Code System
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| QDM Category
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values | Value Set OID
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values | Purpose: Clinical Focus
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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 |