ;
fhir:display [ fhir:v "Medicare secondary payer alert" ] ;
fhir:definition [ fhir:v "Medicare secondary payer alert" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "40" ] ;
fhir:display [ fhir:v "Component of a comprehensive procedure that would be allowed if appropriate modifier were present" ] ;
fhir:definition [ fhir:v "Component of a comprehensive procedure that would be allowed if appropriate modifier were present" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "41" ] ;
fhir:display [ fhir:v "Invalid revenue code" ] ;
fhir:definition [ fhir:v "Invalid revenue code" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "42" ] ;
fhir:display [ fhir:v "Multiple medical visits on same day with same revenue code without condition code G0 (see Appendix B)" ] ;
fhir:definition [ fhir:v "Multiple medical visits on same day with same revenue code without condition code G0 (see Appendix B)" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "5" ] ;
fhir:display [ fhir:v "E-code as reason for visit" ] ;
fhir:definition [ fhir:v "E-code as reason for visit" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "6" ] ;
fhir:display [ fhir:v "Invalid procedure code" ] ;
fhir:definition [ fhir:v "Invalid procedure code" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "7" ] ;
fhir:display [ fhir:v "Procedure and age conflict" ] ;
fhir:definition [ fhir:v "Procedure and age conflict" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "8" ] ;
fhir:display [ fhir:v "Procedure and sex conflict" ] ;
fhir:definition [ fhir:v "Procedure and sex conflict" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] [
fhir:code [ fhir:v "9" ] ;
fhir:display [ fhir:v "Nov-covered service" ] ;
fhir:definition [ fhir:v "Nov-covered service" ] ;
( fhir:property [
fhir:code [ fhir:v "versionIntroduced" ] ;
fhir:value [
a fhir:string ;
fhir:v "2.4" ] ] )
] ) . #
IG © 2023+ . Package hl7.v2.uv.vocab#0.3.0 based on FHIR 4.0.1. Generated 2025-08-05
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