0468

Payment Adjustment Code

Introduced in v2.4· hl7· universal· 5 values

THO:PaymentAdjustmentInformationv2.0.0

Code system of concepts specifying any payment adjustment due to drugs or medical devices. Used in HL7 Version 2.x messaging in the GP2 segment.

OID & Vocabulary Information

THO Canonical URL (v2.0.0)
http://terminology.hl7.org/CodeSystem/v2-0468
Table OID
2.16.840.1.113883.12.468
Codesystem OID (v1)
2.16.840.1.113883.18.297
Value Set OID
2.16.840.1.113883.21.313
Binding
universal
Expansion
All codes from codesystem
UTG Code Table
prev version
Used In Data Elements
5
1
No payment adjustment
2
Designated current drug or biological payment adjustment applies to APC (status indicator G)
3
Designated new device payment adjustment applies to APC (status indicator H)
4
Designated new drug or new biological payment adjustment applies to APC (status indicator J)
5
Deductible not applicable (specific list of HCPCS codes)
5 codes