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Type: Change Request
Resolution: Persuasive with Modification
Priority: Medium

Specification:

US Da Vinci Patient Cost Transparency (PCT) (FHIR)
Raised in Version:

0.1.0 [deprecated]
Work Group:

Financial Mgmt
Outstanding Negatives:
STU
Related URL:
https://build.fhir.org/ig/HL7/davinci-pct/StructureDefinition-pct-gfe-Institutional.html
Related Page(s):

(NA)
Related Section(s):
7.6.1.1
Grouping:
- Block-Vote-12
- valueset
Resolution Description:
Hide

Create a new VS. This VS should include all codes from AMA CPT, CMS HCPCS, CMS HIPPS, and a DAR of Not Applicable.
Proposed VS Name: USClaimMedicalProductOrServiceCodes

This value set should include codes based on the following rules:

Include all codes defined in http://www.ama-assn.org/go/cpt

Include all codes defined in http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets

Include all codes defined in https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes

Include these codes as defined in http://terminology.hl7.org/CodeSystem/data-absent-reason
Code Display Definition
not-applicable Not Applicable There is no proper value for this element (e.g. last menstrual period for a male).
Show
Create a new VS. This VS should include all codes from AMA CPT, CMS HCPCS, CMS HIPPS, and a DAR of Not Applicable. Proposed VS Name: USClaimMedicalProductOrServiceCodes This value set should include codes based on the following rules: Include all codes defined in http://www.ama-assn.org/go/cpt Include all codes defined in http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets Include all codes defined in https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes Include these codes as defined in http://terminology.hl7.org/CodeSystem/data-absent-reason Code Display Definition not-applicable Not Applicable There is no proper value for this element (e.g. last menstrual period for a male).
Resolution Vote:
Rick Geimer/Mark Scrimshire: 11-0-0
Change Category:
Correction
Change Impact:
Compatible, substantive
Pre Applied:
Yes

Description

On the institutional profile, modify the Value Set to bind to Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS, http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBEOBInstitutionalProcedureCodes

Mark it as Must Support

Attachments

Issue Links

is voted on by

BALLOT-28900 Negative - Lenel James : 2022-Jan-FHIR IG DAVINCI PCT R1 STU

Withdrawn

BALLOT-27074 Negative - Michael Gould : 2022-Jan-FHIR IG DAVINCI PCT R1 STU

Balloted

relates to

FHIR-35257 Add HIPPS and HCPCS to ProductOrService codes

Published

FHIR-35252 Claim item ProductOrService can't be required

Published

FHIR-35257 Add HIPPS and HCPCS to ProductOrService codes

Published

FHIR-35259 AEOB item.ProductOrService can't be required for inpatient EOB

Published

(1 relates to)

Activity

People

Assignee:: Rick Geimer

Reporter:: Patricia Taylor

Request in-person:: Patricia Taylor

Watchers:: 5 Start watching this issue

Dates

Created:: 2021-12-28 01:22

Updated:: 2023-03-30 02:38

Resolved:: 2023-01-24 05:21

Vote Date:: 2023-01-31