Benefit Category Codes

{
  "description" : "This value set includes examples of Benefit Category codes.",
  "date" : "2026-03-08T18:17:17-06:00",
  "meta" : {
    "lastUpdated" : "2024-04-24T00:00:00+00:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
  },
  "publisher" : "Health Level Seven International",
  "content" : "complete",
  "property" : null,
  "name" : "BenefitCategoryCodes",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Benefit Category Codes",
  "extension" : [ {
    "valueCode" : "fm",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }, {
    "extension" : [ {
      "valueString" : "concept",
      "url" : "path"
    }, {
      "url" : "count",
      "valueInteger" : 28
    } ],
    "url" : "http://health-samurai.io/extensions/excised-data"
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "active",
  "language" : "en",
  "id" : "ex-benefitcategory",
  "valueSet" : "http://terminology.hl7.org/ValueSet/ex-benefitcategory",
  "url" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1175"
  } ],
  "caseSensitive" : true,
  "version" : "1.0.1",
  "contact" : [ {
    "telecom" : [ {
      "system" : "url",
      "value" : "http://hl7.org"
    }, {
      "system" : "email",
      "value" : "hq@HL7.org"
    } ]
  } ],
  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ex-benefitcategory</b></p><a name=\"ex-benefitcategory\"> </a><a name=\"hcex-benefitcategory\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-04-24 00:00:00+0000; Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"ex-benefitcategory-1\"> </a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"ex-benefitcategory-2\"> </a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"ex-benefitcategory-3\"> </a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"ex-benefitcategory-4\"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"ex-benefitcategory-5\"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"ex-benefitcategory-14\"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"ex-benefitcategory-23\"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"ex-benefitcategory-24\"> </a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"ex-benefitcategory-25\"> </a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"ex-benefitcategory-26\"> </a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"ex-benefitcategory-27\"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"ex-benefitcategory-28\"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"ex-benefitcategory-30\"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"ex-benefitcategory-35\"> </a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"ex-benefitcategory-36\"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"ex-benefitcategory-37\"> </a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"ex-benefitcategory-49\"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"ex-benefitcategory-55\"> </a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"ex-benefitcategory-56\"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td style=\"white-space:nowrap\">61<a name=\"ex-benefitcategory-61\"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"ex-benefitcategory-62\"> </a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"ex-benefitcategory-63\"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td style=\"white-space:nowrap\">69<a name=\"ex-benefitcategory-69\"> </a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"ex-benefitcategory-76\"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td style=\"white-space:nowrap\">F1<a name=\"ex-benefitcategory-F1\"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F3<a name=\"ex-benefitcategory-F3\"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F4<a name=\"ex-benefitcategory-F4\"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F6<a name=\"ex-benefitcategory-F6\"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</td></tr></table></div>",
    "status" : "generated"
  }
}