Release 4
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions Code System

Financial Management Work Group   Maturity Level : 1 Draft Use Context : Any

This is a code system defined by the FHIR project.


Defining URL:
Version: 4.0.1 4.2.0
Name: BenefitCategoryCodes
Title: Benefit Category Codes

This value set includes examples of Benefit Category codes.

Committee: Financial Management Work Group
OID: 2.16.840.1.113883.4.642.4.1175 2.16.840.1.113883.4.642.1.1175 (for OID based terminology systems)

This is an example set.

Source Resource XML / JSON

This Code system is used in the following value sets:

  • ValueSet: Benefit Category Codes (This value set includes examples of Benefit Category codes.)
  • ValueSet: Benefit Category Codes (This value set includes examples of Benefit Category codes.)

This value set includes examples of Benefit Category codes.

Copyright Statement: This is an example set.

This code system defines the following codes:
Code Display Definition
1 Medical Care Medical Care.
2 Surgical Surgical.
3 Consultation Consultation.
4 Diagnostic XRay Diagnostic XRay.
5 Diagnostic Lab Diagnostic Lab.
14 Renal Supplies Renal Supplies excluding Dialysis.
23 Diagnostic Dental Diagnostic Dental.
24 Periodontics Periodontics.
25 Restorative Restorative.
26 Endodontics Endodontics.
27 Maxillofacial Prosthetics Maxillofacial Prosthetics.
28 Adjunctive Dental Services Adjunctive Dental Services.
30 Health Benefit Plan Coverage Health Benefit Plan Coverage.
35 Dental Care Dental Care.
36 Dental Crowns Dental Crowns.
37 Dental Accident Dental Accident.
49 Hospital Room and Board Hospital Room and Board.
55 Major Medical Major Medical.
56 Medically Related Transportation Medically Related Transportation.
61 In-vitro Fertilization In-vitro Fertilization.
62 MRI Scan MRI Scan.
63 Donor Procedures Donor Procedures such as organ harvest.
69 Maternity Maternity.
76 Renal Dialysis Renal dialysis.
F1 Medical Coverage Medical Coverage.
F3 Dental Coverage Dental Coverage.
F4 Hearing Coverage Hearing Coverage.
F6 Vision Coverage Vision Coverage.


See the full registry of code systems defined as part of FHIR.

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. See Code System for further information.
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). If the code is in italics, this indicates that the code is not selectable ('Abstract')
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