0468

Payment Adjustment Code

Introduced in v2.4· user· Steward: FM· 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.

No description available in the specification.

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
Expansion
All codes from codesystem
Where Used
GP2-9
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