FHIR Implementation Guide for HCX
0.9.0 - CI Build

FHIR Implementation Guide for HCX - Local Development build (v0.9.0). See the Directory of published versions

ValueSet: HCX Claim Service Codes

Summary

Defining URL:https://ig.hcxprotocol.io/v0.9/ValueSet-claim-service-codes.html
Version:0.9.0
Name:ClaimServiceCodes
Status:Active as of 2021-08-15
Definition:

This value set includes sample codes for products and services provided by PMJAY

Publisher:HCX Open Community
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

No formal definition provided for this ValueSet

 

Expansion

This value set contains 51 concepts

LevelCodeSystemDisplay
1  BM001https://pmjay.gov.in/hbp-package-codeThermal burns
2    BM001Ahttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA) - any %(not requiring admission). Needs at least 5-6 dressing
2    BM001Bhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM001Chttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM001Dhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
1  BM002https://pmjay.gov.in/hbp-package-codeScald burns
2    BM002Ahttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA) - any %(not requiring admission). Needs at least 5-6 dressing
2    BM002Bhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM002Chttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM002Dhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
1  BM003https://pmjay.gov.in/hbp-package-codeFlame burns
2    BM003Ahttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA) - any %(not requiring admission). Needs at least 5-6 dressing
2    BM003Bhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM003Chttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
2    BM003Dhttps://pmjay.gov.in/hbp-procedure-code% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.
1  ER001https://pmjay.gov.in/hbp-package-codeLaceration - Suturing / Dressing
2    ER001Ahttps://pmjay.gov.in/hbp-procedure-codeLaceration - Suturing / Dressing
1  ER002https://pmjay.gov.in/hbp-package-codeCardiopulmonary emergency
2    ER002Ahttps://pmjay.gov.in/hbp-procedure-codeEmergency with stable cardiopulmonary status
2    ER002Bhttps://pmjay.gov.in/hbp-procedure-codeEmergency with unstable cardiopulmonary status with resuccitation
1  ER003https://pmjay.gov.in/hbp-package-codeAnimal bites (Excluding Snake Bite)
2    ER003Ahttps://pmjay.gov.in/hbp-procedure-codeAnimal bites (Excluding Snake Bite)
1  ID001https://pmjay.gov.in/hbp-package-codeLaboratory Tests for COVID- 19 Infection (PCR) (Reimbursement level for this package will be as per the ICMR guidelines, issued from time to time)
2    ID001Ahttps://pmjay.gov.in/hbp-procedure-codeLaboratory Tests for COVID- 19 Infection (PCR) (Reimbursement level for this package will be as per the ICMR guidelines, issued from time to time)
1  ID003https://pmjay.gov.in/hbp-package-codeTreatment of COVID-19 Infection
2    ID003Ahttps://pmjay.gov.in/hbp-procedure-codeTreatment of COVID-19 Infection
1  IN001https://pmjay.gov.in/hbp-package-codeDural AVMs / AVFs
2    IN001Ahttps://pmjay.gov.in/hbp-procedure-codeDural AVMs (per sitting) with glue
2    IN001Bhttps://pmjay.gov.in/hbp-procedure-codeDural AVFs (per sitting) with glue
2    IN001Chttps://pmjay.gov.in/hbp-procedure-codeDural AVMs (per sitting) with onyx
2    IN001Dhttps://pmjay.gov.in/hbp-procedure-codeDural AVFs (per sitting) with onyx
1  IN002https://pmjay.gov.in/hbp-package-codeCerebral & Spinal AVM embolization - Using Histoacryl (per sitting)
2    IN002Ahttps://pmjay.gov.in/hbp-procedure-codeCerebral AVM embolization - Using Histoacryl (per sitting)
2    IN002Bhttps://pmjay.gov.in/hbp-procedure-codeSpinal AVM embolization - Using Histoacryl (per sitting)
1  IN003https://pmjay.gov.in/hbp-package-codeCoil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used)
2    IN003Ahttps://pmjay.gov.in/hbp-procedure-codeCoil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used)
1  IN004https://pmjay.gov.in/hbp-package-codeCarotico-cavernous Fistula (CCF) embolization
2    IN004Ahttps://pmjay.gov.in/hbp-procedure-codeCarotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide catheter, micro-catheter, micro- guidewire, general items]
2    IN004Bhttps://pmjay.gov.in/hbp-procedure-codeCarotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro- guidewire, general items)
1  IN005https://pmjay.gov.in/hbp-package-codePre-operative tumour embolization (per session)
2    IN005Ahttps://pmjay.gov.in/hbp-procedure-codePre-operative tumour embolization (per session)
1  IN006https://pmjay.gov.in/hbp-package-codeIntracranial balloon angioplasty with stenting
2    IN006Ahttps://pmjay.gov.in/hbp-procedure-codeIntracranial balloon angioplasty with stenting
1  IN007https://pmjay.gov.in/hbp-package-codeIntracranial thrombolysis / clot retrieval
2    IN007Ahttps://pmjay.gov.in/hbp-procedure-codeIntracranial thrombolysis / clot retrieval
1  IN008https://pmjay.gov.in/hbp-package-codeBalloon test occlusion
2    IN008Ahttps://pmjay.gov.in/hbp-procedure-codeBalloon test occlusion
1  IN009https://pmjay.gov.in/hbp-package-codeParent vessel occlusion - Basic
2    IN009Ahttps://pmjay.gov.in/hbp-procedure-codeParent vessel occlusion - Basic
1  IN010https://pmjay.gov.in/hbp-package-codeVertebroplasty
2    IN010Ahttps://pmjay.gov.in/hbp-procedure-codeVertebroplasty

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code