Code System
stringclasses 7
values | Code
stringlengths 1
11
| Description
stringlengths 3
671
| QDM Category
stringclasses 5
values | Value Set Name
stringclasses 13
values | Value Set OID
stringclasses 13
values | Purpose: Clinical Focus
stringclasses 11
values | Code System OID
stringclasses 7
values |
|---|---|---|---|---|---|---|---|
CPT
|
98972
|
Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.12
|
CPT
|
99421
|
Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.12
|
CPT
|
99422
|
Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.12
|
CPT
|
99423
|
Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.12
|
CPT
|
99458
|
Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure)
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.12
|
HCPCS Level II
|
G2061
|
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
HCPCS Level II
|
G2062
|
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
HCPCS Level II
|
G2063
|
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
HCPCS Level II
|
G0071
|
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
HCPCS Level II
|
G2010
|
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
HCPCS Level II
|
G2012
|
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
|
Encounter
|
Online Assessments
|
2.16.840.1.113883.3.464.1003.101.12.1089
|
Includes concepts that represent an encounter using online modalities.
|
2.16.840.1.113883.6.285
|
CPT
|
99241
|
Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.12
|
CPT
|
99242
|
Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.12
|
CPT
|
99243
|
Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.12
|
CPT
|
99244
|
Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.12
|
CPT
|
99245
|
Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family.
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.12
|
SNOMEDCT
|
281036007
|
Follow-up consultation (procedure)
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.96
|
SNOMEDCT
|
77406008
|
Confirmatory medical consultation (procedure)
|
Encounter
|
Outpatient Consultation
|
2.16.840.1.113883.3.464.1003.101.12.1008
|
The purpose of this value set is to represent concepts for encounters for outpatient interactions with a member of the medical care team.
|
2.16.840.1.113883.6.96
|
SOP
|
1
|
MEDICARE
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
11
|
Medicare Managed Care (Includes Medicare Advantage Plans)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
111
|
Medicare HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
112
|
Medicare PPO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
113
|
Medicare POS
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
119
|
Medicare Managed Care Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
12
|
Medicare (Non-managed Care)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
121
|
Medicare FFS
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
122
|
Medicare Drug Benefit
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
123
|
Medicare Medical Savings Account (MSA)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
129
|
Medicare Non-managed Care Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
13
|
Medicare Hospice
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
14
|
Dual Eligibility Medicare/Medicaid Organization
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
19
|
Medicare Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
191
|
Medicare Pharmacy Benefit Manager
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
2
|
MEDICAID
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
21
|
Medicaid (Managed Care)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
211
|
Medicaid HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
212
|
Medicaid PPO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
213
|
Medicaid PCCM (Primary Care Case Management)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
219
|
Medicaid Managed Care Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
22
|
Medicaid (Non-managed Care Plan)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
23
|
Medicaid/SCHIP
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
25
|
Medicaid - Out of State
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
26
|
Medicaid - Long Term Care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
29
|
Medicaid Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
291
|
Medicaid Pharmacy Benefit Manager
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
299
|
Medicaid - Dental
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3
|
OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
31
|
Department of Defense
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
311
|
TRICARE (CHAMPUS)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3111
|
TRICARE Prime--HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3112
|
TRICARE Extra--PPO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3113
|
TRICARE Standard - Fee For Service
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3114
|
TRICARE For Life--Medicare Supplement
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3115
|
TRICARE Reserve Select
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3116
|
Uniformed Services Family Health Plan (USFHP) -- HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3119
|
Department of Defense - (other)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
312
|
Military Treatment Facility
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3121
|
Enrolled Prime--HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3122
|
Non-enrolled Space Available
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3123
|
TRICARE For Life (TFL)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
313
|
Dental --Stand Alone
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32
|
Department of Veterans Affairs
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
321
|
Veteran care-Care provided to Veterans
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3211
|
Direct Care-Care provided in VA facilities
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3212
|
Indirect Care-Care provided outside VA facilities
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32121
|
Fee Basis
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32122
|
Foreign Fee/Foreign Medical Program (FMP)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32123
|
Contract Nursing Home/Community Nursing Home
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32124
|
State Veterans Home
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32125
|
Sharing Agreements
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32126
|
Other Federal Agency
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32127
|
Dental Care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
32128
|
Vision Care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
322
|
Non-veteran care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3221
|
Civilian Health and Medical Program for the VA (CHAMPVA)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3222
|
Spina Bifida Health Care Program (SB)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3223
|
Children of Women Vietnam Veterans (CWVV)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3229
|
Other non-veteran care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
33
|
Indian Health Service or Tribe
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
331
|
Indian Health Service - Regular
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
332
|
Indian Health Service - Contract
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
333
|
Indian Health Service - Managed Care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
334
|
Indian Tribe - Sponsored Coverage
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
34
|
HRSA Program
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
341
|
Title V (MCH Block Grant)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
342
|
Migrant Health Program
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
343
|
Ryan White Act
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
349
|
Other
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
35
|
Black Lung
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
36
|
State Government
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
361
|
State SCHIP program (codes for individual states)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
362
|
Specific state programs (list/ local code)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
369
|
State, not otherwise specified (other state)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
37
|
Local Government
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
371
|
Local - Managed care
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3711
|
HMO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3712
|
PPO
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
3713
|
POS
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
372
|
FFS/Indemnity
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
SOP
|
379
|
Local, not otherwise specified (other local, county)
|
Individual Characteristic
|
Payer
|
2.16.840.1.114222.4.11.3591
|
Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
|
2.16.840.1.113883.3.221.5
|
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